appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes, understand current professional coder workflows, reviews principal... Cancer Network (NCCN), and American Society of Clinical Oncology (ASCO) for specialty practices like inpatient chemotherapy...
for all cardiovascular services. This position will work closely with clinical staff, coders, and billing teams to maintain compliance... within a cardiovascular or specialty service line. Certifications/Skills: Certified Coding Specialist (CCS), Certified Professional Coder...
and provide feedback to each coder on their work performed. Development of reinforcement training for existing staff... to the Clinical Documentation Integrity (CDI) staff on a brief History of Coding. Provide education to the CDI staff on ICD...
. Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG assignment and clinical... patient’s condition, and the resources used during their hospital stay. Assesses whether the clinical documentation supports...
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...
or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a “hands... diagnosis codes. The coder will focus on chart reviews, the detailed physician chart abstraction, related coding education...
and physiology, clinical indicators associated with disease processes and pharmacology Knowledge of Medicare and Medicaid billing... coders in the application of coding principles, code assignment and sequencing, DRG assignment and clinical disease processes...
. Communicate coding and billing updates to clinical leaders and providers. Build and maintain strong relationships with stakeholder... Professional Coder (CPC) by the American Academy of Professional Coders (AAPC). Preferred Bachelor’s degree in Health...
assigned and supported by clinical documentation. Primarily for QHP (RADV) Ability to code government and state models... coding credentials through AHIMA or AAPC (RHIT, CCS, CCS-P, CPC, CIC, etc.) The AAPC CRC (Certified Risk Adjustment Coder...
demeanor. Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding... specificity. Follows policy and protocol defined by Clinical Leadership. Meets with RMD about quality of care, review of outcome...
, supported by appropriate clinical documentation. Conducts chart reviews on inpatient and clinic records for documentation... deficiencies. Ensures documentation and clinical records are in compliance with standards and policies. Provides education, to the...
and documentation of services provided by entity clinical providers. To support and facilitate the implementation of correct coding... standards by clinical providers as established by SHC Corporate Compliance in accordance to the CMS and local MAC (Medicare...
and interesting cases Support team of ultrasound technicians, RNs, genetic counselor, care coordinators, coder, and experienced...% nationally for overall clinical excellence by Healthgrades Springfield, Missouri Living in Springfield is easy...
Major Responsibilities: Identifies, maps, measures, analyzes and improves clinical and business processes, problems... of clinical/business functions. Conducts effective unit, integration, and end-user acceptance testing through execution of the...
department, provides education to clinical department staff, physicians, APP�s, and coder regarding CPT codes, HCPCS codes...: Conducts prospective and retrospective reviews/audits of charge capture practices in the clinical departments. Reports findings...
and provide charge capture recommendations to clinical departments and hospital staff. - Diagnoses root cause issues of charge... communication with the clinical staff, and faculty. - Solid understanding of coding conventions and current third-party payer rules...
(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...
in Nursing EXPERIENCE Required 3 - 5 years of related, progressive experience in a clinical setting Preferred 1-3... Medical Coder or related SKILLS Demonstrated ability to solve issues that are complex in nature with minimal direction...
What You Will Do Collaborates with clinical management to identify, develop and implement quality improvement standards and criteria that meet... changes in the health status and outcomes of patients/members utilizing outcomes data. Consults and collaborates with clinical...
company. Certified Professional Coder (CPC) - AAPC - PREFERRED Other Qualification Requirements Bachelor's degree... requirements. Maintains charge description master (CDM); updating CDM Matrix, maintain all maintenance efforts with clinical...