- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …utilizing extensive clinical , regulatory, business, and coding knowledge. The Senior Clinical Appeals Nurse Reviewer Supervisor works closely with ... healthcare? Bring your true colors to blue. The RoleThe Senior Clinical Appeals Nurse Reviewer...nationally recognized billing processes. + Uses comprehensive nationally known coding and clinical decision criteria, Medical Policy… more
- Centene Corporation (Austin, TX)
- …to business needs & objectives of Corporate and health plans. + Provide coding / clinical decisions on first time claims, adjustments and appeals in accordance ... by performing medical claim reviews to ensure compliance with coding guidelines through a comprehensive review and analysis of...a managed care organization preferred LPN - Licensed Practical Nurse - State Licensure required or RN - Registered… more
- Geisinger (Danville, PA)
- Job Summary The Clinical Documentation Improvement Program is designed to improve the physician's documentation in the patient's medical record supporting the ... and documenting the healthcare services provided to the patient. Analyzes the clinical information, using the documentation as the primary driver. Acts as… more
- Geisinger (Danville, PA)
- …associates, and visitors to Geisinger. + Promotes a partnership with the Inpatient Coding staff, to provide clinical education, to assure documentation of ... through ongoing education, support the improvement and continue to sustain clinical documentation related to relative patient acuity, risk reduction, ad overall… more
- Geisinger (Wilkes-Barre, PA)
- …methodology in which to clarify existing documentation. Acts as a liaison between the clinical and coding functions. Provides education to the medical staff and ... Job Summary The Clinical Documentation Improvement Program (CDI) is designed to...for improvement. + Promotes a partnership with the inpatient coding professionals to ensure the accuracy of principal diagnosis,… more
- Geisinger (Danville, PA)
- …Educates clinical documentation nurses by providing one-on-one and classroom clinical documentation and coding education to Clinical Documentation ... Job Summary The Clinical Documentation Improvement Program (CDI) is designed to...Perspective Payment Program (MS-DRGs) and works collaboratively with the coding Supervisors, medical staff, mid-level providers, and other healthcare… more
- Trinity Health (Sioux City, IA)
- …has earned multiple honors for its leadership and excellence in several clinical areas including cardiac care, orthopedic services, vascular surgery, stroke care and ... MercyOne Family! We are looking to hire a Registered Nurse (RN). As an RN at MercyOne, you will...policies, procedures and decisions. + Demonstrates understanding of appropriate clinical documentation to ensure that the severity of illness,… more
- Elevance Health (Indianapolis, IN)
- ** Clinical Fraud Investigator Senior ** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... a dynamic and adaptable workplace. Alternate locations may be considered. The ** Clinical Fraud Investigator Senior ** is responsible for identifying issues and/or… more
- University of Colorado (Aurora, CO)
- … clinical setting. + Participate as needed in chart review and clinical coding compliance activities. + Collaborate as appropriate with medical staff ... **Advanced Practice Provider - Nurse Practitioner or Physician Assistant Aurora Wellness Community...#36929:** **Job Summary:** **Examples of Work Performed** **Full Time Clinical Position** **Sr. Instructor:** ** Clinical Care** +… more
- CenterWell (North Augusta, SC)
- …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 340 centers across ... care team supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we… more
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