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...
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...
(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...
and accurate charge submissions and reduce claim denials. Collaborate across departments—including CMOs, Clinical Informatics... – Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder...
-line staff executes daily business office functions and clinical staff operations (where applicable) accordingly... Licensure/Certification/Registration: National certification as a Procedural Coder preferred...
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...
. . Minimum Work Experience 2 years as a Certified Coder preferably with experience in pediatric coding and/or experience... for clinical and non-clinical staff. Other duties as assigned Organizational Accountabilities Organizational...
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...
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...
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...
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...
. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG... by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities...
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...
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...
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...
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...