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• Responsible for coding procedures and entering charges to comply with regulations and internal policies.
• Coordinate with Practice Coordinator and Revenue Integrity to assure necessary documentation is present.
• Participates in audits to evaluate code accuracy and develops methodologies to improve coding issues.

Northside Hospital is an award-winning and state-of-the-art healthcare provider that is continually growing. By constantly expanding the quality and reach of our care we hope to create even more opportunity for the best healthcare professionals in Atlanta and beyond.

• Responsible for conducting medical records and coding related reviews to validate the integrity of coded procedures.
• Works closely with clinical departments and Revenue Cycle Services to ensure compliance with coding guidelines, government, payer and internal charge capture policies.
• Provides education and training to clinical providers and staff within the practices on proper documentation and coding guidelines, practices and procedures.

They are committed to diversity and inclusion, welcoming all as valued members. They focus on providing the highest level of care by taking care of their incredible teams.

• Performs final reconciliation on clinic/provider visits, resolving documentation issues.
• Reviews, abstracts, and codes multiple services and complex cases, assigning classifications.
• Researches/resolves high volume accounts/claims and educates staff on guidelines.

University of Utah Health is a patient-focused organization with a mission to enhance the health and well-being of people through patient care, research, and education. They have five hospitals and eleven clinics and are known as a Level 1 Trauma Center, nationally ranked for academic research and patient experience.

• Performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record.
• Trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function.
• Demonstrates expertise to resolve Optum coding edits.

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. As an integral part of the team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system.

• Accurately assign ICD-10-CM, CPT, and HCPCS codes for Behavioral Health and SUD services.
• Review clinical documentation to ensure coding accuracy and compliance.
• Stay current with coding updates, payer policies, and regulatory changes.

Steadfast Health is dedicated to setting a new standard of care for substance use disorder (SUD) treatment. They are rapidly growing and building a dedicated team of professionals, focused on low-barrier, high-quality care accessible to all.

• Responsible for the review and update of existing concepts based upon required periodic review cycle or as needed based upon client or regulatory changes.
• Collaborates with and leverages Segment Specialist expertise to ensure on-point results and ensure training material updates as necessary.
• Conduct research, identify impact on existing concepts, and document accordingly and support activities required to package concepts.

Machinify is a healthcare intelligence company that delivers value, transparency, and efficiency to health plans. They are deployed by over 75 health plans, representing more than 170 million lives, and use an AI operating system, combined with expertise, to untangle healthcare data.

• Accurately codes inpatient conditions and procedures using ICD guidelines.
• Reviews medical record documentation and assigns ICD CM and PCS codes.
• Collaborates with Clinical Documentation Improvement Specialists to address documentation concerns.

Marshfield Clinic Health System is dedicated to enriching lives through accessible and compassionate healthcare. They prioritize the needs of patients and customers and value innovation and teamwork.

• Interpret and apply CMS, Medicare, Medicaid, and AMA policies to define claims editing logic.
• Analyze claims and edit performance data to confirm accuracy and prioritize enhancements.
• Monitor regulatory updates and coding changes to keep edits current and compliant.

Machinify is a leading healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients. They use an AI-powered platform with expertise across the payment continuum, serving over 85 health plans and 270 million lives.

• Maintain internal CMS HCC and RxHCC models for calculating member level risk scores.
• Support the monthly close process, including the development of actuarial risk adjusted revenue accruals and analysis of results.
• Build reports to track ROI on various risk adjustment initiatives.

Clover Health is reinventing health insurance by combining the power of data with human empathy to keep their members healthier. They are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

• 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
• Interprets health record documentation using knowledge of anatomy, physiology, pharmacology to report appropriate diagnoses

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. As an integral part of our team, you'll have the opportunity to join our quest for better health care.

• Creates and delivers education to improve documentation quality.
• Collaborates with CMOs to ensure integrity of the health record.
• Monitors the clinical dashboard to demonstrate improvement.

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. As an integral part of the team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system.

• Validate curated content against authoritative source documentation.
• Identify inaccuracies, inconsistencies, or gaps in curated content.
• Partner with content and QA team members to resolve questions.

TruBridge Encoder delivers enterprise-grade healthcare coding solutions as part of TruBridge’s Financial Health division. Their teams operate with a high degree of independence, using modern tools and practices to exceed customer expectations.

• Review payer financial reconciliations for accuracy and adherence to agreed-upon methodologies.
• Support for the development and deployment of audit procedures applied to payer data sets.
• Partner across teams and with payers to resolve data discrepancies.

Aledade empowers independent primary care practices to deliver better care to their patients and thrive in value-based care. They are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.

• Partner with Sales on strategic opportunities involving quality measurement and Star Ratings solutions.
• Lead product demonstrations showcasing HEDIS performance analytics, care gap identification, and quality improvement capabilities.
• Articulate how Cotiviti's solutions address NCQA HEDIS certification requirements.

Cotiviti is a healthcare analytics company. They focus on improving healthcare outcomes and reducing costs through data-driven solutions, serving health plans and providers. Cotiviti values diversity and inclusivity, and they are an equal opportunity employer.