, Provider Engagement/Liaison) 1+ years of STARS or RAF experience Demonstrated knowledge base of clinical standards of care... Qualifications: Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) Experience in managed care working...
, Provider Engagement/Liaison) 1+ years of STARS or RAF experience Demonstrated knowledge base of clinical standards of care... Qualifications: Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) Experience in managed care working...
for multiple Commercial Clients (5+). The AD will closely partner with Operations Managers, Team Leads, Clinical, Non-Clinical... outcomes (e.g., claim denials; complaints; clinical metrics) to relevant internal and/or external stakeholders (e.g...
Practice Plan (UCPP) is the central organization that supports the clinical activity of nearly 850 clinically active faculty.... Each physician is a faculty member and is based in a specified department in the BSD. Job Summary The Clinical Revenue Supervisor...
About this Job: General Summary of Position Represents MPBS (MedStar Physician Billing Services) to assigned clinical... from: physicians and other clinical staff; entity and service line leadership; and line staff throughout the professional services...
to determine areas of leakage and partner with information technology and clinical service lines to rectify charge capture issues... with operational and clinical leadership to assist in identification of operational and clinical best practices in maximizing revenue...
, leadership, project oversight, daily coder workflow assignments and quality assurance. Physician coding includes ICD 10 CM, CPT... group. - Experienced in auditing both coder and physician coding performance. Position Requirement(s): License...
development of educational materials, clinical case studies, guidelines and job aides to provide direction and guidance across IHA... of the presenting problem and clinical documentation. Identifies new errors while performing audits, investigates...
development of educational materials, clinical case studies, guidelines and job aides to provide direction and guidance across IHA... of the presenting problem and clinical documentation. Identifies new errors while performing audits, investigates...
development of educational materials, clinical case studies, guidelines and job aides to provide direction and guidance across IHA... of the presenting problem and clinical documentation. Identifies new errors while performing audits, investigates...
based on the clinical documentation in patients' medical records. This role ensures compliance with coding guidelines... following with appropriate experience; Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient...
of all encounters to support proper claim submission, revenue integrity, and clinical documentation accuracy. The specialist... required. Experience with EPIC EHR. Licenses & Certifications Required: Certified Professional Coder (CPC, CIC, COC, CCS, or CCS-P...
assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates... skills · The coder should demonstrate initiative and discipline in time management and assignment completion · The coder...
’s Clinical Documentation Improvement Specialists (CDIS) as well as Quality Management Analysts to ensure accurate and compliant... for cases marked “No” and provides feedback to leadership for coder education and improvement. Reviews denial cases...
and providers Certification Required: Certified Professional Coder-CPC Certification from AAPC or equivalate training... innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants...
Position Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare... accuracy as well as perform screening referrals for clinical support of coded diagnoses. Responsibilities: Analyze...
care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation.... Also demonstrates expertise to resolve NCD/LCD and NCCI edits of hard-coded (Chargemaster) and soft-coded (coder assigned) HCPC codes...
. Your responsibilities include onboarding new clients, enhancing provider clinical documentation practices, and nurturing client... Information Management Association) AAPC's (American Academy of Professional Coders) Certified Professional Coder (CPC...