- ChenMed (Chicago, IL)
- …in a dynamic and professional environment to ensure the highest level of quality healthcare is delivered to our members. **ESSENTIAL DUTIES AND RESPONSIBILITIES:** + ... AND ABILITIES:** + Knowledge of medical terminology, CPT, HCPCS and ICD coding preferred + An inept understanding of the company's patient population, including… more
- Ochsner Health (Jefferson, LA)
- …1942, but one thing has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award earned, every record broken ... future today!** This job is responsible for reviewing and accurately coding either most professional services, including evaluation and management, and Procedures… more
- Henry Ford Health System (Troy, MI)
- …integrated healthcare delivery system. Day-to-day operations include personnel management, education , training, productivity, work assignments, quality reviews, ... standardization across Henry Ford Health System and ensures alignment of high quality documentation and coding that supports compliant and accurate medical… more
- MTA (New York, NY)
- …and standard documentation for program development activity in a timely and high- quality manner. + Participate in the evaluation of new software development ... in a timely manner. + Assist less experienced software developers/analysts in solving coding and technical issues related to MTA software. Level 4 Same as Level… more
- Elevance Health (Chicago, IL)
- …an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit ... activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools,… more
- LA Care Health Plan (Los Angeles, CA)
- …the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents ... III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies… more
- Hartford HealthCare (Farmington, CT)
- …Groups (MS-DRG, APR-DRGs, etc.) and ICD-10 code assignment for compliance, reimbursement, and quality outcomes. . Works with Coding and Quality Management ... for extensive record review, and interaction with physicians, HIM coding professionals, nursing staff and other patient care givers...the accurate representation of patient severity of illness and quality of care. The CDS is also responsible for… more
- Avera (Sioux Falls, SD)
- …provide input for medical necessity and other related appeals using appropriate coding guideline references. + Lead communication between health information ... the accommodations do not cause undue hardship to the employer. **Required Education , License/Certification, or Work Experience:** + Certified Coding Specialist… more
- Northwell Health (Lake Success, NY)
- …reviews to ensure records are complete, accurate, and support proper billing and coding - Audit anesthesia records focusing on quality , completeness, and ... coding - Perform periodic probe audits to detect coding discrepancies that may lead to over-...(eg, location, specialty, service line, years of relevant experience, education , credentials, negotiated contracts, The salary range for this… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... of Professional Medical Conduct Office of Professional Medical Conduct/NYS Education Department, Office of Professional Discipline and/or internal referral for… more
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