inpatient and/or outpatient coding. Facilitates the coder audit appeal process, providing rationale and education to the coding... needed. Facilitates the coder appeal process. Assists team members with coding questions and provide resolution guidance. Assists...
to accurately code, abstract, and analyze APCs and modifier assignments. Maintains high-quality statistical clinical data..., documentation improvement, and revenue cycle processes. Develops and maintains Coder job aids, resource materials, and provides...
organization such as clinical, research, legal and reimbursement. Under the direction of UCSF HIMS Leadership and in partnership... with the Clinical Documentation Integrity program and related Apex Programs, this position is accountable for driving the...
, medical billing or medical reimbursement. Preferred Licenses and Certifications (CPC) CERT PROFESSIONAL CODER Upon Hire... of service Coordinates ongoing pre-certification and approval process with carriers and provides clinical updates are requested...
Information Technician (RHIT) - Certified Coding Specialist (CCS), - Certified Professional Coder (CPC) - Certified Coding... Specialist - Physician (CCS-P) - Certified Inpatient Coder (CIC) - Certified Outpatient Coder (COC) - Certified...
Clinical Revenue Cycle Manager, the Provider Education and Audit Specialist is instrumental in optimizing revenue capture... activities for compliance tracking. Collaborates with Revenue Cycle and Clinical Teams Collaborates with revenue cycle...
guidance and resources that enhance clinical integrity and operational efficiency. Converts audit findings into targeted... requests, affiliate conferences, provider presentations) that enhance clinical integrity and operational efficiency. Design...
to accurately code, abstract, and analyze APCs and modifier assignments. Maintains high-quality statistical clinical data..., documentation improvement, and revenue cycle processes. Develops and maintains Coder job aids, resource materials, and provides...
and reimbursement inquiries submitted by physicians, clinical departments, or revenue cycle management to ensure compliance... compliance Clinical Department Education: Develop and conduct individual or group physician education presentations on coding...
Description Master (CDM) maintenance, and denials management, while fostering collaboration with clinical, financial, and operational... reviews to identify revenue leakage and compliance risks. Collaborate with clinical, financial, and operational stakeholders...
clinical issues, documentation, and billing practices. Document and substantiate billing discrepancies to providers... / CCS-P / CCS-H) Accredited Record Technician (ART) Certified Professional Coder (CPC) Certified OR Technician (CORT...
) maintenance, and denials management, while fostering collaboration with clinical, financial, and operational teams. Through... to identify revenue leakage and compliance risks. Collaborate with clinical, financial, and operational stakeholders to ensure...
analyze clinical documentation verifying appropriate diagnosis, procedure, DRG, level of service for both revenue..., and other key stakeholders to improve the quality of documentation and coding to resolve clinical documentation and charge capture...
, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment.... Work with various leadership and clinical departments to design relevant trainings specific to an identified need of the...
team, ensuring accurate and compliant coding practices across all clinical departments. This role provides leadership... & Oversight Supervises coding staff including Coder I and Coder II. b. Monitors productivity and quality metrics, ensuring...
on clinical documentation improvement and coding best practices. Reviews medical records and coding documentation for accuracy... to identify coding education opportunities, coder knowledge gaps and develop a coding education pathway to address the gaps...
of experience working as a certified Coder Prefer at least three (3) years in coding and compliance/clinical audit field Prefer... detailed coding and documentation audits and reviews to ensure compliance with clinical and coding guidelines. This function...
and/or clinical documentation integrity (CDI) in accordance with the Company's policies and procedures. Participates in the... of Ethical Coding, The Association of Clinical Documentation Improvement Specialist (ACDIS) Code of Ethics, Official Coding...
Advisory, Client Human Resources, Client Accounting, Staff Credentialling, Clinical Staffing, and Revenue Cycle Services... workload remotely. Preferred: Certified Professional Coder (CPC), Certified Professional Biller (CPB), or equivalent...
, and clinical/technical activities to ensure high quality health care services. Develops developing department initiatives.... Designs and uses audit tools to monitor the accuracy of clinical coding. Monitors Medicare and other payer bulletins...