- CenterWell (Las Vegas, NV)
- …on outpatient medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records . Refers the patient to ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- Stony Brook University (Commack, NY)
- …results of each coders performance + Perform coding audits and validation by reviewing medical records for correct ICD-10-CM and ICD-10 PCS coding. Compile and ... new employees. + Assess and provide feedback to each coder on their work performed. + Development of reinforcement...line. **Job Number:** 2500556 **Official Job Title:** : TH Medical Records Senior Specialist **Job Field** :… more
- Hartford HealthCare (Bridgeport, CT)
- …of the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI). * Reviews medical records to assure that clinical documentation supports FIM ... to assist in resolution of any inconsistencies. * Reviews medical records and confers with medical...IRF-PAI. Makes any necessary changes in collaboration with the coder and physician. * Based on medical … more
- CenterWell (Greenville, SC)
- …on outpatient medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records . Refers the patient to ... 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
- Penn Medicine (Philadelphia, PA)
- …(Required) + 4+ years of experience coding and auditing inpatient and outpatient medical records . (Required) + 2+ years of supervisory or management experience. ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...Claim Edit work queues. Monitors the flow of uncoded records across departments to ensure that all records… more
- Hartford HealthCare (Farmington, CT)
- …of the initial coding and clinical documentation. . Conduct a thorough review of medical records , coding, and clinical documentation to validate or appeal payer ... assignment, and payer regulations related to DRG validation. . Ability to analyze medical records , coding documentation, and payer denial reasons to determine… more
- Stanford Health Care (Palo Alto, CA)
- …and comprehensive appeal letters to payors after a detailed review of medical records . Ensure compliance with Medicare, Medicaid, third-party guidelines, Local ... Denial Analysis: Conduct thorough analyses of denials, evaluating the appropriateness of medical services and procedures. Ensure accurate coding with ICD, HCPCS, CPT… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …federal/state laws and regulations and UTRGV policies. To review and analyze medical records , claims, and workflow processes to ensure accuracy, completeness, ... billing, coding, and reimbursement processes. + Reviews, assesses and analyzes medical records , coding, billing, claims, reimbursements and workflow processes… more
- Fairview Health Services (St. Paul, MN)
- …expected reimbursement for services provided by the hospital/physician. Reviews and analyzes medical records and coding guidelines to formulate coding arguments ... coding classification system in accordance with coding rules and regulations. + Reviews medical records for the determination of accurate assignment of all… more
- Centene Corporation (Jefferson City, MO)
- …Ensure compliance with coding practices through a comprehensive review and analysis of medical claims, medical records , claims history, state regulations, ... obligations, corporate policies and procedures, and guidelines established by the American Medical Association and the Centers for Medicare and Medicaid Services. +… more
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