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The Revenue Integrity Specialist will analyze patient accounts to identify charge capture opportunities, and work with Ballad Health clinical departments to improve charge capture accuracy by closing the feedback loops to those respective departments.
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Works collaboratively with HIM Director, HIM Coders, and Physician Advisor to ensure accurate coding, improve the quality of DRG-related documentation, improve risk of mortality, severity of illness and case mix index.
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Demonstrates skills of high efficiency and accuracy to identify and reduce DRG downgrades/denial risks by assuring that clinical support is beyond dispute for DRG integrity, coding and billing needs.
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A minimum of 7 years of experience in a clinical environment (hospital inpatient, outpatient or integrated healthcare delivery system) coding role involving the accurate interpretation and coding/abstraction of therapeutic/diagnostic measures and procedures of a diverse patient population such as a coder, coding auditor or coding instructor.
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Demonstrates a thorough understanding of the MS-DRG system, CCs/MCCs, impact on quality and CMI as well as ICD-10 coding systems and the guidelines related to Clinical Documentation Improvement.
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Join a world-class academic healthcare system, UChicago Medicine, as a Claims Coding Specialist (CCS) in our Revenue Cycle - Revenue Integrity Department. The office location is at the UChicago Medicine main campus in Hyde Park, IL. This role will service OB. Hybrid Remote Opportunity Job Summary: The Claims Coding Specialist (CCS) works under the supervision of the Revenue Integrity.
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Coding skills and/or Analytical Tools experience (Alteryx/R/SAS/SQL/Tableau etc.) Understanding of medical coding system (CPT, ICD-10, DRG, etc.) Partner with IT and other functions to design and operate the customer master data management process, including business rule definitions and process flows to ensure data integrity and quality.
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Coding Integrity Specialists (CISs) I, II, and III, CARS-I, CARS-II, CARS-III, CDI Liaisons, and Coding Leads in management of all work processes and overall work responsibilities.
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The Population Health Services Organization (PHSO) Senior Manager of Clinical Documentation Integrity (CDI) will be responsible to manage, build provider incentive programs, and develop and lead a broad and diversified range of risk adjustment coding services for the AdventHealth Population Health Ri Clinical Documentation Integrity Program.
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Under the direction of Corporate Coding Manager and or CFO of CMG, works with the Chief Compliance Officer relative to coding, billing and reimbursement compliance issues. Reports to the Corporate Coding Manager or CFO of CMG as appropriate.
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Req ID : 1604 Working Title : Sr. Physician Coding Compliance Auditor Department : CSRC PB RCC Audit and Edu Business Entity : Cedars-Sinai Medical Center Job Category : Patient Financial Services Job Specialty : Revenue Integrity Overtime Status : EXEMPT Primary Shift : Day Shift Duration : 8 hour Base Pay : $38.87 - $60.25.
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Serco is seeking a motivated Data Processing subject Matter Expert to join our talented and fast-paced Public Sector Solutions team in supporting CMS’ implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children’s Health Insurance Program (CHIP) improper payment estimates as required by the Payment Integrity Information Act of 2019 (PIIA.
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CSI Companies Coding and Clinical Data Integrity Practice is immediately seeking a Risk Adjustment Coding Project Manager (Remote) for a contract position with one of our clients in the payer space.
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The IowaDepartment of Health and Human Services (HHS), Iowa Medicaid Division, is seeking a Program Integrity Reporting & Coding Oversight Officer. The Program Integrity Reporting & Coding Oversight Officer, under the supervision of the Program Integrity & Compliance Bureau Chief, is responsible to ensure the integrity of the Iowa Medicaid program, as it applies to payments to providers.
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The Documentation Integrity department is comprised of coding, clinical documentation improvement, and denials professionals who work together daily to ensure the most optimal and accurate picture is presented for the patients and communities we serve via the diagnosis and procedural coding, appropriate patient admission status and denial appeal processing, when necessary.
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