- Highmark Health (Oklahoma City, OK)
- …**GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data ... arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical … more
- Covenant Health Inc. (Knoxville, TN)
- …coding staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff education ... of physician orders. + Attends meetings and provides input as it relates to coding , medical documentation, and reimbursement issues specific to medical … more
- RWJBarnabas Health (Oceanport, NJ)
- …sustain an excellent organizational average accuracy rate. Adherance to applicable Federal and State Regulations, Compliance Guidelines, and Coding Guidelines ... s degree. + Extensive knowledge of ICD-10-CM/PCS and CPT coding , medical terminology, human anatomy and physiology,... when applicable and DRG assignment for adherence to Federal and State Regulations and Compliance Guidelines. + Critically… more
- Banner Health (AL)
- …and leads coding round table discussions. CORE FUNCTIONS 1. Analyzes medical information from medical records. Accurately codes diagnostic and procedural ... national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- … Coordinator is responsible for various aspects of decision-making and implementation of medical coding reviews and coding policies to ensure accurate ... Knowledge of medical terminology and disease processes * Knowledge of medical coding methodologies, conventions and guidelines (eg ICD-9-CM, ICD-10, CPT,… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and ... the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation… more
- Ventura County (Ventura, CA)
- … coding practices are in compliance with ICD-10 CM/PCS and CPT coding guidelines, Federal and State regulations and Payer-specific guidelines as required; ... education to the physicians on documentation requirements to establish medical necessity based on coding guidelines for assignment of accurate DRG and SOI, ROM… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …knowledge and understanding of billing, coding , and documentation requirements, Federal and State regulations, unbundling edits, medical necessity, clinical ... mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and education for… more
- Western Washington University (Bellingham, WA)
- …of claims for electronic submission. + Ensures proper billing by State and Federal regulations by overseeing coding audit efforts and coordinates monitoring of ... payments accurately and timely to stay in compliance with federal , state, and insurance company contracts and regulations. +...considerations. + Reviews claims denials and rejections pertaining to coding and medical necessity issues, and when… more
- Atlantic Health System (Morristown, NJ)
- …a plus + Work Experience in the business of healthcare which includes:a. Medical Terminology (required)b. Coding and billing (preferred) #LI-AW1 At Atlantic ... Responsible for coding quality audits of all records (outpatient, inpatient,...codes and professional fee services performed by providers from medical records according to ICD-10, CPT, HCPCS, and CMS… more