- Molina Healthcare (NE)
- …of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement ... medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination… more
- Northwell Health (Melville, NY)
- …serves as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge gaps. Job Responsibility + Serves as liaison between the ... payer. + Prepares and defends level of care and medical necessity for assigned case. + Collaborates with physician...with Milliman Care Guidelines and/or InterQual. Hours/Shift + Fully remote role + Days: Sunday - Thursday + Hours:… more
- Mayo Clinic (Rochester, MN)
- …can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for ... May be required to provide 24/7 on-call support. This will be a 100% remote position, 8-5 (Mon-Fri). Occasionally travel to Rochester may be required. This vacancy… more
- Trinity Health (Livonia, MI)
- …Type:** Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position At the direction of the Regional Manager, Clinical Documentation ... within their region. Provides direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator. Working with the Regional… more
- Penn Medicine (Lititz, PA)
- …analysis and or CPT coding principles guidelines. + Certification as a Certified Coding Specialist CCS or Certified Coding Specialist -Physician CCS-P ... for clinical care analysis and provider profiling. Review coded medical records for coding and DRG accuracy....Must meet one of the following criteria: + Certified Coding Specialist CCS and or AAPC Certifications… more
- Mayo Clinic (Rochester, MN)
- …Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist - Physician (CCS-P) or a coding ... (LCD), and Outpatient coding guidelines for official coding and reporting. 2. In-depth knowledge of medical...Association (HFMA) Certification Preferred. This position is a 100% remote work. Individual may live anywhere in the US.**… more
- Community Health Systems (Franklin, TN)
- … standards and corporate policies for accurate billing. **Essential Functions** + Performs remote coding for CHS hospitals for all inpatient types via review ... Certified Inpatient Coder (CIC) required or + Certified Coder-AHIMA or AAPC Certified Coding Specialist (CCS) required or + RHIT - Registered Health Information… more
- Mayo Clinic (Rochester, MN)
- …Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or Certified Outpatient ... coding guidelines, and official ICD-10 guidelines for Coding and Reporting. In-depth knowledge of medical ...Association (HFMA) Certification Preferred. This position is a 100% remote work. Individual may live anywhere in the US.**… more
- Garnet Health (Middletown, NY)
- …a CLinical Documnetaion Specialist on our CDI team at/in Garnet Health Medical Center. Responsibilities Under the direction of The Administrator, Coding & ... department. The Manager ensures that reviews of the patient's medical data are conducted to assess appropriateness and ...denials and work closely with the outcomes manager and coding denial coordinator to oversee and write compelling, factual… more
- Mayo Clinic (Rochester, MN)
- …terminology, disease processes, patient health record content and the medical record coding process. This position is a 100% remote work. Individual may live ... long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or...(RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Inpatient Coder… more