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.
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.
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.
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.
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.
Perform medical record analysis for accurate coding and sequencing.
Maintain quality and productivity standards.
CorroHealth helps clients exceed their financial health goals by providing scalable solutions and clinical expertise across the reimbursement cycle. They utilize leading technology and analytics to guide their solutions and achieve goals, building long-term careers by investing in employee development and growth.
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.
Responsible for decision-making and coding reviews.
Facilitate, obtain, validate, and reconcile appropriate provider documentation.
Ensure accurate reflection of illness severity and patient care complexity.
Millennium Physician Group (MPG), formed in 2008, is the largest independent physician group in Florida and one of the largest in the United States. They provide employees with the tools to succeed, a team atmosphere, and opportunities for growth.
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.
Develops curriculum and materials for documentation training programs.
Assesses coder comprehension.
Conducts quality assurance reviews.
Northwestern Medicine is a leader in the healthcare industry, set apart by a patient-first approach. They offer competitive benefits, including tuition reimbursement, loan forgiveness, 401(k) matching, and lifecycle benefits, aiming to take care of their employees.
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.
Flexible, detail-oriented, and able to work independently.
Quality conscious and able to adapt well to change.
Maintain coding quality of 95% or greater.
UASI is recognized as a Top Workplace that values enduring partnerships with clients. They offer HIM professionals fulfilling roles with flexibility, stability and long-term success.
Provide high-level customer service to patients and fellow employees.
Review and update billing, codes, and account information.
Ensure accurate billing for all services provided, adhering to compliance.
Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products. With 160 years of clinical excellence, Hanger's vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value.
Collaborates with clinical documentation team to review inpatient accounts.
Assesses DRG, PDx, secondary Dx, PCS, POA and all documentation components impacting quality metrics.
Continually assures coding practices remain compliant with coding guidelines and regulations.
Northwestern Medicine strives for a positive workplace for every patient interaction. They are a leader in the healthcare industry, offering competitive benefits such as tuition reimbursement, loan forgiveness, and 401(k) matching.
Sustains responsibility for timely and accurate coding of all facility outpatient visits and outpatient coding audits.
Develops and implements policies and procedures to achieve organizational goals and assists in the development of operational strategy.
Monitors employee training, productivity, quality, and overall employee performance of all Outpatient Medical Record Coding Specialists.
The Ohio State University is a top-20 public university and its Ohio State Wexner Medical Center is one of America’s leading academic health centers. They set the stage for academic achievement and innovation, where friendships are forged and tradition is brought to life.