to make life better here for our community. The Clinical Nurse Auditor Reviews and evaluates medical records, clinical... opportunities for revenue integrity leadership. Monitors health system compliance with hospital, state, and insurance regulations...
As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM... for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff...
for opportunities to enhance performance and provide counsel to Revenue Integrity team members and/or clinical departments/functions... Job Summary In this job, as a Clinical Auditor RN, you'll perform charge capture accuracy audits by reviewing and analyzing...
Purpose The DRG Auditor Clinical Appeals is responsible for conducting comprehensive retrospective reviews... clients, the auditor leverages deep clinical and coding expertise to identify improper payments, ensure documentation...
Job Family: Clinical Appeals Nurse Travel Required: None Clearance Required: None What You Will Do: The... and Mid-Revenue Cycle Research and application of regulatory policies to support clinical appeal Telephonic communication...
health education and outreach programs. Crouse’s Health Information Management team is hiring a Clinical Documentation... of clinical documentation and supervises improvement efforts by providing direction during daily documentation evaluations...
feedback to intra-departmental Revenue Integrity colleagues including areas of opportunity. Assist Nurse Auditor... a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program...
Integrity Clinical Nurse Auditor, CDM, and Pricing Committees. Demonstrates knowledge of Coding Guidelines and Conventions (CPT... with clinical, coding and billing teams to review and update charge data, analyze financial impacts and ensure the integrity of the...
, as well as team members LPN/RN or Nurse Auditor in the Prior Authorization or CDI department. Performs Pre-Service collection... all necessary authorizations for the service(s) to be performed. Works with clinical providers, on-site case management team...