- Elevance Health (Waukesha, WI)
- ** Clinical Documentation and Claims Integrity Director** **Location:** **Virtual:** This role enables associates to work virtually full-time, with the ... through home-care and community based services. **The Clinical Documentation and Claims Integrity Director** will lead CareBridge's efforts in diagnostic… more
- Commonwealth Care Alliance (Boston, MA)
- … Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding ... reports. **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and… more
- Cognizant (Winston Salem, NC)
- …and insights. + Contribute to the development of process improvements to streamline claims operations. + Maintain accurate records and documentation for all ... claims adjudication is mandatory. + Experience in other clinical services search program management and health records is...skills + Ability to maintain a high level of integrity and confidentiality of medical information Cog2025 Cognizant is… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- …physician reimbursement is achieved and claims denials are reduced by ensuring documentation integrity . * Educates all members of the patient care team on ... Revenue Cycle FTE1.0 FLSAExempt Scope of Job To promote appropriate clinical documentation through collaboration with the School of Medicine clinical … more
- Novant Health (Charlotte, NC)
- …direction and oversight of all aspects of Health Information Management (HIM), coding, clinical documentation , and revenue integrity across the enterprise. ... support for clinical work such as utilization review, coding, clinical documentation improvement, health information management, release of information,… more
- Fairview Health Services (St. Paul, MN)
- …related area Experience + 5 years' experience in coding, clinical documentation improvement (CDI) professional revenue integrity , quality, or a directly ... **Job Overview** **Fairview is looking for a Manager- Revenue Integrity to join our team.** The Manager Revenue Integrity is responsible for the leadership,… more
- University of Miami (Miami, FL)
- …essential to support strategic goals. Charge Capture & Revenue Analysis + Review clinical documentation and charge data to ensure accurate and complete billing. ... Working under the direction of the Director of Revenue Integrity Systems, the analyst collaborates with clinical ...This position plays a pivotal role in ensuring revenue integrity through: trend reporting and claims analysis,… more
- Hartford HealthCare (Farmington, CT)
- …codes as appropriate including charge corrections 2. Identify charging, coding, or clinical documentation issues and work with appropriate leadership and ... denials that require coding and billing expertise with some clinical knowledge that are delaying claims from...Patient Financial Services, HIM, departments, etc. regarding charging and clinical documentation issues. 3. Participate as a… more
- Trinity Health (Livonia, MI)
- …Remote Position Provides day-to-day operational supervision for local hospital revenue integrity functions. Responsible for motivating staff to achieve the highest ... for the region. Supervises the facility Charge Description Master (CDM), revenue integrity pre-bill edits, root cause analysis, denials coordination with the Patient… more
- Albany Medical Center (Albany, NY)
- …analytical skills + Can work proficiently in Excel, EPIC and ADMs + Strong clinical knowledge and clinical documentation practices + Excellent verbal and ... $100,908.37 Under the direction of the Director of Pharmacy the Pharmacy Revenue Integrity Auditor will serve as a pharmacy liaison and interface with finance,… more