- University of Utah Health (Salt Lake City, UT)
- …other clinical staff. The incumbent serves in an advisory and educator role for coding and regulatory compliance . Corporate Overview: The University of Utah is a ... This position audits the accuracy and completeness of diagnosis and procedure coding , DRG assignment, and abstracted data to support that appropriate reimbursement… more
- Humana (Greenville, SC)
- …or AAPC CPC (Certified Professional Coder) Certification + 3 or more years of medical coding education and/or auditing in a healthcare setting experience + ... with other market provider facing role + Utilize data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and… more
- Emanate Health (Covina, CA)
- …Plan partners, MSO personnel, physicians, and billing staff to ensure accurate documentation, coding compliance , and optimal risk adjustment outcomes. The HCC ... and the #19 ranked company in the country. Job Summary The HCC Coding Specialist is responsible for the oversight and execution of HCC (Hierarchical Condition… more
- UNC Health Care (Hendersonville, NC)
- …experience and education. * Must hold a current certification or registration in medical coding as issued by the American Health Information Management ... group. Analyzes information for optimal and proper reimbursement. Ensures compliance with all appropriate coding , billing and...Specialist (CCS). * One year of work experience performing medical coding Preferred * Bachelor's Degree **Job… more
- AdventHealth (Orlando, FL)
- …and key performance indicators. Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and ... perks you need for you and your family:** + Benefits from Day One: Medical , Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day… more
- Elevance Health (Richmond, VA)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Managers of DRG Coding & Clinical ... Manager of DRG Coding Audit-Program/Project Locations: _The selected candidate must reside...Validation** leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance… more
- AdventHealth (Orlando, FL)
- …perks you need for you and your family:** + Benefits from Day One: Medical , Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day ... records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy retrospectively and concurrently. Provides continuing education to individual… more
- Northwell Health (Garden City, NY)
- …reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules and ... information leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding … more
- Healthfirst (FL)
- …accepted payment policy requires. + Collaborates with other departments to improve compliance with coding conventions and clinical practice guidelines. + Leads ... current payment policy configuration to resolve the provider payment discrepancies. + Reviews medical records to ensure coding is consistent with the services… more
- Elevance Health (Nashville, TN)
- …from physician and hospital medical records to ensure proper ICD-9 coding and compliance with risk adjustment requirements. **Location:** Virtual: This role ... minimum of 3 years of experience as coder of medical records in physician office, hospital, or insurance/ coding... medical records in physician office, hospital, or insurance/ coding office setting; or any combination of education and… more