supporting HCC, ICD-10, and medical necessity. Demonstrates knowledge of CMS coding guidelines to improve the overall quality... documentation, quality, and value-based care. Collaborates with quality and multidisciplinary teams to develop strategies...
on mortality rates, clinical quality, reimbursement, internal scorecards, and key performance indicators. Utilizes a thorough... understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations. Uses...
on mortality rates, clinical quality, reimbursement, internal scorecards, and key performance indicators. Utilizes a thorough... understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations. Uses...
, reimbursement, and key quality indicators. Utilizes a thorough understanding of coding guidelines, guidance, medical necessity... Job Description: Reviews, analyzes, and interprets clinical documentation applying applicable codes in accordance with prescribed rules, coding...
Job Description: Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy... retrospectively and concurrently. Provides continuing education to individual coders and the coding staff concerning changes in the...
to determine patient-specific opportunities around open orders, care gaps, coding, medication management, and annual wellness... staff productivity levels, quality of output, and resolves workplace-related issues to promote continuous performance...
Surgery’s mission is to deliver the highest quality patient care and experience in dermatology and aesthetic services... knowledge and abilities in medical billing, including extensive knowledge of medical terminology, CPT coding, and how to read...
: Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality... experience in a medical setting ICD-9/10 and CPT coding experience Microsoft experience Bilingual (English/Spanish) language...
and communication skills that demonstrate commitment to superior customer service, including quality and care and concern... setting ICD-9/10 and CPT coding experience Microsoft experience Bilingual (English/Spanish) language proficiency Proven...
required supervisory visits Documentation and Care Delivery Provides high-quality clinical services within the scope of practice... per policy and payer requirements, and syncs timely per LHC policy Quality Makes initial and/or comprehensive nursing...
with diagnostic assignments and other coding issues. Completes well-timed follow-up case reviews on all cases, prioritizing... and quality. Inputs data accurately and concisely into assigned software, resulting in accurate metrics obtained through the...
importance of secondary diagnosis codes and their impact on quality metrics. Other duties as assigned. Codes inpatient charts... and verifies or assigns ICD-10-CM/PCS diagnosis and procedure codes. based on physician documentation and Computer-Assisted Coding...
questions regarding coding and billing and navigating complex reimbursement issues. Single point of contact for questions... actions; Follows through on commitments. Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve...
, delivering reliable, high-quality service every day. If you’re looking for a stable, team-oriented environment where accuracy... proper coding and authorization Match invoices to purchase orders and receiving documents Enter invoices into the...
: Educate physicians and advanced practice providers (APPs) on best practices in clinical documentation and coding compliance... and fellows Serve as a resource for providers regarding clinical terminology, coding nuances, and regulatory requirements Provide...
reviews to improve the quality, completeness, and accuracy of medical record documentation. Ensures coding compliance... Job Description: Reviews clinical documentation and coding during ambulatory encounters to ensure accuracy and completeness. Communicates...
Job Description: Communicates clinical cost, utilization, appropriate coding and documentation, quality, and member service opportunity studies... cost, utilization, appropriate coding and documentation, quality, and member service outcomes. Leads the peer review...
Job Description: Conducts retrospective and concurrent coding accuracy reviews as assigned by the supervisor, manager, and/or director. Reviews... coding validations. Builds and maintains collaborative relationships with ancillary departments, Revenue Integrity...
assist in the coordination of training, tracking and compliance with quality measures May participate in the onboarding... in assuring complete and accurate documentation and coding, medication reconciliation, nursing rounds, assessment, and patient...
assist in the coordination of training, tracking and compliance with quality measures May participate in the onboarding... in assuring complete and accurate documentation and coding, medication reconciliation, nursing rounds, assessment, and patient...