You could be the one who changes everything for our 28 million members as a clinical professional on our Medical... technician or medical office (i.e. biller, coder, office assistance, or prior authorization/certification) experience...
standards, HIPAA/HITECH, 42 CFR Part 2, California health laws, and internal policies. The role works closely with clinical..., financial, operational, and clinical risks and escalate issues appropriately. Recommend corrective action that support Just...
, marketing, clinical, regulatory, and legal to increase awareness and understanding of health economics and reimbursement.... Familiarity with oncology related products. Coding certifications (e.g., Certified Professional Coder). Demonstrated...
clinical documentation improvement, support of operational coding processes, and customer coding relationship management. The... Coder) CCS-P (Certified Coding Specialist-Phys Based) CCS (Certified Coding Specialist) RHIA (Registered Health...
operations of the medical coding team to ensure accurate, timely, and compliant coding of clinical documentation. This role... timeframe ≥ 98% on-time Compliance Adherence to coding and payer guidelines 100% Team Productivity Average coder output...
, marketing, clinical, regulatory, and legal to increase awareness and understanding of health economics and reimbursement.... * Familiarity with oncology related products. Coding certifications (e.g., Certified Professional Coder). Demonstrated...
billing based on review of clinical documentation. Identifies and assists with the resolution of coding issues and process... in professional billing In Lieu Of NA Required Certifications, Registrations, Licenses CPC Certified Professional Coder (AAPC...
coding teams, coder training, work que management, performing prebill and second-level coding reviews utilizing auditing... according to official coding guidelines as supported by the clinical documentation in the record. - 60% Monitor work queues...
denials. Collaborate across departments—including CMOs, Clinical Informatics, Risk Adjustment, and Population Health... issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued...
(United States of America) Job Summary: The Charge Capture Specialist II is responsible for reviewing clinical documentation...(s) and Physician Practice to ensure clinical documentation in high risk areas is consistent and complete. The Charge Capture Specialist...
U.S. and/or a Certified Coder with a current CPC and/or CCS coding certificate 3+ years of experience with claim processing and medical... Clinical team and process experience Experience with behavioral health claims CMS experience Client facing experience...
leadership to identify focused prospective records that need to be reviewed. Identifies coder education opportunities, team... in the Clinical Documentation Improvement and Hospital Coding alignment process. Review accounts with mismatched DRG...
to include E/M, International Statistical Classification of Diseases and Related Health Problems, tenth version- Clinical...: A career studies certificate in Medical Coding and eligible to sit for AAPC Certified Professional Coder credential Completed...
programs to physicians, advanced practice providers (APPs), and clinical staff. The primary goal is to optimize revenue... and documentation education sessions for physicians, APPs, and clinical staff, both individually and in group settings (e.g., department...
as a RHIA, RHIT, or CPC certified coder within a healthcare provider organization or health insurance company... (Required) Current certification as a professional coder (RHIA, RHIT, or CPC) (Required) CRC certification or willingness to obtain it...
patient flow, and assisting with clinical support when needed. The ideal candidate must have strong experience in medical... and update patient records using EMR systems. Assist with clinical duties as needed, including taking vitals, documenting...
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...
you to apply today and join our Mercy family. Responsibilities Identifies, reviews, interprets, codes, and abstracts clinical information from inpatient... Coder – Hospital Outpatient (CPC-H) or Certified Professional Coder (CPC) designation. Minimum of one year acute care...
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...
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...