Clinical Documentation Specialist RN Houston Methodist HospitalClinical Documentation Specialist RNFLThis Clinical Documentation Specialist RN position also facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient care givers, and medical records coding staff to ensure that appropriate reimbursement is received for the level of service rendered to all patients. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities.
Coding Specialist US Oncology IncCoding SpecialistEugene, ORCookies are used on this site to assist in continually improving the candidate experience and all the interaction data we store of our visitors is anonymous. We're sorry, but it looks like this job may be no longer available or does not exist.
Medical Coding Auditor - Must have a NM Residence UNM Medical Group, Inc.Medical Coding Auditor - Must have a NM ResidenceAlbuquerque, NMAudits medical record documentation to identify undercoded and overcoded services, prepares reports and observations and meets with providers, support staff and coding personnel to provide education and training on accurate documentation and coding practices in compliance with regulatory requirements. Assists management in the review of external payer requests including but not limited to third party payers, Medicare Advantage plans, and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
CDI Specialist- Remote Med-Metrix, LLCCDI Specialist- RemoteParsippany-Troy Hills, NJRemoteThe Clinical Documentation Integrity Specialist performs concurrent chart reviews to validate that the clinical documentation in the medical record appropriately describes the patient's severity of illness, complexity of care, and risk of mortality to facilitate appropriate coding. Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Medical Billing Specialist Mi Familia & Summit Home Health and HospiceMedical Billing SpecialistBethlehem, PARemote$58,000–$74,000 / yearThe Medical Billing Specialist will be responsible for processing medical claims, managing insurance reimbursements, resolving billing issues, and ensuring accurate and timely revenue cycle operations. Summit Home Health & Hospice is a Texas-based healthcare organization dedicated to enhancing the lives of patients and families through compassionate home health and hospice services.
Senior Compliance Audit & Education Specialist Temple University Health SystemSenior Compliance Audit & Education SpecialistPhiladelphia, PAPennsylvania-Philadelphia'',''Pennsylvania-Philadelphia'',''Operational Admin & Management'',''Operational Admin & Management'',''Full-time'',''Full-time'',''Day Job'',''Day Job'',''Regular'',''Regular'',''false'',''405161'',''405161'',''true'',''405161'',''false'',''Submission for the position: Senior Compliance Audit & Education Specialist - (Job Number: 263313)'',''false'',''405161'',''false'',''true''. ''405161'',''true'',''405161'',''false'',''Submission for the position: Senior Compliance Audit & Education Specialist - (Job Number: 263313)'',''false'',''405161'',''false'',''true'',''Senior Compliance Audit & Education Specialist'',''263313'',''!*!Responsible for reviewing and auditing coded records across specialties for coding and compliance quality.
Inpatient Auditing Specialist FT DatavantInpatient Auditing Specialist FTOlympia, WARemote$35–$45 / hourExperience with Dolbey Fusion and Trucode is preferred.** **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding, Focused, Service Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs. ********* 2,500 Sign on Bonus************ As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews.
Supervisor, PB Surgical Coding Endeavor HealthSupervisor, PB Surgical CodingOur more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties.
Coding Quality Specialist I - Coding CHRISTUS HealthCoding Quality Specialist I - CodingIrving, TXAssist with development and coordination of review plans, education and training feedback to coding staff that may include query opportunities, documentation opportunities, accurate code assignment (ICD, CPT, HCPCS), accurate payment groupings (DRG, APC), accurate modifier assignment, accurate POA assignment, accurate discharge disposition assignment, compliance and data management. Coding Quality Specialist will work collaboratively with various CHRISTUS Health Departments, including but not limited to the Regional Coding Managers, Coding Integrity, HIM, Compliance, and Clinical Documentation Specialist to ensure feedback is shared and reported for education and training purposes.
SUPERVISOR - CODING AUDITING & EDUCATION, O-CDI Aspirus IncSUPERVISOR - CODING AUDITING & EDUCATION, O-CDIWausau, WIThis includes oversight of the day-to-day workflow processes, staff scheduling, productivity monitoring, staff coaching and training, exercising judgement in hiring and corrective/disciplinary action, and including supervisory of direct reports for the functional area within the coding department. The health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians.
Health Information Management Coder Lead - Coding CHRISTUS HealthHealth Information Management Coder Lead - CodingTyler, TXCoding Lead will work with Coders as a resource to maintain current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and/or Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Coding Leads will work to ensure Coders abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines.
Billing Specialist United Surgical Partners InternationalBilling SpecialistRock Hill, SCA diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States.
Coding Specialist Sr. - Urology US Oncology IncCoding Specialist Sr. - UrologyRichardson, NCCookies are used on this site to assist in continually improving the candidate experience and all the interaction data we store of our visitors is anonymous. Practice Success Clinical Trials Refer a Patient Relationship Opportunities Join Our Network.
Inpatient Medical Coder- DRG Specialist - Remote Sutherland Global Services IncInpatient Medical Coder- DRG Specialist - RemoteHouston, TXRemoteSpecifically, you will assign and sequence correct diagnostic and procedure codes in compliance with third party payor requirements, and when necessary, obtain clarification when presented with conflicting, ambiguous, or non-specific documentation. Sutherland is the preferred digital transformation partner for iconic brands worldwide, unlocking new value for their business, people, and customers.
Medical Authorization Specialist II BioventusMedical Authorization Specialist IIMemphis, TNAs a Medical Authorization Specialist (MAS) you will draw upon your experience in reviewing medical records and insurance carrier policies to ensure that patients recovering from bone injuries receive the healing treatments they need. Review and interpret medical record documentation, such as patient history summaries, surgical notes, and treatment plans, to ensure an order meets requirements for insurance policy coverage.
NewSenior Medical Billing & EHR Specialist FRIENDS OUTSIDESenior Medical Billing & EHR SpecialistStockton, CAProvide day-to-day support to ECM and Community Supports staff regarding EHR documentation, workflows, and system functionality Assist with implementation, maintenance, testing, optimization, and troubleshooting of EHR systems and related software platforms Coordinate with software vendors and IT support personnel to resolve technical issues Maintain working knowledge of applications, workflows, documentation systems, and reporting platforms utilized within CalAIM programming Support staff in proper use of electronic systems including assessments, care plans, progress notes, authorizations, encounter tracking, reporting tools, and billing-related documentation Participate in software upgrades, workflow enhancements, and system testing activities. Generate and maintain reports related to program performance, service utilization, member engagement, staffing capacity, claims activity, reimbursement trends, and compliance monitoring Assist leadership with quarterly reports, audits, implementation monitoring, quality assurance activities, and MCP reporting requirements Track key program and billing metrics and identify trends requiring corrective action or process improvement Monitor documentation timeliness and follow up regarding missing, incomplete, or non-compliant records Support continuous quality improvement initiatives through data analysis and reporting.
Med Billing Coding Spec FT Guadalupe Regional Medical CenterMed Billing Coding Spec FTSeguin, TexasThe Medical Billing/Coding Specialist communicates with physicians on any documentation improvement initiatives and reports necessary trends and is also responsible for receiving adequate training in every specialty our multi-specialty group provides to be able to audit accounts accurately. Bloodborne Exposure (Refer to Bloodborne Exposure Control Plan in Policy Tech for possible exposure tasks) .
Professional Coding Specialist III OU Medicine, Inc.Professional Coding Specialist IIIVirtual, OKFull timeWe are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures, resolve denials and work with leadership to put processes in place to reduce denials. Code and resolve the most complex, high‑risk professional encounters including specialty‑specific procedures, high‑dollar services, complex modifier scenarios, and telehealth exceptions.
Oncology Data Specialist / Certified Tumor Registrar job.comOncology Data Specialist / Certified Tumor RegistrarRemoteFull timeThis is an opportunity to join a highly collaborative team where your expertise is valued, your contributions are visible, and your work directly impacts the quality of oncology services delivered to thousands of patients. The data you collect supports cancer research, quality improvement initiatives, accreditation programs, treatment outcomes, survivorship planning, and ultimately better patient care.
Medical Billing Specialist AtriumMedical Billing SpecialistSomerset, NJ$30–$32 / hourThis newly created position offers the opportunity to work alongside experienced billing professionals in a collaborative healthcare environment focused on delivering exceptional patient care. By applying to this job, you agree to receive calls, AI-generated calls, text messages, and/or emails from Atrium and its affiliates, and contracted partners.