- St. Luke's University Health Network (Allentown, PA)
- …Encoder for validation of RVUs and CPT-4 procedure unbundling. + Maintains a 95% coding accuracy rate as measured through quality reviews. + Maintains daily ... according to AHA, AMA, guidelines and CMS directives. Must assure data quality through quarterly reviews. Performs data entry of physician services statistics into… more
- Henry Ford Health System (Troy, MI)
- …(3) years of Call Center experience. * One (1) year of billing (billing and coding ) experience. * Six (6) months of remote work experience. * Internet ... hospital and professional billing associated with Henry Ford Health inpatient hospitals, outpatient clinics, laboratory, radiology and employed physicians.… 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
- 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)
- …bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role in elevating ... to enhance documentation clarity, completeness, and overall medical record quality . By ensuring accurate and comprehensive physician documentation, you will… 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
- Zelis (St. Petersburg, FL)
- … and billing, analyzing inpatient DRG claims based on industry standard inpatient coding guidelines, and supporting the Office of the Chief Medical Officer ... This position is a production-based role with production and quality metric goals. What you'll do: + Review provider...CM, MS-DRG and APR-DRG claims preferred + Current, active Inpatient Coding Certification required ( ie .… more
- SUNY Upstate Medical University (Syracuse, NY)
- Position Overview Responsible for the accurate and compliant coding of inpatient , outpatient, and professional OB/GYN encounters. This position serves as a key ... education to OB/GYN providers and clinical staff on documentation quality , coding updates, and best practices to...or health system environment. + Strong background in OB/GYN inpatient , outpatient, and surgical coding . + Experience… more
- Insight Global (South Jordan, UT)
- …should have an extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding of ... AP-DRG, and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high- quality recoverable claims for the… more
- Mary Greeley Medical Center (Ames, IA)
- …Currently held coding credential for RHIA, RHIT, CCS, or CPC. + Minimum Inpatient and Outpatient coding experience of 5years (ICD10, CM/PCS; CPT; HCPCS). + ... Responsibilities + Unit Specific Position Responsibilities + Extensive review of all inpatient and outpatient health records in relation to assignment of appropriate… more