- CVS Health (Tallahassee, FL)
- …and every day. **Position Summary** Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA and Sr CDQA) to ... required + Minimum of 2 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing **Preferred… more
- Tidelands Health (Myrtle Beach, SC)
- …industry standard clean claim rate. **What you will do** + Analyze medical records , interprets documentation, and assigns proper International Classification of ... ensure accurate diagnosis and procedure code assignment to patient records + Expertise in assigning accurate CPT(R), HCPCS Level...in assigning accurate CPT(R), HCPCS Level II, and ICD-10-CM medical codes and modifiers based on coding … more
- Stony Brook University (Commack, NY)
- …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 ... add to your bottom line. **Job Number:** 2500556 **Official Job Title:** : TH Medical Records Senior Specialist **Job Field** : Finance **Primary Location** :… more
- Elevance Health (Roanoke, VA)
- …spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) ... for all lines of business, and its clients. Specializes in review of DRG coding via medical record and attending physician's statement provided by acute care… more
- Centene Corporation (Jefferson City, MO)
- …guidelines. + Ensure coding accuracy by reviewing inpatient and outpatient medical records using clinical expertise to interpret documentation in accordance ... including monitoring, auditing, and supports Line 1 oversight. Reviews medical records to assess proper extraction of...medical diagnoses and ensure accurate and complete diagnosis coding in alignment with HCCs and other risk adjustment… more
- Tufts Medicine (Burlington, MA)
- …not routine and require analysis to understand. **Job Overview** This position reviews medical records to assure accurate specificity of diagnoses and procedures ... with Compliance, Educators, and Auditors 11. Ensures that all medical records are coded and abstracted within...system, DRG, APG, , Government and Commercial payor policies, Coding Clinic, disease processes, medical terminology, anatomy… more
- Providence (Spokane Valley, WA)
- …system implementation in the clinics. Prepares reports associated with RAF score, HCC Coding Accuracy, HCC Recapture rates. Performs medical record review for ... years of Experience in medical insurance reimbursement, medical billing, or coding -related work. + 2...of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal ... with minimal direction or oversight. . Acts as an expert in reviewing medical coding and medical record review with ability to oversee complex assignments,… more
- SSM Health (MO)
- …Competency Board * Or * Home Care Clinical Specialist - OASIS (HCS-O) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty ... when applicable. + Reviews daily reports to ensure all records are processed. + Consults with field clinical staff...Coding Specialist - Diagnosis (HCS-D) - Board of Medical Specialty Coding and Compliance * Or… more
- Penn Medicine (Philadelphia, PA)
- …Education or Equivalent Experience: + HS Diploma/GED (Required) + 2+ years' experience coding inpatient and outpatient medical records . + Bachelor of ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...Are you living your life's work? Job Title: HIM Coding Specialist Department: RAD-O-RBO Coding Location: Centre… more