- Sutter Health (San Francisco, CA)
- …Doctor OR DO-Doctor of Osteopathy OR Foreign trained physician + CCS-Certified Coding Specialist within 1 year + CCDS-Certified Clinical Documentation ... quality and reimbursement implications of clinical documentation and coding . + Provides constructive feedback and promotes team collaboration along with… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Medical Assistant Program. Preferred Qualifications: Certified Professional Coder (CPC) /Certified Coding Specialist (CCS) also preferred. Extensive knowledge of ... insurance demographic information and medical necessity pertaining to documentation and coding . Will interact with referring physicians, patients, hospital and MSG… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …Ancillary Testing Coordinator, Education Coordinator, Laboratory Information Manager, Quality Manager, Laboratory Manager, Regional Technical Specialist , ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Geisinger (Danville, PA)
- …advisors. + If coding opportunity is identified, coordinate with coder and/or Coding Manager to review and address opportunity, as applicable. + Collaborate ... to drive total health, inside and out. Through professional growth, quality improvement, and interdisciplinary collaboration, we've built an innovative culture that… more
- Munson Healthcare (Traverse City, MI)
- …Outcomes . Physician agrees to participate in analyzing cost effectiveness and quality outcomes. This may include literature review , data analysis, creation ... oversight of medical services rendered as well as the quality of wound care provided. The Benefits of Working...the recommendations from the Health System's committees; and + Review written reports of surveys and inspections and make… more
- CVS Health (Madison, WI)
- …support and business direction in these areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review , reimbursement issues, and ... in support of medical management programs to promote the delivery of high quality , constituent focused medical care, with a focus on clinical and payment policy.… more
- AdventHealth (Tampa, FL)
- …within 72 hours of being routed to the claims edit work queue and coding review needed work queue. Qualifications **T** **he expertise and experiences you'll ... under OPPS. The APC Coordinator may assist with monthly quality reviews, RAC and post-payment audits. Will routinely monitor...+ Certified Pension Consultant (CPC) Required or + CCS-Certified Coding Specialist Required This facility is an… more
- Mohawk Valley Health System (Utica, NY)
- …barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure compliance with regulatory requirements, hospitals objectives, ... and quality patient care while ensuring effective and efficient utilization...of admission and continued stay, severity, and morbidity/mortality. + Review patient status when admission criteria is non-sufficient for… more
- Molina Healthcare (Salt Lake City, UT)
- …Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ) or other health care coding or management ... of care provided to members. Contributes to overarching strategy to provide quality and cost-effective member care. Candidates with UM and Appeals experience are… more
- Stanford Health Care (Palo Alto, CA)
- …Outpatient Coder preferred . or + CPC-H preferred . or + CCS - Certified Coding Specialist preferred . or + CPC and/or CCSP - Certified Professional Coder ... existing tools to evaluate CDM requests with a focus on regulatory coding , compliance, and adherence to SHC internal guidelines regarding CDM maintenance, standard… more