Performs medical record coding and abstracting reviews with expert knowledge of ICD-10-CM, ICD-10-PCS and CPT-4 classification systems.
Completes appeals processing tasks for both the inpatient and outpatient Data Quality Appeal Teams.
Reviews and abstracts information from auditor denials to communication sheets.
Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. They value excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for their patients and each other.
Collaborates with clinical documentation team to review inpatient accounts.
Assesses DRG, PDx, secondary Dx, PCS, POA and all documentation components impacting quality metrics.
Continually assures coding practices remain compliant with coding guidelines and regulations.
Northwestern Medicine strives for a positive workplace for every patient interaction. They are a leader in the healthcare industry, offering competitive benefits such as tuition reimbursement, loan forgiveness, and 401(k) matching.
Apply coding classification standards and guidelines to medical record documentation for accurate coding.
Submit necessary provider queries to resolve documentation discrepancies.
Abstract and assigns the appropriate ICD-10-CM and CPT codes for all diagnoses and procedures performed in the outpatient and surgical settings as applicable.
Ovation Healthcare partners with 375+ hospitals and health systems across 47 states. For 45+ years, Ovation Healthcare has supported hospitals and health systems through a portfolio of shared services designed to provide scale and efficiency to hospital business operations.
Assigns appropriate billing codes to patient accounts.
Provides feedback to Coders on coding discrepancies.
Performs special projects and other duties as assigned.
Ventra is a leading business solutions provider for facility-based physicians. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions.
Acts as the clinical coding subject matter expert and lead coding resource across the organization.
Acts as a resource and provides education to providers on clinical coding standards.
Coordinates and leads the Alliance Coding Workgroup.
Central California Alliance for Health is a regional non-profit health plan that provides accessible, quality health care. The company has over 500 employees and fosters a respectful, diverse, professional, and fun culture where employees are empowered to do their best work.
Conduct comprehensive coding reviews to ensure accuracy in code assignment and reimbursement.
Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications.
Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations.
Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. The Coherenauts who succeed here are empathetic and believe diverse, inclusive teams make the most impactful work.
Accurately assigns and sequences ICD-10-CM and CPT-4 codes for various patient visits.
Interacts with physicians to clarify/verify questions and resolve coding/documentation issues.
Conducts internal coding studies and/or provides resource information to other departments.
Cooper University Health Care is an integrated healthcare delivery system serving residents and visitors throughout Cape May County. They are committed to providing competitive rates, compensation programs and comprehensive employee benefits.
Conduct thorough reviews of medical records for accurate coding compliance.
Identify opportunities for documentation improvement to enhance code accuracy.
Educate healthcare providers on proper coding practices and HEDIS measures.
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements. Their system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Sustains responsibility for timely and accurate coding of all facility outpatient visits and outpatient coding audits.
Develops and implements policies and procedures to achieve organizational goals and assists in the development of operational strategy.
Monitors employee training, productivity, quality, and overall employee performance of all Outpatient Medical Record Coding Specialists.
The Ohio State University is a top-20 public university and its Ohio State Wexner Medical Center is one of America’s leading academic health centers. They set the stage for academic achievement and innovation, where friendships are forged and tradition is brought to life.
Develop, maintain, and execute complex inpatient coding audit processes.
Design and deliver clinical coding education and training programs.
Partner with staff to resolve audit findings and improve coding accuracy.
CRD Careers is a boutique recruitment agency specializing in Sales and HR placements. We connect growth-minded companies with high-impact professionals who drive real results. This company's approach is precise, people-first, and built for long-term success.
Accurately code diagnoses based on documented information, ensuring compliance with regulatory requirements and that the assigned codes accurately represent the clinical information documented by the provider
Ensure documentation supports appropriate level(s) of care and severity of illness when applying ICD-10, CPT, and other relevant codes for billing and regulatory compliance
Communicate with physicians and other healthcare providers to clarify documentation, ensuring that diagnoses and procedures are properly documented in compliance with clinical standards
Evergreen Nephrology partners with nephrologists and other providers to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They are committed to improving patient outcomes and quality of life.
Perform inpatient coding audits and review services remotely.
Identify coding trends and recommend corrective actions.
Provide in-service education to clients on coding trends.
UASI helps healthcare organizations with coding and auditing services. They have been recognized as a Top Workplace by the Cincinnati Enquirer in 2022, 2023 and 2024 and pride themselves on stability and long-term success.
Perform internal audits to ensure coding compliance and accuracy.
Develop and maintain coding education and training programs.
Collaborate with leadership to standardize coding practices.
Jobgether uses AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. They identify the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
Assess payment determinations using clinical information and established guidelines.
Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.
Broadway Ventures transforms challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), they empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth.
Develop, implement, and monitor systems that ensure compliance with Medicare and other payor documentation guidelines.
Analyze physician practices to identify charge opportunities and ensure all billable services are captured.
Perform regular audits to ensure compliance with coding and documentation guidelines and provide feedback to physicians.
Legacy Health is committed to fostering an inclusive environment where everyone can grow and succeed. They are an equal opportunity employer that prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants.
Develops curriculum and materials for documentation training programs.
Assesses coder comprehension.
Conducts quality assurance reviews.
Northwestern Medicine is a leader in the healthcare industry, set apart by a patient-first approach. They offer competitive benefits, including tuition reimbursement, loan forgiveness, 401(k) matching, and lifecycle benefits, aiming to take care of their employees.
Perform medical record analysis for accurate coding and sequencing.
Maintain quality and productivity standards.
CorroHealth helps clients exceed their financial health goals by providing scalable solutions and clinical expertise across the reimbursement cycle. They utilize leading technology and analytics to guide their solutions and achieve goals, building long-term careers by investing in employee development and growth.