- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …documentation requirements within HCMC. Working with clinical documentation specialists, inpatient coding and billing to resolve documentation issues Current ... * Report monthly PSI/HAC data to CDI and Inpatient Coding Manager, CDI Supervisor, Medical Director of...CDI and Inpatient Coding Manager, CDI Supervisor, Medical Director of Clinical Documentation Improvement and other departments… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …on proper coding practices and compliance requirements. * Manage medical coding metrics, performance improvement opportunities, and evaluation of in-home ... and military experience will be considered. * Experience in medical coding with a focus on Medicare...knowledge of ACA & Medicare Advantage risk adjustment methodology, coding guidelines (ICD-10-CM), healthcare compliance, and billing … more
- Beth Israel Lahey Health (Charlestown, MA)
- …quantity expectations while performing coding functions to support timely coding and billing . **Job Description:** **Essential Duties & Responsibilities** ... understanding of current ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting * Knowledge of medical ...for Coding and Reporting * Knowledge of medical records content and management * Working knowledge of… more
- Zelis (NJ)
- …for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA Coding ... evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images...and various healthcare programs + Strong understanding of hospital coding and billing rules + Clinical and… more
- Saint Luke's (Kansas City, MO)
- …charge adjustments, void a charge, or escalate to the team lead and/or another medical billing team. * Responsible for writing appeal letters to insurance ... - 6:00PM Claim Edits * Responsible for researching patient billing claims to identify and correct coding /claim...complex claim denial to team lead and/or the appropriate medical billing team. * Responsible for identifying… more
- Geisinger (Danville, PA)
- …and/or professional audits on the adequacy of medical record documentation to support coding (DRG, CPT, ICD 10) and billing as required by the Compliance ... and provides compliance education for facility and professional documentation, coding , and billing . The Senior Compliance Auditor...medical staff with a focus on federal payor billing compliance. Work is typically performed in an office… more
- Sutter Health (Sacramento, CA)
- …to Charge Capture and how they interrelate. + In-depth knowledge of medical and billing terminology, common procedure terminology, diagnosis codes, healthcare ... coding and diagnosis codes + Demonstrated ability to utilize official coding / billing resources including CPT/HCPCS references, OPPS Manual, NCCI, Manual, NUBC… more
- Trinity Health (Livonia, MI)
- …in a hospital and/or Physician Practice environment and experience in revenue cycle, billing , coding and/or patient financial services. + Experience working with ... clinical coding guidelines, charging processes and audits, and clinical billing as normally obtained through a bachelor's or associate degree in Healthcare… more
- Datavant (Providence, RI)
- …Risk Adjustment Operations is responsible for the oversight and management of coding production, quality, and vendor management. This role is responsible for ... status, trends, coaching/feedback methods and coordination of additional resources to support coding production and quality. **What You Will Do:** + Create and… more
- Community Health Systems (Franklin, TN)
- …role in determining CHS's reimbursement potential while ensuring adherence to compliant coding standards and corporate policies for accurate billing . **Essential ... and where your work is purposeful and fulfilling. At CHS, our coding team recognizes your individual talents, encourages professional development, and provides… more