- University of Southern California (Alhambra, CA)
- …Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes ... meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with Keck Medical Center… more
- Martin's Point Health Care (Portland, ME)
- …efficient medical outcomes for those enrollees with a need for inpatient / outpatient authorizations. This position receives and reviews prior authorization requests ... for specific inpatient and outpatient medical services, notification of emergent hospital...of medical claims disputes, records, and authorizations for billing, coding , and other compliance or reimbursement related issues +… more
- Beth Israel Lahey Health (Charlestown, MA)
- …a job, you're making a difference in people's lives.** **This position is remote . Candidates must be local to New England States for consideration** The Clinical ... including Severity of Illness (SOI), Risk of Mortality (ROM), during an inpatient hospitalization. CDI Specialist II initiates concurrent queries to providers as… more
- University of Utah (Salt Lake City, UT)
- …Title** Manager, Audit **Working Title** Regulatory Compliance Administrator - Hybrid/ Remote **Career Progression Track** G **Track Level** **FLSA Code** ... of Compliance Managers and administrative staff. Conducts scheduled and unscheduled inpatient , outpatient, and professional audits and projects related to billing… more
- Humana (Washington, DC)
- …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
- Datavant (Little Rock, AR)
- …+ Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. + Collaborate with ... secondary diagnoses, and procedure impact on DRG. + Improve coding specificity by educating physicians and caregivers on the...throughout a patient's stay. + Follow AHA guidelines and coding clinics for accurate coding and required… more
- Vanderbilt University Medical Center (Nashville, TN)
- …evaluate documentation for accuracy, legibility and completeness. * Works with coding staff to ensure documentation of discharge diagnoses, including any coexisting ... of an issue in order to form a judgment. * Medical Coding (Intermediate): The transformation of healthcare diagnosis, procedures, medical services, and equipment… more
- Veterans Affairs, Veterans Health Administration (IN)
- …code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases ... (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to accepted coding practices, guidelines and… more
- Mayo Clinic (Rochester, MN)
- … Coding Specialist (CCS) or CIC certification to accurately assign inpatient codes, ensuring compliance with coding guidelines and supporting optimal ... (CDIP) OR Certified Clinical Documentation Specialist (CCDS) certification Certified Coding Specialist (CCS) AHIMA certification OR Certified Inpatient … more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- …surgical cases, diagnostic studies and procedures, and outpatient encounters, and/or inpatient professional fee services coding . Skill in interpreting and ... of medical record content, terminology, anatomy, physiology, disease processes, and official coding guidelines to assign basic and routine outpatient or inpatient… more