for improvement in the patient experience, clinical outcomes, and the documentation system to mitigate risk to the Company.... Responsibilities Performs pre-and post-billing chart reviews to ensure the clinical documentation provides evidence of compliance...
Marketing Cloud (Required) Required Skills/Knowledge Proven work experience as an Email Coder and Web Developer Hands... to improve clinical and administrative processes Make appropriate decisions, using sound judgment Cost Management...
in fraud investigations, related behavioral or medical healthcare insurance experience in claims, clinical, auditing... - EnterpriseEnterprise, CPC - Certified Professional Coder - EnterpriseEnterprise, LSSBB - Lean Six Sigma Black Belt Certification...
Related Groups, (APR-DRGs.) Knowledge of Clinical Documentation and query processes. Ability to function independently... Inpatient Coder) COC (Certified Outpatient Coder) CPC (Certified Professional Coder) CPMA (Certified Professional Medical...
experience in medical record and billing reviews including clinical documentation, medical terminology, codes (CPT, HCPCS, ICD-10... Compliance Executive CPC - Certified Professional Coder Disclaimers Pay ranges listed are an estimate and subject...
: Coding certification CPC-Certified Professional Coder or - Certified Coding Specialist required (external candidates holding... outpatient hospital setting. Coder, Health Information CCS or CPC coding certification required. Preferred member of AHIMA...
of Conduct, laws and regulations, and hospital policies and procedures. Supervises the Certified Coder, Coder, Clinical..., clinical documentation improvement, the release of information, transcription, chart completion, enterprise master patient...
Major Responsibilities: Identifies, maps, measures, analyzes and improves clinical and business processes, moderate... to validate performance of clinical/business functions. Conducts effective unit, integration, and end-user acceptance testing...
: Coding certification CPC-Certified Professional Coder or - Certified Coding Specialist required (external candidates holding... outpatient hospital setting. Coder, Health Information CCS or CPC coding certification required. Preferred member of AHIMA...
) is required. Certification may include Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC) and/or Certified Clinical... appropriate ICD10-CM diagnoses codes based on clinical documentation that follows the Official Guidelines for Coding and Reporting...
with coding and clinical platforms (3M, EncoderPro, Epic) preferred. Scheduling Requirements: Full-Time, Salaried position... and adherence to bill‑hold timelines. Track vendor coder productivity and quality metrics; escalate operational concerns...
on mortality rates, clinical quality, reimbursement, internal scorecards, and key performance indicators. Utilizes a thorough... Professional Coder (CPC) - EV Accredited Issuing Body, Registered Health Information Administrator (RHIA) - EV Accredited Issuing...
setting and status. Collection of clinical information necessary to initiate commercial payer authorization. Obtain... communication and interpersonal skills. Minimum one year healthcare or clinical experience required. License Requirements: Licensed...
individual education needs of Clinical Documentation Specialists and collaborates with CDI Manager, IP Coding Manager, and IP... chart identifies all clinical findings, diagnoses and procedures; and are appropriately and clinically supported. The CDI...
, performance management, and cross-functional collaboration with clinical, billing, and compliance teams to drive operational... and coding process and leads improvement efforts (including providing input to operational training groups) across the clinical...
Overview: Assists in the provision of an efficient and effective clinical coding service within Carle by providing... Administrator (RHIA) - American Health Information Management Association (AHIMA); Certified Inpatient Coder (CIC) - American...
is responsible for the evaluation of documentation utilizing their coding and clinical expertise to ensure specificity of coding... and ancillary staff on clinical documentation best practices and correct coding. Position requires a self-motivated, flexible...
to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed... community and contribute to our pursuit for clinical excellence. Position Summary: The PB Audit Manager is responsible...
skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology... or CERTIFICATIONS Required (any of the following) Certified Professional Coder (CPC) Certified Risk Coder (CRC) Certified Coding...
denials. Collaborate across departments—including CMOs, Clinical Informatics, Risk Adjustment, and Population Health... Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders...