- Independent Health (Buffalo, NY)
- …benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist-Senior will be responsible for reviewing ... coding and clinical decisions on cases involving complex clinical ...(CIC), Registered Health Information Management Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Clinical … more
- R1 RCM (Salt Lake City, UT)
- …and 1:1 meetings on a routine basis. **Required Skills:** + Active Registered Nurse license + Active AHIMA or AAPC Coding Certification including CCS, RHIA, ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Supervisor** , you will support … more
- AbbVie (Mettawa, IL)
- …WHODrug in accordance with company conventions. + Ability to effectively perform all Clinical Coding Team workflow requirements through the life of the trial. ... achievement of company projects and goals. + Represents the Clinical Coding Team when collaborating with study...+ Bachelor's degree with related health science background: (eg, RN , BSN, RPh) or equivalent experience. + Working knowledge… more
- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help ... position. **Here's what you will experience working as a Clinical Coding Appeals Nurse :** +...external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + An active CCS,… more
- BAYADA Home Health Care (Orlando, FL)
- …for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. RN , PT, OT, and SLP's with certifications will ... for this role (Please note, while this is a clinical opening, BAYADA does have non- clinical openings...Apply your skills and knowledge of OASIS and ICD-10 coding to help clients receive the home health care… more
- Commonwealth Care Alliance (Boston, MA)
- … Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration ... Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Bachelors degree required. + Clinical background preferred (ie, LPN, RN , etc.). + Current Certified Coding Specialist (CCS) certification required. ... on risk areas. Serves as a resource for providers and caregivers on hospital/ clinical billing and coding . **Primary duties and responsibilities:** + Prepares and… more
- Catholic Health Initiatives (Chattanooga, TN)
- …action plans based on analysis. + Works collaboratively with Revenue Cycle Staff, Coding team, Clinical Informatics, and other MMS staff associated with HCC ... review, education and necessary follow-up to help ensure that clinical documentation and coding services meet government...or must be obtained within the first year. Prefer RN , LPN, or CMA state of TN/GA but not… more
- Hartford HealthCare (Farmington, CT)
- …Responsibilities:_* 1. Analyze and resolve specific billing edits and denials that require coding and billing expertise with some clinical knowledge that are ... modifiers, diagnosis codes as appropriate including charge corrections 2. Identify charging, coding , or clinical documentation issues and work with appropriate… more
- Geisinger (Danville, PA)
- …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... clarify existing documentation. Acts as a liaison between the clinical and coding functions. Provides education to...Dayshift- Monday through Friday Education and Experience: 3 years RN work experience is required; BSN is strongly preferred… more
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