- HCA Healthcare (Portsmouth, NH)
- …general/focus education for facility leaders on (but not limited to) compliance , medical necessity , charge practices, coding requirement etc. + Tracks ... join an organization that invests in you as a Medical Necessity Compliance Coordinator? At...substitute education requirements. + Minimum 3 years of hospital coding experience preferred + Minimum 5 years healthcare experience… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Ongoing mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and ... participates in continuing education opportunities to remain current with billing and coding compliance best practices (ie, conferences, workshops, and other… more
- Emory Healthcare/Emory University (Atlanta, GA)
- … coding , and documentation requirements, Federal and State regulations, medical necessity , clinical best practices, and hospital/clinical billing issues. ... + Leads training on proper documentation for inpatient hospital/clinical billing and coding compliance . + Works with the compliance operations, billing team,… more
- Tidelands Health (Myrtle Beach, SC)
- …on coding questions. + Have knowledge of payer guidelines related to MUE, Medical Necessity , LCD/NCD requirements and HIPAA/ Compliance in order to take ... all outpatient, ED, and hospitalists accounts, based on the medical information provided and consistent with regulatory guidance and...of coding and sequencing guidelines to ensure coding compliance and accuracy. Responsible for resolving… more
- Tidelands Health (Myrtle Beach, SC)
- …and complete coding . + Have knowledge of payer guidelines related to MUE, Medical Necessity , LCD/NCD requirements and HIPAA/ Compliance in order to take ... forth by AHIMA. Abstracting required clinical information from the medical record. Queries physicians as needed, to clarify documentation...of coding and sequencing guidelines to ensure coding compliance and accuracy. Responses to audits,… more
- Community Health Systems (Franklin, TN)
- … integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns accurate ... for provider education. + Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. + Strong analytical and problem-solving skills,… more
- Covenant Health Inc. (Knoxville, TN)
- …Educates coding staff to proper documentation necessary to support a DRG/APC/ Medical Necessity /ROM/SOI. + Integrates documentation, coding , and proper ... staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical ... billing and regulatory requirements. + Increases awareness of compliance as it relates to coding and… more
- Ventura County (Ventura, CA)
- …cases; + Provides education to the physicians on documentation requirements to establish medical necessity based on coding guidelines for assignment of ... + Reviews and evaluates policies and procedures for the Medical Records Department in relation to the overall hospital...most difficult coding cases; + Ensures VCMC coding practices are in compliance with ICD-10… more
- MedKoder (Mandeville, LA)
- …quality of physician documentation that supports codes selected including adherence to Medical Necessity ; + Adherence to Local Coverage Determination (LCDs), or ... Generous paid time off, holiday pay, and flexible scheduling year-round * Internal network of Medical Coding Industry Leaders - CEO is a Certified Coder with 20+… more
- R1 RCM (Detroit, MI)
- …CCI edit software to check bundling issues, modifier appropriateness, and LCD's/NCD's for medical necessity . * Communication with other departments to recommend ... review and correct billing edits, internal and external reporting, research, and regulatory compliance ). Under the direction of the Coding Leadership Team, the… more