Assess clinical documentation for compliance with AMA and CMS coding guidelines.
Provide education and guidance to providers, clinical staff, and coders on documentation standards.
Analyze audit data, report findings, and collaborate with leadership to improve coding practices.
UnityPoint Health is a healthcare system providing medical services across Iowa, Illinois, and Wisconsin. It is recognized as a top workplace, committed to team member support, development, and a culture of belonging.
Orchestrate the flow of coded medical record information across inpatient and outpatient settings for billing accuracy.
Champion data quality by monitoring completeness, accuracy, and timeliness of medical documentation and coded submissions.
Design and deliver educational programs for clinical providers and coding staff on best practices, compliance, and documentation improvement.
Henry Ford Health is a leading academic health system providing a comprehensive continuum of care across Michigan and beyond. With 12 hospitals and hundreds of ambulatory locations, they foster a culture of purpose, collaboration, and belonging, empowering team members to grow their careers and make a meaningful difference.
Reviews inpatient and outpatient medical records for documentation, abstracting, and assigning codes to the highest level of specificity.
Assigns procedural and diagnosis codes following ICD-10-CM, CPT, HCPCS guidelines, and payer regulations.
Collaborates with Clinical Auditors to improve coding quality and resolves coding-related denials per payer policies.
UnityPoint Health is a healthcare system providing patient services and medical care. It is recognized as a Top 150 Place to Work in Healthcare, with a culture that champions belonging and offers competitive benefits.
Coordinate and optimize provider education and medical record coding across hospital and ambulatory sites.
Develop and implement education work plans to improve documentation quality, completeness, and accuracy.
Serve as a resource for coding guidelines and compliance standards including NCCI Edits, ICD-10CM, CPT, and HCC.
Henry Ford Health partners with millions on their health journey across Michigan and worldwide, offering a full continuum of services. With 13 hospitals and hundreds of ambulatory locations, it is one of the nation's most respected academic medical centers, fostering a culture of continuous learning and innovation.
Perform comprehensive chart reviews to ensure documentation supports accurate HCC reporting.
Identify claims correction opportunities and submit them for processing.
Provide provider education and analyze coding trends for assigned medical groups.
Dignity Health Medical Foundation is a California nonprofit providing comprehensive health care services across the state. As part of Dignity Health, one of the largest U.S. health systems, it emphasizes purposeful work and staff growth.
Strategically coordinate and optimize the flow of coded medical record information to ensure accurate billing and reimbursement.
Review surgical coding submissions and manage denials to maximize revenue capture and compliance.
Design and deliver impactful educational programs that elevate documentation practices and coding quality.
Henry Ford Health is an academic health system providing comprehensive care across Michigan and beyond. With 12 hospitals and hundreds of ambulatory locations, the organization is a large, purpose-driven team committed to innovation and community impact.
Review patient records to improve quality and completeness of clinical documentation, ensuring accuracy for severity of illness and level of services.
Collaborate with providers, coders, and care team members to ensure comprehensive patient documentation and compliant documentation clarification.
Develop and deliver clinical documentation improvement education to providers, and monitor documentation requests to support revenue cycle integrity.
ProMedica is a mission-driven, not-for-profit health care organization serving communities across nine states with acute and ambulatory care, a dental plan, and academic business lines. The organization employs over 1,300 health care providers and has more than 2,300 physicians with privileges, committed to clinical excellence and addressing social determinants of health.
Audit medical records to ensure documentation supports level of service and compliance with coverage determinations.
Develop and implement educational programs for coding and documentation improvement.
Orient and audit newly on-boarded providers and programs.
Southcoast Health is a not-for-profit health system providing comprehensive healthcare across Southeastern Massachusetts and Rhode Island. With multiple facilities, they have been voted 'Best Place to Work' for 7 years in a row.
Manage day-to-day operations for the outpatient clinical documentation improvement program across multiple facilities.
Liaise with physicians and leadership on coding rules, risk adjustment, and reimbursement guidelines.
Ensure compliant and accurate medical record documentation while facilitating standardization.
Henry Ford Health is an academic health system providing comprehensive care across Michigan. With 12 hospitals and hundreds of clinics, it is a large organization focused on collaboration and innovation.
Lead documentation excellence by conducting evaluations and identifying opportunities for improvement.
Collaborate with physicians and clinical staff to enhance coding accuracy and compliance.
Drive data-driven decisions and mentor remote teams to optimize revenue integrity.
Henry Ford Health is a leading academic health system committed to advancing health and improving lives across Michigan. With 12 hospitals and hundreds of care locations, we empower team members to grow and make a meaningful difference.
Facilitate and provide detailed analysis, reporting, training, and support for providers and care teams to promote accurate clinical documentation.
Develop and implement targeted training curriculums and lead educational sessions for providers.
Conduct regular chart audits to identify patterns and opportunities for improved documentation.
CommonSpirit Health operates over 700 care sites across the U.S., including clinics, hospitals, and virtual care services. They are a large healthcare organization committed to building healthy communities and advocating for the poor and vulnerable.
Perform thorough review of medical records for identification of relevant diagnoses and procedures.
Assign appropriate ICD-CM and ICD-10 PCS codes to ensure accurate MS-DRG and APR-DRG assignment.
Abstract required data elements and adhere to compliant provider query practices and coding guidelines.
University of Utah Health is a patient-focused organization that enhances health through patient care, research, and education. It is a Level 1 Trauma Center with five hospitals and eleven clinics, nationally ranked for academic research and quality standards, and values collaboration, excellence, and integrity.
Reviews, analyzes, and validates diagnostic and procedural codes for reimbursement and billing purposes.
Abstracts accurate information from the electronic health record to support patient care evaluation and administrative decision making.
Ensures compliance with established coding guidelines, third-party reimbursement policies, and regulatory requirements.
Henry Ford Health is a leading academic health system providing a comprehensive continuum of care, from primary and specialty care to virtual care, pharmacy, and health insurance, across Michigan and around the world. With 12 hospitals and hundreds of ambulatory care locations, the organization is grounded in purpose, collaboration, and belonging, empowering team members to grow their careers and make a meaningful difference.
Provide real-time documentation support to healthcare providers before and after patient encounters.
Evaluate chart review performance and assist physicians in improving coding and documentation best practices.
Ensure compliance with federal and state laws related to coding and documentation guidelines for risk adjustment.
Interwell Health is a kidney care management company that partners with physicians to reimagine healthcare. They are mission-driven and value diversity, equity, and inclusion.
Validate accuracy of CPT, HCPCS, revenue codes, and billed line-item charges on outpatient and inpatient facility claims.
Review medical records and supporting documentation to confirm appropriate billing and apply CMS guidance, coding guidelines, and MUE/NCCI edits.
Prepare appeal responses using applicable coding guidance and assist with new concept development and claim selection criteria.
Trend Health Partners is a tech-enabled payment integrity company that facilitates collaboration between payers and providers to reduce waste and improve access to healthcare. It is a dynamic growing organization with a collaborative and innovative work environment.
Complete final review of medical records and select appropriate ICD-10 and CPT codes within 4 days of patient discharge.
Review documentation to match codes with medical necessity and assign working diagnoses and DRGs.
Collaborate with Clinical Documentation Specialists to identify and address documentation deficiencies.
UAMS is Arkansas' only comprehensive academic health sciences center, combining education, research, and clinical programs. It fosters a collaborative culture focused on improving patient care and supporting teamwork and diversity.
Code and abstract complex inpatient records for data retrieval, analysis, reimbursement, and research.
Use the 3M encoder and EMR to assign diagnostic and procedure codes accurately.
Meet advanced quality and productivity standards across all facilities.
CommonSpirit Health operates over 700 care sites across the U.S., including clinics, hospitals, home-based care, and virtual care services. It is a large healthcare organization committed to building healthy communities and advocating for the poor and vulnerable.
Perform daily charge audits and coding reviews for accurate CPT, ICD-10, and HCPCS code assignment.
Submit clean claims daily through Apero and the clearinghouse.
Monitor and resolve claim system rejections to avoid timely-filing issues.
Dreem Health is a digital sleep clinic that provides home-based testing and telehealth visits. They are part of an international team that values trust, collaboration, and compassion.
Develop and deliver education to clinicians on accurate documentation and risk adjustment.
Conduct pre-visit chart reviews and post-visit audits to identify documentation gaps.
Analyze performance indicators and create individualized education plans for clinicians.
Herself Health reimagines primary care for women on Medicare, focusing on thoughtful, relationship-centered care for aging women. The company operates five clinics in Minnesota and fosters a culture of curiosity, ownership, and collaboration.
Review and analyze Medicare claims sampled by the Department of Justice to determine correct coding and payment based on coverage and utilization.
Conduct in-depth claims analysis to detect fraudulent or abusive billing practices using ICD-10, CPT-4, and CMS guidelines.
Complete summary reports and communicate findings internally while maintaining confidentiality and compliance with DOJ and CMS regulations.
Empower AI provides AI-powered solutions for federal government agencies, helping them transform their workforce and operations. Headquartered in Reston, Va., the company has three decades of experience in Health, Defense, and Civilian missions and is recognized as a 2024 Military Friendly Employer.