- CenterWell (Jackson, MS)
- …the division and market level; Partners with Clinical Documentation Improvement, Audit , and Education to develop programs to improve clinical documentation (includes ... to lead clinical documentation improvement efforts; manages the divisional CDI specialist . + Facilitate meetings with key partners, including Clinical, Operations,… more
- UPMC (Pittsburgh, PA)
- …laws, regulations, and policies. . **Reporting:** Prepare written reports of audit results, including recommendations for improvement and compliance with state and ... federal laws and regulations. . **Stakeholder Communication:** Communicate audit findings and corrective actions to key stakeholders. . **Leadership Advising:**… more
- Providence (Mission Hills, CA)
- …giving. + **Record Management:** Oversee planned gift donor records and database. + ** Audit Assistance:** Assist the Controller in providing an audit trail for ... + **Certification:** Certified as a Fund Raising Executive (CFRE) and/or Certified Specialist in Planned Giving (CSPG) preferred upon hire. **Why Join Us?** +… more
- Sanford Health (SD)
- …(CPC-A), Certified Coding Specialist (CCS), Certified Coding Specialist -Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient ... standards, regulatory coding compliance guidelines and company procedures. Review and audit medical record documentation accurately to reflect healthcare coding and… more
- Northeastern Vermont Regional Hospital (St. Johnsbury, VT)
- …Regional Hospital (NVRH) has an exciting opportunity for a Risk & Compliance Specialist to join our team and help ensure our organization remains compliant, ... efficient, and prepared for future challenges. As a Risk & Compliance Specialist , you will play a critical role in supporting our Risk and Compliance Office. Your… more
- Veterans Affairs, Veterans Health Administration (Omaha, NE)
- …VA Lung Cancer Screening Program. Communicate patient status information, attend outpatient clinics, tumor board, and other related meetings. Provide regular ... cessation programs, with future opportunities to become a tobacco cessation specialist . Data Management: Maintain pulmonary nodule and follow-up care databases. Lead… more
- Centene Corporation (Jefferson City, MO)
- …adjustment data. + Ensure coding accuracy by reviewing inpatient and outpatient medical records in accordance with International Classification of Diseases, Tenth ... Review and appropriately challenge coding decisions based on current industry guidelines, audit findings, and regulatory requirements. + Conduct Line 1 gap analysis… more
- Centene Corporation (Jefferson City, MO)
- …coding guidelines. + Ensure coding accuracy by reviewing inpatient and outpatient medical records using clinical expertise to interpret documentation in accordance ... decisions based on clinical interpretation of documentation, current industry guidelines, audit findings, and regulatory requirements. + Conduct Line 1 gap analyses… more
- Tufts Medicine (Lowell, MA)
- …Completion of medical coding certificate program. 3. Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information ... Reviews reports with leadership to identify reimbursement changes/discrepancies. 6. Reviews audit lists regarding coding/billing changes, as well as denial reports.… more