- The Cigna Group (Bloomfield, CT)
- The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates complex medical ... processes for Continuous Quality Improvement (CQI). Key Job Functions: * Conduct medical records reviews with accurate diagnosis code abstraction in accordance with… more
- CenterWell (Atlanta, GA)
- …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
- Ascension Health (Elk Grove Village, IL)
- …**Responsibilities** Facilitate improvement in overall quality, completeness and accuracy of medical record documentation. + Complete admission reviews and assign a ... mid-level providers to address the need for more detailed information in the medical record. + Collaborate with healthcare professionals to ensure the severity of… more
- National Health Transport (Miami, FL)
- Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance ... Medical Billing Specialist answers inquiries from insurance companies, patients,...Familiar with Medicare/Medicaid laws and billing + Certified Ambulance Coder helpful + Ambulance Industry experience helpful Compensation: $15.00… more
- Cleveland Clinic (Cleveland, OH)
- …responsible for assessing the accuracy and completeness of inpatient and outpatient medical record documentation through the conduct of random and focused coding ... 5:00 pm** A caregiver who excels in this role will: + Audit Electronic Medical Records, procedural cases and surgical cases, including pre-bill coding, DRG and APC… more
- CenterWell (Phoenix, AZ)
- …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
- CenterWell (North Augusta, SC)
- …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
- Texas Health Resources (Arlington, TX)
- …and retrospective chart reviews (ad hoc, work plan, monitoring, focused), comparing medical record documentation to reported CPT/HCPCS and ICD codes, while ensuring ... quality and ensure diagnoses are accurately reflected and supported in the medical record. Evaluate operational and revenue cycle activities to identify potential… more
- Guidehouse (San Antonio, TX)
- …None **Clearance Required** **:** None **REMOTE REMOTE REMOTE!** **Join Our Growing Medical Coding Team! All roles are 100% REMOTE.** As an organization experiencing ... claims - it's about making an impact. As a coder here, you'll be part of a collaborative, mission-driven...off + A flexible, remote work arrangement + Remote medical coding package-laptop, dual monitors, and mouse + The… more
- University of Miami (Medley, FL)
- …CORE JOB FUNCTIONS + Reviews, analyzes, and interprets the complete electronic medical record (EMR) after initial coding to identify missed coding opportunities ... POA reviews for cases marked "No" and provides feedback to leadership for coder education and improvement. + Reviews denial cases and provides detailed feedback to… more