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...
. 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...
, 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...
, and the ICD-10 Alphabetic and Tabular Indices), complex clinical guidelines and maintaining objectivity in the performance... of medical audit activities. Draws on extremely advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge...
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...
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...
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...
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...
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...
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...
. Your responsibilities include onboarding new clients, enhancing provider clinical documentation practices, and nurturing client... of Professional Coders) Certified Professional Coder (CPC®) credential Certified Professional Coder - Hospital (CPC-H®) Certified...
to a growing national provider network, delivering the clinical insights and tailored technologies needed to expand patient access..., and all applicable coding guidelines. Clinical Data Abstraction: Extract and interpret relevant clinical data-including diagnoses...
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...
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...
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...
Job Summary The Analyst II Coder, under the direction of the Revenue Manager/Associate Director, provides support.... Provides education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines...
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...