- PNC (Dallas, TX)
- …high-quality code through code reviews and adherence to best practices and coding standards. Mentorship: Mentor and support junior developers, fostering a culture of ... high-quality code through code reviews and adherence to best practices and coding standards. Mentorship: Mentor and support junior developers, fostering a culture of… more
- Guthrie (Sayre, PA)
- …office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency ... departments understand and adhere to revenue integrity standards, including coding , billing, documentation, and compliance requirements. The trainer collaborates… more
- LA Care Health Plan (Los Angeles, CA)
- …(CRA-HCC (TM) ); NAMAS Certified HCC Coder (CHCC (TM) ); AHIMA Certified Coding Specialist (CCS(R)) Domain Focus: Medical Cost Driver Analytics Required: ... with risk adjustment methodologies, including Hierarchical Condition Category (HCC) coding , hierarchical models, and member risk scoring. Knowledge of diagnosis… more
- US Tech Solutions (Columbia, SC)
- …of document management. + Serves as expert resource on methodology and procedures for medical records and coding issues. **Experience:** + 3 years medical ... + Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting)… more
- Fairview Health Services (St. Paul, MN)
- …current coding and DRG classification systems + Knowledge of medical terminology, anatomy and pathophysiology, pharmacology, ancillary test results + Knowledge ... documentation improvement opportunities. Communicates with physicians to facilitated comprehensive medical record documentation to reflect clinical treatment and diagnoses,… more
- LA Care Health Plan (Los Angeles, CA)
- …(CRA-HCC (TM) ), NAMAS Certified HCC Coder (CHCC (TM) ), AHIMA Certified Coding Specialist (CCS(R)). Domain Focus: Medical Cost Driver Analytics Required: ... with risk adjustment methodologies, including Hierarchical Condition Category (HCC) coding , hierarchical models, and member risk scoring. Knowledge of diagnosis… more
- HCA Healthcare (San Antonio, TX)
- …designation on final UB-04through chart review, staff interview and collaboration with Rehab Medical Director. Provides ongoing education to the staff of the ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- CareFirst (Baltimore, MD)
- …of and/or recuperation of losses to CareFirst through the clinical review of medical records and claims, resulting in the savings and/or recovery of funds. ... reviews and/or post-payment investigations. **ESSENTIAL FUNCTIONS:** + Review of medical records and claims. Investigate potential fraud and over-utilization by… more
- University of Miami (Medley, FL)
- …health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic ... within the electronic health record. This role interacts with and supports medical staff members with completion of the electronic health record including deficiency… more
- Beth Israel Lahey Health (Burlington, MA)
- …RN works under the direction of the Manager of CDI and collaborates with coding , clinicians, medical staff, and physician advisors to improve documentation and ... medical record documentation. Exhibits working knowledge of inpatient coding guidelines. Adheres to CDI convention and department policies and procedures.… more