Serve as the primary client relationship lead, ensuring alignment on goals, scope, deliverables, and outcomes.
Provide OP HCC CDI subject matter expertise and oversee project execution, quality, and client satisfaction.
Monitor project performance, manage risks and scope changes, and ensure successful delivery of contracted services.
UASI improves the quality and accuracy of clinical documentation through expert CDI consulting. We are a growing team with a collaborative, mission-driven environment that values continuous learning and professional growth.
Facilitate improvement in provider-based clinical documentation accuracy to reflect patient acuity and severity.
Conduct concurrent record reviews and formulate compliant documentation queries to improve accuracy.
Educate clinicians and facility management on documentation opportunities and coding reimbursement issues.
Banner Health is a large nonprofit health care system with hospitals, clinics, and research centers across multiple states. They focus on skilled and compassionate care using advanced technology to improve patient outcomes.
Ensure quality and completeness of medical record documentation through concurrent interaction with physicians and staff.
Facilitate modifications to clinical documentation to support accurate reimbursement and severity capture for inpatients.
Educate patient care team members on documentation best practices and support timely, accurate reporting.
Cooper University Health Care is a healthcare organization dedicated to providing extraordinary care through clinical innovation and advanced facilities. It offers a comprehensive benefits program and opportunities for career growth, with a team-oriented culture.
Review medical records within 24-48 hours of admission to evaluate documentation for accurate DRG assignment, severity of illness, and risk of mortality.
Conduct follow-up reviews every 2-3 days and formulate compliant provider queries regarding missing or conflicting documentation.
Educate patient care team members on documentation guidelines and collaborate with HIM coding professionals to ensure accuracy and integrity.
CommonSpirit Health is a large nonprofit Catholic healthcare organization delivering integrated health services. It has over 157,000 employees and 45,000 nurses across 24 states.
Responsible for coding procedures and entering charges to comply with federal/state regulations and internal policies.
Coordinate with Practice Coordinator and Revenue Integrity to ensure all necessary documentation is present to support selected procedure codes.
Participate in audits to evaluate coding accuracy and develop methodologies to improve coding issues identified.
Northside Hospital is an award-winning, state-of-the-art healthcare system. It is continuously growing and offers opportunities for healthcare professionals.
Assist with retrospective and concurrent coding for PACE Dual participants.
Conduct pre-visit chart preparations and post-visit chart reviews.
Oversee audits and participate in provider education programs to ensure compliance with CMS risk adjustment diagnosis coding guidelines.
WelbeHealth provides seniors with the opportunity to continue living in their homes through its PACE program. The company employs a collaborative interdisciplinary team approach and values diversity and inclusion.
Accurately correct coding-related denials for billing in Epic, including writing appeal letters.
Abstract operative reports in 3M and/or Epic while maintaining 95% accuracy or greater.
Ensure timely completion of patient accounts to meet department standards and goals.
Applied Medical Systems is a trusted partner for medical billing services, helping healthcare providers thrive through expert medical billing, coding, and practice management for over 45 years. The company has a stable, growing organization with a strong future and values a diverse and inclusive workplace.
Provide day-to-day operational leadership and subject matter expertise for a team of CDI specialists, ensuring documentation accuracy and regulatory compliance.
Serve as a clinical and coding resource, assisting with complex cases, DRG validation, and performance oversight.
Foster collaboration across multidisciplinary stakeholders to enhance communication and achieve accurate clinical documentation.
CommonSpirit Health is a nonprofit Catholic healthcare organization delivering integrated health services. With over 157,000 employees and 25,000 physicians across 24 states, the organization fosters a culture of innovation and humankindness.
Assign diagnostic and procedure codes using designated systems and review inpatient records for accuracy.
Identify and resolve coding edits and discrepancies to ensure claim accuracy and compliance.
Communicate effectively and meet productivity metrics to optimize revenue cycle management.
CommonSpirit Health is building a healthier future through integrated health services as one of the nation's largest nonprofit Catholic healthcare organizations. They deliver over 20 million patient encounters annually with more than 157,000 employees across 24 states, contributing over $4.2 billion annually in charity care and community benefits.
Audit outpatient and specialty claims to ensure coding accuracy, clinical validity, and medical necessity.
Utilize advanced coding knowledge and audit tools to identify billing issues and document findings.
Meet productivity and quality standards while recommending process improvements and new claim types.
Cotiviti is a healthcare analytics and auditing company that focuses on improving claims accuracy and reducing costs for clients. They are a mid-to-large sized employer with a culture that emphasizes quality, collaboration, and innovation in healthcare auditing.
Provide clinical leadership and medical oversight for audit programs involving governmental and commercial payer claims.
Evaluate medical necessity, level of care, coding accuracy, and documentation sufficiency using payer policies and clinical standards.
Support audit methodologies, clinical validation frameworks, and quality assurance to ensure regulatory alignment and defensibility.
Machinify is a leading healthcare intelligence company delivering value, transparency, and efficiency to health plan clients. Deployed by over 85 health plans representing more than 270 million lives, they bring an AI-powered platform alongside best-in-class expertise.
Review clinical documentation and assign accurate CPT, ICD-10-CM, and HCPCS codes for diagnoses, procedures, and services rendered.
Monitor outpatient coding work queues and unbilled accounts to support timely filing and claims submission, while resolving coding-related edits.
Collaborate with providers and revenue cycle teams to improve documentation, ensure coding accuracy, and maintain compliance with regulations.
Impact Advisors, LLC is a nationally recognized healthcare management consulting firm delivering Best in KLAS advisory, implementation, and optimization services. We cultivate a caring, fun, honest, and autonomous work environment with a shared mission to create a positive impact.