- 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,… more
- Tufts Medicine (Lowell, MA)
- …and post encounter review to ensure coding accuracy and can determine medical records ensure codes reported are support by the documentation. 3. Assigns ... General Hospital- Main Campus. **Job Overview** This position reviews medical records to assure accurate specificity of...1. High school diploma or equivalent. 2. Completion of medical coding certificate program. 3. Certified … more
- Amergis (Cleveland, OH)
- …of all cases in compliance with CMS policies and procedures and official coding guidelines . Implements medical center's physician query process when code ... documentation in the medical record is inadequate, ambiguous or unclear for coding purposes . Keeps abreast of coding guidelines and reimbursement reporting… more
- Amergis (Cleveland, OH)
- …of all cases in compliance with CMS policies and procedures and Official Coding Guidelines + Implements medical center's physician query process when code ... by the American Health Information + Management Association + Adheres to Official Coding Guidelines, CMS policies and regulations and Medical Center's policies… more
- Molina Healthcare (Buffalo, NY)
- …Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record… more
- Beth Israel Lahey Health (Cambridge, MA)
- …necessary. Educates patients when testing requires special preparations. Maintains patient medical records in an accurate manner. Responds to requests ... just taking a job, you're making a difference in people's lives.** MEDICAL ASSISTANT/MED SECRETARY Breast Surgery/Plastics Ensures equipment in exam rooms is working… more
- Nuvance Health (Poughkeepsie, NY)
- …ICD-10-CM, CPT procedure and E/M coding * Able to decipher operative reports, medical orders & various medical records in the appropriate selection of ... complex inpatient records for facility. Position requires high-level expertise in coding and documentation guidelines, coding clinics, and knowledge of MS… more
- Northwell Health (Lake Success, NY)
- …duties to assure accurate completion of coding for all assigned patient records . Job Responsibility 1.Analyzes and interprets the medical record in its ... for Medicare and Medicaid Services (CMS) rules and regulations. 7.Make determinations on medical coding and takes initiative to complete reviews and coding… more
- Novant Health (NC)
- …and compliance regulations. + Abstract and enter required data elements from coded medical records into the electronic medical record (EMR) system. ... rules, and regulations. What You'll Do + Review inpatient records to assign ICD-10-CM and PCS codes with precision,...status for accuracy; process corrections as needed. + Ensure medical necessity by coding all documented disease… more
- Community Health Systems (Franklin, TN)
- … coding references for CHS hospitals via scanned, electronic and hybrid medical records . Based on review findings, writes appeal letters to include ... audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in ICD-10-CM/PCS coding , DRG...**Qualifications** + HS Diploma or GED required + Other Medical Coding Program preferred + Associate Degree… more