- HCA Healthcare (Salem, VA)
- **Description** **Introduction** Do you have the career opportunities as a Medical Necessity Coding Compliance Coordinator you want with your current ... a committed, caring group of colleagues. Do you want to work as a Medical Necessity Coding Compliance Coordinator where your passion for creating… more
- UnityPoint Health (Sioux City, IA)
- …+ Obtains diagnoses for lab testing performed, and determines appropriate medical necessity and coding documentation in compliance with CMS and Health ... System, receives electronic orders and completes appropriately, and determines and validates medical necessity of all lab orders in addition to obtaining… 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
- Sharp HealthCare (San Diego, CA)
- …(HIM, CDI, Case Management, Quality, etc.) in developing SHC's standardized documentation, medical necessity , coding and billing policies and guidelines ... the position, and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's… 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
- Western Washington University (Bellingham, WA)
- …updates or other considerations. + Reviews claims denials and rejections pertaining to coding and medical necessity issues, and when necessary, implements ... newly implemented workflows or laws/regulations. + Review spreadsheets for coding compliance to ensure accurate and legal...degree. + Five years of billing experience in a medical practice or ambulatory services setting. + Experience with… more
- Kaleida Health (Buffalo, NY)
- …detection and correction of documentation, coding and billing errors and/or medical necessity of services billed. Audits consist of evaluation of the ... necessity of services, reimbursement overpayments and underpayments, and compliance with other documentation, coding and billing standards. Will apply… 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
- CVS Health (Jefferson City, MO)
- … guidelines and regulations to meet compliance requirements, such as establishing medical necessity .** **In depth knowledge of medical terminology and ... codes required.** **Minimum of 2 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing.** **Preferred… 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