- Northeast Georgia Health System, Inc (Oakwood, GA)
- …coding knowledge ie American Academy of Professional Coders, Professional Medical Coding Curriculum, NGPG Compliance Proficiency training, specialty ... the medical necessity of services, compliance with other documentation, coding and billing standards. CEQAs apply standardized audit scoring methodology to… more
- MultiPlan (Atlanta, GA)
- …mining and coordination of benefits techniques to client paid claims data.3. Evaluate medical claims for coding and pricing errors using accurate HCPCS, ICD-10, ... people come to shine! JOB SUMMARY: This role reviews medical paid claims against provider contracts and policies to...of benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. JOB ROLES… more
- Northeast Georgia Health System, Inc (GA)
- …Company policies and procedures, and clinical/ medical resources to assure coding knowledge and skills remain current.Initiates physician query in compliance ... disposition, performing physician , and procedure dates. Corrects discharge disposition based on payer requirements.In- depth knowledge of coding and charging… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …surveys affecting Medicare and Medicaid rate revisions, interim payments, and hospital- based physician arrangements.Monitors changes and proposed changes to ... to understand and analyze payor contracts/regulations and model net revenue impacts based on reimbursement and coding guidelines Essential Tasks and… more
- Atrium Health (Charlotte, NC)
- …a key subject matter expert for clinical documentation and risk adjustment coding within the enterprise. This position focuses on priorities for Enterprise ... This clinical position uses clinical/nursing knowledge and understanding of national coding guidelines and standards of compliance to improve overall quality and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …requirements, hospice admission criteria and in consultation/coordination with attending physician and hospice Medical Director. Completes the admission ... frame. Performs complete and thorough assessment. Collaborates with the attending physician , hospice Medical Director, hospice intake department, and referral… more
- Hackensack Meridian Health (Edison, NJ)
- …others on the encoder product suite. + Provide coverage for the Physician Coding Manager as needed and assigned(Meetings, projects, Time/Reporting, Supervisor ... and serve as a leader of positive change. The ** Physician Billing (PB) Supervisor of Coding ** is...such as Diagnostic Radiology and Cardiology. + Proficient in coding Emergency Department and Infusion- based services such… more
- R1 RCM (Chicago, IL)
- …a Physician Billing Coding Auditor with a background in Physician coding , billing, and reimbursement guidelines. The Auditor must understand medical ... independently. **Everyday in this role, you will:** + Review physician charges against medical record and all...RHIT, CCS-P, and/or CCS certification: + >1 year of physician coding and auditing experience, multi-specialty experience… more
- Baylor Scott & White Health (Dallas, TX)
- …Information Technologist (RHIT) + Certified Coding Specialist (CCS) + Certified Coding Specialist Physician - based (CCS-P) + Certified Professional Coder ... OF THE ROLE** + Examines and interprets documentation from medical records and completes accurate coding of...+ Cert Coding Specialist (CCS) + Cert Coding Specialist- Physician (CCS-P) + Cert Inpatient Coder… more
- Emanate Health (Covina, CA)
- …coders and clinicians on their documentation to ensure Emanate Health Medical Group Services receives appropriate reimbursement and conforms to applicable guidelines ... and regulations. Will create, implement, and monitor productivity and quality metrics for coding staff. Serves as the coding subject matter expert for the… more
- Queen's Health System (Honolulu, HI)
- …and Licensure: 1. Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist - Physician based (CCS-P). 2. Knowledge of CPT-4 and ... medical terminology and abbreviates. B. Experience: 1. Broad based knowledge of services provided to patients in both...and outpatient settings. 2. Two (2) years experience in physician coding preferred. 3. Knowledge of computerized… more
- RWJBarnabas Health (Oceanport, NJ)
- …compliance with Federal and State guidelines by ensuring the accuracy and integrity of provider- based coding and charge capture. In addition, the AVP of ... Place, Oceanport, NJ 07757 Job Title: Assistant Vice President, Medical Group Coding Location: Oceanport, NJ Status:...direction and oversight in the development of the annual Physician Review Work Plan based on yearly… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …anatomy and physiology + Associate's degree from two-year College or technical school + Medical coding experience for a physician group, hospital and/or ... **37378BR** **Extended Job Title:** Coding Specialist ( Medical Coding /Alberta)...and/or ICD-10-CM diagnosis and/or modifiers and procedure codes for physician /provider services consistent with coding compliance policies,… more
- LifePoint Health (Denver, CO)
- …ICD-10 and HCPC quality reviews as well as other projects related to physician coding compliance. Demonstrates a thorough understanding of complex coding ... The Physician Services Revenue Integrity team at Lifepoint Health...**Job:** **Please select a valid job field* **Organization:** **Pacific Medical Data Solutions* **Title:** * Medical Coding… more
- Tidelands Health (Murrells Inlet, SC)
- …query to the physician when there is conflicting documentation in the medical record. Must be able to identify and place accounts to the correct status/hold ... Solid understanding of and ability to apply Coding Clinic and other coding guidelines. + Proficient at writing AHIMA-compliant physician queries + Adept at… more
- Rush University Medical Center (Chicago, IL)
- …(RHIA) or Registered Health Information Technician (RHIT) certification in conjunction with physician based coding experience, including evaluation & ... Job Qualifications:** * Bachelor's Degree * Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) * Registered Health… more
- Bluestone Physician Services (Stillwater, MN)
- …2013! Bluestone also achieved Top Workplace USA 2021-2024! Position Overview : The Medical Coding Specialist role is responsible for ensuring that patients are ... as assigned by coding supervisor Qualifications : Education/Certification/Experience + Current Medical Coding Certification required + Strong E/M coding … more
- UT Health (Houston, TX)
- …as assigned. **Certification/Skills:** 1. Certified Professional Coder (CPC) or Certified Coding Specialist Physician - based (CCS-P). 2. Effective analytical ... Senior Compliance Coding Analyst - Emergency Medicine **Location:** Texas Medical Center-Houston, Texas **Hot** **Category:** Legal McGovern Medical School… more
- Virtua Health (Marlton, NJ)
- …education and training, etc. for CPT, ICD-10-CM, and HCPCS codes for Virtua Medical Group clinicians and coding department. This includes performing internal ... Audit Response: Conducts Trains new coders to utilize the medical record, clinical, coding and abstracting systems,...coding trends and education needs. Confidently educates clinicians based on chart audit and coding trends.… more
- HCA Healthcare (Brentwood, TN)
- …for assisting in the development and evolution of the overall strategy for Physician Services Group (PSG) Coding Operations. The RCOM is responsible for ... be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered...operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician… more
