- Kaleida Health (Buffalo, NY)
- ** Director Clinical and DRG Denials ** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 ... Job Description **Summary:** The Director , Clinical & DRG Denials provides clinical leadership and administrative guidance to the Clinical … more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for ... accuracy in ICD-10-CM/PCS coding, DRG assignments, and supporting clinical documentation. This...denial and appeal status. + Consults with Coordinator and/or Director , Coding Denials and Appeals during any… more
- Cordis (Miami Lakes, FL)
- …us as we transform cardiovascular care. **Responsibilities** **Job Summary:** The Director of Market Access is responsible for developing and executing strategies ... The role collaborates closely with internal teams (eg, Sales, Marketing, Clinical Affairs, Training) and external stakeholders (eg, payers, providers, billing/coding… more
- UTMB Health (Galveston, TX)
- …areas of responsibility. **ESSENTIAL JOB FUNCTIONS:** * Under the direction of the Director of Coding, actively manages Clinical coding operations for UTMB to ... Manager, Coding & QA Clinical - Revenue Cycle Coding **Galveston, Texas, United...(RHIT, RHIA, CCS, CPC-H). . Three years of complex DRG and ICD10 coding experience, and three years of… more
- Covenant Health Inc. (Knoxville, TN)
- …Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff education efforts, serves as the ... user advocate between Health Information Management (HIM), Clinical Effectiveness, and Registration. Other job duties include: improving health record documentation… more
- AdventHealth (Tampa, FL)
- …Research Institute, also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience, cardiovascular medicine, ... and other diseases. **The ro** **le you'll contribute:** Oversees site-based Clinical Documentation Integrity (CDI) program; monitors and maintains the timeliness of… more
- AdventHealth (Orlando, FL)
- …Assist in billing for technical component of services and appeals for denials . Provides guidance to clinical questions from Utilization Management staff ... work life balance **PRINCIPAL DUTIES AND JOB RESPONSIBILITIES** **:** Provides clinical support/validation for Care Management, CDI and Quality teams. Provides… more
- Ventura County (Ventura, CA)
- …the Health Information Management (HIM) department related to coding and CDI ( clinical documentation improvement). The ideal candidate will have a Bachelor's Degree ... rate, compliance rate with quality standards and HCAI requirements; + Reviews insurance denials and submit appeals as necessary, provide education to coders based on… more
- Novant Health (Charlotte, NC)
- …and oversight of all aspects of Health Information Management (HIM), coding, clinical documentation, and revenue integrity across the enterprise. This role involves ... overseeing strategic planning, leadership, and operations support for clinical work such as utilization review, coding, clinical documentation improvement,… more
- AdventHealth (Hinsdale, IL)
- …ensures efficient and cost-effective care through appropriate resources monitoring and clinical care escalations. The Social Worker is under the general supervision ... and communicates these goals and preferences to the multidisciplinary team. Incorporate clinical , social and financial factors into the transition of care plan.… more