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 and abstract professional medical records, including provider notes, encounters, and supporting documentation.
Assign ICD-10-CM, CPT, HCPCS, and applicable modifiers accurately, following national and payer-specific coding guidelines.
Maintain coding quality metrics (accuracy, productivity, and compliance) as defined by leadership.
Sprinter Health is reimagining how people access care by bringing it directly into their homes. They have supported more than 2 million patients across 22 states, completed over 130,000 in-home visits, and maintained a 92 NPS.
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.
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.
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.
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.
Accurately abstracts information and assigns appropriate CPT, ICD-9/10, and HCPCS codes.
Communicates professionally with providers, practice management, and other stake holders.
Identifies trends and educational opportunities to ensure proper coding, documentation, and accuracy of billing.
UofL Health is a fully integrated regional academic health system. With more than 14,000 team members, they are focused on one mission: to transform the health of communities they serve through compassionate, innovative, patient-centered care.
Perform coding audits and reviews on a variety of professional fee record types.
Perform necessary research in order to provide the client with supportive regulatory and coding guideline documentation.
Assist in the design and presentation of educational seminars to clients and staff.
UASI has over 40 years of experience and enduring partnerships with our valued clients, and is proud of the stability they’ve built and the long-term success of their dedicated team.
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.
Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types
Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses and procedures.
Collaborates with Orders Management Unit (OMU) and other coding divisions for NCD/LCD edit resolution.
Northwestern Medicine is committed to cultivating a patient-first approach within a positive workplace and is a leader in the healthcare industry. They offer competitive benefits and aim to care for their employees during their quest for better healthcare.
Ensure correct insurance information for claim submission.
Communicate with patients about balance, billing concerns, and insurance.
Work in computer systems to obtain and organize billing information.
CardioOne partners with independent cardiologists to provide innovative solutions that improve patient outcomes and reduce costs. In February 2024, they partnered with WindRose Health Investors as well as top physician services and payor executives to grow their team and invest in their next phase of growth.
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.
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.
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.
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.