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 and analyze diagnostic and procedural information from patient medical records using established coding principles.
Abstract and compile patient data for medical research, care evaluation, and administrative decision-making.
Ensure compliance with coding guidelines, reimbursement policies, regulations, and accreditation standards.
Henry Ford Health is an academic health system serving millions across Michigan and globally. With 12 hospitals and hundreds of ambulatory locations, they foster a collaborative culture focused on innovation, community impact, and career growth.
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.
Review and assign diagnostic and procedural codes from medical records with 95% accuracy.
Serve as a liaison between billing and clinical sites to resolve coding discrepancies.
Train new employees and act as an expert resource for coding compliance questions.
Munson Healthcare is northern Michigan's largest healthcare system with eight award-winning community hospitals serving over half a million residents. They emphasize a culture of excellence, teamness, positivity, and creativity with over 5,000 employees.
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.
Monitor denial volumes, aging, and identify trends to improve coding quality processes.
Develop and implement new programs, processes, and standards to streamline workflows and enhance efficiency.
Collaborate with leadership to support annual and long-term strategy planning and execute departmental goals.
UnityPoint Health is a healthcare system dedicated to providing quality care and has been recognized as a Top 150 Place to Work in Healthcare. They foster a culture of belonging and offer support and development opportunities for their team members.
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.
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.
Lead professional billing coding and clinical documentation integrity programs across a complex health system, ensuring coding accuracy and regulatory compliance.
Oversee team operations, including staffing, performance monitoring, audit education, and continuous process improvement.
Build strong relationships with executives, physicians, and coding professionals to drive quality and reimbursement integrity.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They use technology to review applications and share top-fitting candidates with employers, fostering an inclusive and efficient hiring process.
Reconciles clinic or provider visits and codes multiple specialty services.
Interacts with providers and staff on billing issues and resolves claims.
Serves as a mentor and assists in training Level I Coders.
University of Utah Health is a patient-focused organization enhancing health through patient care, research, and education. It is a Level 1 Trauma Center with five hospitals and eleven clinics, nationally ranked for research and quality.
Abstracts and codes physician professional services using CPT and ICD-9 codes.
Provides documentation feedback to physicians and trains staff on billing and coding.
Resolves pre-accounts receivable edits and ensures charge capture through reconciliations.
Northwestern Medicine is a healthcare leader with a patient-first approach. They offer competitive benefits like tuition reimbursement, loan forgiveness, 401(k) matching, and lifecycle benefits, supporting a diverse team dedicated to better healthcare.
Serves as a subject matter expert in clinical documentation quality, risk adjustment, and HCC coding integrity.
Performs prospective reviews of medical records to validate chronic conditions and ensure documentation accuracy.
Utilizes Epic and OurPractice Advisories to support accurate coding, HCC capture, and compliance.
UASI is a clinical documentation improvement consulting firm dedicated to improving the quality and accuracy of clinical documentation. They offer a collaborative, mission-driven environment with opportunities for professional growth.
Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or technical outpatient accounts.
Utilizes ICD-10-CM, PCS, HCPCS, CPT, and other coding references for accurate coding.
Supports Revenue Cycle goals for timely billing.
Cooper University Health Care is committed to providing extraordinary health care. We offer competitive rates, comprehensive benefits, and opportunities for career growth.
Review and validate medical codes for diagnoses, procedures, and services to ensure accuracy and compliance with ICD-10, CPT, and HCPCS coding systems.
Provide expert coding guidance to clinicians and departments, serving as a resource for complex coding questions.
Conduct coding audits and quality reviews, generate productivity reports, and collaborate with IT and billing teams to resolve system issues.
Mission Healthcare is the largest home health and hospice company in the western United States, serving patients across seven states. The company fosters a culture of collaboration, compassion, and commitment, with core values of Compassion, Accountability, Respect, Excellence, and Service.
Ensure quality and completeness of medical record documentation through concurrent interaction with physicians and staff.
Facilitate modifications to clinical documentation to support accurate reimbursement and severity capture for inpatients.
Educate patient care team members on documentation best practices and support timely, accurate reporting.
Cooper University Health Care is a healthcare organization dedicated to providing extraordinary care through clinical innovation and advanced facilities. It offers a comprehensive benefits program and opportunities for career growth, with a team-oriented culture.
Review inpatient coding (ICD-10-CM/PCS) to ensure accuracy and completeness for multiple clients.
Validate DRG assignments and optimize reimbursement while maintaining compliance with regulatory standards.
Collaborate with service line teams and client departments to improve documentation and meet production goals.
Kodiak Solutions specializes in healthcare finance, unclaimed property, risk management, and revenue cycle management. They use technology-driven solutions to help healthcare organizations streamline operations and improve patient care.
Conduct prospective chart reviews to validate ICD-10-CM and CPT coding accuracy.
Provide clinical documentation improvement feedback to providers on documentation gaps.
Ensure compliance with risk adjustment and regulatory coding guidelines.
Thyme Care is a cancer care navigation company transforming the cancer care experience through value-based care. They are building a diverse, mission-driven team to reshape the future of healthcare.
Analyze medical records to validate ICD-10-CM, ICD-10-PCS, CPT-4, HCPCS II coding and MS-DRG assignment on acute inpatient and outpatient claims.
Conduct in-depth claims analysis using coding principles and electronic health information systems to ensure assigned codes are supported by documentation.
Meet quality and production standards and ensure compliance with quality management systems and ISO requirements.
Empower AI provides AI for government, helping federal agencies transform their workforce. With three decades of experience in Health, Defense, and Civilian missions, it is headquartered in Reston, VA and recognized as a 2024 Military Friendly Employer.
Develop and maintain audit concepts by researching regulatory, coding, or payer policy changes and updating rule documents and code lists.
Perform QA reviews to ensure audit concepts comply with coding standards, payment methodologies, and payer policies prior to deployment.
Collaborate with cross-functional teams including operations, clinical, and client services to support policy execution and drive concept quality.
Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering value and efficiency to health plan clients. Deployed by over 85 health plans representing more than 270 million lives, we are a digital-first, AI-powered platform that reimagines what's possible in healthcare.
Accurately assigns ICD-10-CM and CPT codes to professional fee inpatient and outpatient records for reimbursement and data collection.
Reviews medical records for documentation discrepancies and queries physicians for additional information when needed.
Maintains coding quality and productivity expectations, collaborating with Patient Financial Services to resolve edits promptly.
Vail Health is a nonprofit community healthcare system in Colorado's high country, operating a 56-bed hospital with advanced mountain healthcare services. The organization offers 24/7 emergency care, cancer care, surgery, and more, with a focus on community health and a culture of collaboration and excellence.