for providers as well as clinical and administrative leadership. Partner with clinical providers, coding/HIM, revenue integrity... coder credential (e.g., CPC, CCS, RHIT, RHIA) Preferred: CPMA (Certified Professional Medical Auditor), CHC (Certified...
timely and accurate charge submissions and reduce claim denials. Collaborate across departments—including CMOs, Clinical... – Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder...
analyze clinical documentation verifying appropriate diagnosis, procedure, DRG, level of service for both revenue..., and other key stakeholders to improve the quality of documentation and coding to resolve clinical documentation and charge capture...
clinical issues, documentation, and billing practices. Document and substantiate billing discrepancies to providers... / CCS-P / CCS-H) Accredited Record Technician (ART) Certified Professional Coder (CPC) Certified OR Technician (CORT...
) maintenance, and denials management, while fostering collaboration with clinical, financial, and operational teams. Through... to identify revenue leakage and compliance risks. Collaborate with clinical, financial, and operational stakeholders to ensure...
timely and accurate charge submissions and reduce claim denials. Collaborate across departments—including CMOs, Clinical... – Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder...
, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment.... Work with various leadership and clinical departments to design relevant trainings specific to an identified need of the...
team, ensuring accurate and compliant coding practices across all clinical departments. This role provides leadership... & Oversight Supervises coding staff including Coder I and Coder II. b. Monitors productivity and quality metrics, ensuring...
, and abstracted data POA, Discharge Disposition. Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG... and the Coder DRG. Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation...
manager with clinical insurance requirements. Posts all Medical Record request fees. Attends all revenue cycle meetings...: Certified Professional Coder. If you feel that the above description speaks directly to your strengths and capabilities, then...
on clinical documentation improvement and coding best practices. Reviews medical records and coding documentation for accuracy... to identify coding education opportunities, coder knowledge gaps and develop a coding education pathway to address the gaps...
of experience working as a certified Coder Prefer at least three (3) years in coding and compliance/clinical audit field Prefer... detailed coding and documentation audits and reviews to ensure compliance with clinical and coding guidelines. This function...
and/or clinical documentation integrity (CDI) in accordance with the Company's policies and procedures. Participates in the... of Ethical Coding, The Association of Clinical Documentation Improvement Specialist (ACDIS) Code of Ethics, Official Coding...
Advisory, Client Human Resources, Client Accounting, Staff Credentialling, Clinical Staffing, and Revenue Cycle Services... workload remotely. Preferred: Certified Professional Coder (CPC), Certified Professional Biller (CPB), or equivalent...
, and clinical/technical activities to ensure high quality health care services. Develops developing department initiatives.... Designs and uses audit tools to monitor the accuracy of clinical coding. Monitors Medicare and other payer bulletins...
to be The Most Trusted Partner for Health. The Certified Coding Specialist analyzes relevant clinical and demographic... (Certified Professional Coder) OR CPC-A (Certified Professional Coder Apprentice) SKILLS: Knowledge of medical terminology...
leaders and Account Resolution teams to provide feedback to providers/practices to improve clinical documentation... communication with Wellstar Medical Group providers and practices to facilitate denial/appeals process. Review clinical records...
and other statistical reports. Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review... downgrade, DRG Validation, Clinical Validation, diagnosis codes not supported, and/or general coding error denials. Responsible...
reimbursement, compliance, and charging with the national, regional, and local guidelines and policies. Applies clinical knowledge... of disease processes, physiology, pharmacology and surgical techniques by reviewing and interpreting all clinical documentation...
- based coder to optimize coding specificity. Follows policy and protocol defined by Clinical Leadership. Meets with RMD... Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows...