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...
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...
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...
are responsible for all decision regarding clinical appeals/ grievances and the Appeals Manager who is responsible for non-clinical...: Must have Certified Professional Coder (CPC) and Certified Coding Specialist (CCS) from the American Health Information Management...
Specialist – Physician-based (CCS-P), or Certified Professional Coder-Payer (CPC-P), or able to achieve certification within 2... accounts, may assist from time to time with outpatient coding. Abstracts clinical information from medical records and assigns...
to verify coding and clinical documentation meets applicable coding and billing requirements, Medicare/Medicaid regulations..., and physiology. Certification as Professional Coder, Coding Specialist, Inpatient/Outpatient Coder. Experience Required Minimum...
of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes Utilize medical...) and/or Certified Coder 3+ years of CPT & ICD coding experience (surgical, hospital, clinic settings) Intermediate level...
(CCS) or Certified Coding Specialist – Physician-based (CCS-P), or Certified Professional Coder-Payer (CPC-P), or able... from time to time with inpatient coding. Abstracts clinical information from medical records and assigns appropriate ICD 10...
. Preferred Requirements: Bachelor's Degree - Business or related field of study in healthcare Clinical credentials... welcome but not required Required Certifications/Registrations/Licenses CPC – Certified Professional Coder or CCS-P or RHIT/RHIA MINIMUM EXPERIENCE REQUIRED: 5...
from an accredited college in a healthcare related field. Preferred Required Minimum License(s) and Certification(s): Cert Prof Coder... and regulations concerning clinical documentation, coding, and reimbursement required. Must maintain a professional appearance...
and DRG assignments for validity and accuracy. Communication discrepancies back to responsible coder for correction... during reviews. Provides education to medical staff as necessary. Contacts physicians or departmental clinical staff to resolve...
all inpatient coding/coder quality auditing functions implementing effective action plans according to audit results in a timely... Experience: Five (5) years of inpatient coding or clinical documentation experience. Licensure: None Certification...
or audits in the health care arena. Required Licenses: CPC - Certified Professional Coder - AAPC - American Academy... Professional clinical advancement program & shared governance Public Service Loan Forgiveness (PSLF) eligible employer+ free...
Overview: Coding Specialist, Centralized Coding, Outpatient Coder Full Time, 80 Hours Per Pay Period, Day Shift... staff education efforts, serves as the user advocate between Health Information Management (HIM), Clinical Effectiveness...
onboarding new clients, enhancing provider clinical documentation practices, and nurturing client relationships. Collaborating...'s (American Academy of Professional Coders) Certified Professional Coder (CPC®) credential Certified Professional Coder...
leadership to identify focused prospective records that need to be reviewed. Identifies coder education opportunities, team... in the Clinical Documentation Improvement and Hospital Coding alignment process. Review accounts with mismatched DRG...