- Excellus BlueCross BlueShield (Rochester, NY)
- …in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for hospital or other acute facility setting. . Three (3) years of working ... developing data criteria for audits. . Acts as a Lead and provides training, guidance, consultation, complex performance analysis,...quality assurance, or recovery auditing, of (MS/APR) DRG coding for hospital or other acute facility setting. .… more
- Albany Medical Center (Albany, NY)
- …in a Team Lead position, ensuring staff are meeting established coding /charge processing productivity and quality standards. + Assume supervisory tasks for ... skill set to act as a service line coding team lead expert, working collaboratively to...federal and state regulations and insurance carrier guidelines. Provide education , instruction and training to providers and coding… more
- Elevance Health (Chicago, IL)
- …vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad, deep and niche knowledge ... **DRG Coding Auditor Principal** **_Virtual: _** _ _ This...and generate audit findings letters. + Validates accuracy and quality standards as set by audit management for the… more
- Elevance Health (Ashburn, VA)
- …Diagnosis-Related Group (DRG) Coding /Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of ... spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role… more
- Aston Carter (Salem, OR)
- …to quality and efficiency across the organization. Responsibilities + Develop and lead coding quality review programs, including audits, error analysis, ... and targeted education . + Provide detailed feedback and coaching to coders...track MIPS performance reports and support initiatives to improve coding accuracy and claim integrity. + Lead … more
- CenterWell (Tallahassee, FL)
- …with offshore coding team and leaders to address post-visit review coding KPIs ( quality , Turn-Around-TAT, appropriate clinician queries). + Participate in ... our caring community and help us put health first** The Director, Medical Coding extracts clinical information from a variety of medical records and assigns… more
- CareFirst (Baltimore, MD)
- …or discrepancies and provides information to management team to further enhance quality and/or provider education . Work with leadership and third-party vendors ... federal government. Develops and conducts new physician/other healthcare practitioner coding orientation/ education , including group or individual sessions.… more
- Claxton-Hepburn Medical Center (Carthage, NY)
- …Access Hospital, Rural Health Clinics, and provider-based clinics. This role provides leadership, education , quality oversight for coding staff and serves as ... Education & Provider Support + Provide ongoing education to coding staff and clinical providers...professional settings. + At least 2 years in a coding lead or supervisory capacity. + Experience… more
- HCA Healthcare (Nashville, TN)
- …+ Communicates coding revisions to the applicable party (eg, CIS, lead , manager, international log) + Completes MOCK abstracts as necessary (eg, combining the ... as stated in Company and HSC policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures and clinical/medical… more
- Trinity Health (Fort Lauderdale, FL)
- …Cross Medical Group this individual performs charge entry, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers and ... Integrity staff and providers to educate on improved documentation to support coding . Neurosurgery experience is highly preferred. CPC license is REQUIRED. **What… more
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