Perform retrospective reconciliation of complex CDI reviews and final coded records, ensuring clinical documentation integrity.
Collaborate with CDI specialists, coding professionals, and physicians to resolve documentation discrepancies and improve quality.
Monitor reconciliation metrics, support quality initiatives, and serve as a resource for documentation and coding guidance.
Tufts Medicine is an integrated health system combining academic and community medicine to deliver connected care across Massachusetts. With over 15,000 employees and caregivers, it fosters a culture of collaboration and innovation.
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.
Conduct QDI review of assigned inpatient cases and identify clinically supported documentation opportunities in real time.
Communicate directly with physicians and APPs on documentation and quality risk adjustment gaps.
Manage daily review queues and support provider education and calibration activities.
Tendo builds software that improves the care journey for patients, clinicians, and caregivers. It is a fast-growing, mission-driven company recognized as a Forbes Top Startup Employer, with a culture that enables teams and individuals to thrive.
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.
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.
Conduct clinical documentation reviews to ensure compliance with coding guidelines and regulations.
Provide education and training to providers and coding staff on documentation standards.
Analyze data and report findings to leadership to improve coding accuracy.
UnityPoint Health is a healthcare system serving Iowa, Illinois, and Wisconsin. It has been recognized as a Top 150 Place to Work in Healthcare and fosters a culture of belonging.
Code inpatient services with 95% or above accuracy following ICD-10 guidelines.
Abstract medical records and assign accurate diagnosis and procedure codes using Epic and 3M 360.
Collaborate with coding leadership and CDI reviewers to resolve coding issues and support compliance.
Oregon Health & Science University (OHSU) is Oregon's only public academic health center, providing patient care, leading research, and training healthcare professionals. As Portland's largest employer, OHSU offers opportunities to learn and advance across hospitals and clinics in Oregon and Southwest Washington.
Assess clinical documentation for compliance with AMA and CMS coding guidelines.
Validate clinical documentation and evaluate accuracy and timeliness of the billing process.
Investigate and identify opportunities for improvement and provide education to providers and staff.
UnityPoint Health is a healthcare organization providing services across Iowa, Illinois, and Wisconsin. It is recognized as a top place to work in healthcare and fosters a culture of belonging, development, and total rewards.
Lead operations of the CDI team for prospective and concurrent chart review, ensuring quality, accuracy, and compliance.
Coach and develop specialists through onboarding, training, performance management, and workflow improvement.
Partner with physicians and operational teams to sustain accurate CMS-HCC documentation and audit readiness.
Greenbrook Medical delivers high-touch, relationship-based primary care for seniors through neighborhood clinics. They are in a growth phase, backed by strong unit economics and a culture of Heart, Excellence, Accountability, Resilience, and Teamwork.
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.
Review provider documentation in Epic to assign accurate CPT, ICD-10-CM, and HCPCS codes.
Ensure compliance with federal, state, and payer guidelines while meeting 95% accuracy and productivity standards.
Serve as a resource for coding and billing issues, supporting timely charge capture and claim submission.
Oregon Health & Science University is a public academic health center dedicated to patient care, research, and education. As Portland's largest employer, it offers opportunities across hospitals and clinics with a strong commitment to diversity and inclusion.
Conduct facility inpatient coding audits using MS-DRG and APR-DRG methodologies, providing evidence-based recommendations.
Identify coding quality and compliance opportunities while delivering coder education through the audit process.
Manage multiple cases concurrently, maintain accuracy, and uphold professional ethics and confidentiality.
Our partner provides healthcare organizations with high-quality, compliant coding practices through inpatient coding audits. They offer a collaborative, service-oriented environment focused on coding excellence and continuous professional development.
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.
Lead day-to-day operations of prospective and concurrent CDI review processes, ensuring quality and productivity standards.
Oversee team performance, coaching, and development while partnering with physicians and clinical teams.
Use data and metrics to drive process improvements, reduce documentation gaps, and support compliance and risk adjustment.
Our partner is a healthcare organization focused on clinical documentation integrity and risk adjustment for Medicare Advantage populations. They are a growing company with a collaborative, mission-driven culture that values heart, excellence, accountability, resilience, and teamwork.
Review inpatient and outpatient records and assign accurate ICD-10, CPT, and HCPCS codes.
Maintain a minimum coding accuracy of 95% while meeting turnaround and quality standards.
Work fully remotely within the US supporting multiple medical facilities.
This position is listed on behalf of a partner company within a large healthcare network. They focus on health information management and clinical coding accuracy, offering a fully remote environment.
Review and analyze medical record documentation to assign diagnoses and procedure codes for inpatient, outpatient, and professional services.
Ensure compliance with official coding guidelines and ethical standards set by AHIMA.
Work remotely in a full-time, days shift position using ICD-10-CM and CPT/HCPCS coding systems.
Mercy is a Catholic health system founded by the Sisters of Mercy, providing care across hospitals and clinics in the Midwest. It is a large, collaborative organization focused on innovation, technology, and compassion, with a heritage spanning over 195 years.
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.
Audit inpatient and outpatient records for coding accuracy, documentation support, and reimbursement impact.
Review ICD-10-CM, ICD-10-PCS, CPT, HCPCS, DRG, modifier, and bundling assignments across facilities.
Present findings and provide facility-specific coding education to leadership and stakeholders.
A large regional health network operates multiple medical facilities across the United States, focusing on accurate coding and compliance. The organization maintains a structured, regulated environment with an emphasis on quality improvement, education, and confidentiality.