- Hawaii Pacific Health (Honolulu, HI)
- …maintain the most accurate reimbursement, tracking and reporting for the organization's medical and billing records . Activities include the processing of billing ... health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i...in patient care and the use of electronic health records to improve quality and patient safety. Our coding… more
- Hawaii Pacific Health (Honolulu, HI)
- …maintain the most accurate reimbursement, tracking and reporting for the organization's medical and billing records . Activities include the processing of billing ... health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i...in patient care and the use of electronic health records to improve quality and patient safety. Our coding… more
- Providence (CA)
- …of the required items, CMG assignment, identification of allowable co-morbities (with medical coder ), IRF-PAI assessment schedule, target LOS and expected ... **Psychiatric Admissions RN at Providence Little Company of Mary Medical Center San Pedro in San Pedro, CA. This...of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with… more
- CenterWell (Houston, TX)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... Acts as an active participant and key source of medical expertise with the care team through daily huddles....in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
- CenterWell (Houston, TX)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... quality of patient care using available data and chart reviews. + Complete all medical record documentation in a timely manner, working with a quality-based coder… more
- Bozeman Health (Bozeman, MT)
- …compliance with applicable laws, regulations, payer rules, and internal policies. + Reviews medical and billing records for coding accuracy and medical ... for compliance. + Intermediate knowledge and experience with electronic health records (EHR) systems (preferably Epic) and compliance/audit management tools. +… more
- Intermountain Health (Phoenix, AZ)
- …as potential onsite interviews and meetings The HIM Hospital Emergency Room Coder is responsible for accurately assigning ICD-10 CM (Clinical Modification) diagnosis ... requirements, and reimbursement policies, as well as ensures claims meet medical necessity for procedures performed. **Essential Functions** + Reviews and analyzes… more
- Elevance Health (Seattle, WA)
- …abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for… more
- Point32Health (Canton, MA)
- …investigations, involving internal and external research, detailed data analysis, review of medical records , and interviews of members, providers, and other ... Handling substantial prepayment claims including extensive administrative tasks, review of medical records , and communicating with providers through the… more
- CenterWell (Greer, SC)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more