Jobs in United States of America

Job Description: Ability to interpret federal and state regulations as they relate to coding and compliance. Provides ongoing documentation and coding education to CDI Physician…

Job Description: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment is in compliance with the official coding…

Job Description: 1+ years of experience in a coding role. Working knowledge of medical terminology and claim coding. Medical record coding experience with experience in…

Job Description: Perform quality assurance (QA) coding review of peer and vendor coders in support of required coding accuracy thresholds, service level agreements and…

Job Description: Monitors own work to help ensure quality. Ability to support coding judgment and decisions using industry standard evidence and tools.

Job Description: Prior experience performing coding audits or experience working with providers and caregivers to correct coding and documentation issues with demonstrated…

Job Description: Reviews coding insurance denials and refers clinical coding denials to the CDI Physician Advisors. Generate coding appeals for insurance denials with sound…

Job Description: Utilization management, case management, quality improvement or inpatient coding experience preferred. This position is responsible for ongoing quality review…

Job Description: Perform quality reviews to ensure compliance with payer reimbursement methodologies and official coding guidelines. High School Diploma/GED Required.

Job Description: Serves as a guide, educator and trainer for the coding staff. Minimum three (3) years in CMS HCC risk adjustment coding.

Job Description: Maintains competence in documentation requirements, coding guidelines, and quality Reviews all physician documentation to ensure compliance with the third party…

Job Description: The coding quality auditor performs ongoing coding audits, provides feedback to coding staff, compiles and reports results.

Job Description: Collaborate with physician coding leadership for monitoring coding quality. The Physician coding Auditor performs coding related audits to monitor professional…

Job Description: Supports quality improvement program studies and HEDIS as needed, requesting records from. Professional fee billing, to determine the accuracy of coding and…

Job Description: Write logic/parameters for system edits to detect incorrect coding over-payments, aberrant and abusive coding patterns.

Job Description: Validate the accuracy of claim billing, reviewing complex claims and coding,. Identifies, documents, and communicates potential quality assurance for risk…

Job Description: Maintains competence in documentation requirements, coding guidelines, and quality Reviews all physician documentation to ensure compliance with the third party…

Job Description: The Lead may assist in representing the Inpatient Coding Quality validation team at meetings and be called upon to answer questions and conflicts with…

Job Description: Maintains current knowledge of coding guidelines and successfully completes required CEUs to maintain coding certification. Benefits on first day of employment.

Job Description: Identifies trends in coding errors and provides pertinent education and training to coding staff. Minimum Experience: Minimum combined five (5) years of…

Job Description: In conjunction with the coding manager and/or coding assistant manager, contributes to the development of educational and training opportunities for staff.

Job Description: Expertise in healthcare coding (CPT, ICD-10, HCPCS), with knowledge of professional billing, coding and documentation practices in inpatient and outpatient…

Job Description: Performs ongoing coding audits, provides feedback to coding staff, compiles and reports results. Performs focus coding audits on specific topics, DRGs codes etc…

Job Description: Works with coding staff to develop quality, productivity and to ensure accurate/ ethical coding. This role also serves as a coding resource for team members by…

Job Description: Audits the provider and coding staff to ensure documentation and coding accuracy compliance based on regulatory coding and billing requirements.