Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types.
Reviews medical records thoroughly using all available documentation to code appropriate diagnoses and procedures.
Sends appropriate physician queries when required for documentation clarification with focus on complex outpatient encounters.
Northwestern Medicine is a leader in the healthcare industry with a patient-first approach. The organization provides competitive benefits including tuition reimbursement, loan forgiveness, 401(k) matching, and lifecycle benefits, striving to take care of its employees.
Organize duties and maintain staff and patient schedules.
Submit reports and work virtually with limited supervision.
CommonSpirit Health at Home provides full-service home health and hospice care. As a faith-based organization, it is committed to improving patient health and community well-being.
Serve as the regional subject matter expert on reimbursement, coverage, coding, payment, prior authorization, appeals, and payer policy.
Partner with customers to resolve complex reimbursement challenges and improve patient access, while identifying trends and recommending scalable solutions.
Build strong relationships with physicians, health systems, coding professionals, and reimbursement stakeholders to support commercial execution.
CVRx pioneers unique therapies that harness and harmonize the body’s natural systems, benefiting society and making CVRx a universal role model in healthcare. The company values commitment and culture, and is a high-growth commercial medical technology organization.
Identify, analyze, and resolve clinical data quality issues across a multi-vendor EHR ecosystem to ensure accuracy and standardization.
Map clinical data elements to standardized code systems and validate mapping accuracy across clinical domains.
Support quality measure programs by ensuring data completeness and accuracy, and serve as clinical subject matter expert for AI-assisted data extraction and interoperability initiatives.
Aledade is a public benefit corporation that empowers independent primary care practices to thrive in value-based care, forming the largest network of its kind in the US since 2014. The company fosters a collaborative, inclusive, and remote-first culture focused on strengthening continuity of care and aligning incentives for patient health.
Handle referral coordination, appointment scheduling, insurance verification, and medical records requests for members.
Communicate updates to providers and members, ensuring world-class service and access to high-quality doctors.
Work collaboratively in a fast-paced virtual care team, managing multiple priorities with excellent attention to detail.
Included Health is a healthcare company that delivers integrated virtual care and navigation, breaking down barriers to provide high-quality care for everyone. The company offers care guidance, advocacy, and access to virtual and in-person care across various health needs.
Oversees a team of Clinical Validation Auditors to ensure productivity and quality standards are met.
Manages queue distribution, performance optimization, and training for new hires and existing staff.
Collaborates with Auditors and Quality Assurance to produce high-quality recoverable claims and meet client SLAs.
Cotiviti provides healthcare auditing and analytics solutions to help clients recover overpayments and improve compliance. The company fosters a collaborative and team-oriented culture with a focus on quality and employee development.
Supervises coding functions and corresponding staff to ensure timely and accurate reimbursement.
Manages auditing, quality control, and improvement initiatives for compliance.
Works with managers on departmental planning and policy development.
Piedmont Healthcare is a healthcare organization focused on providing medical services and corporate support. They emphasize a shared purpose, employee wellness, and comprehensive benefits, fostering a culture of success and recognition.
Lead daily CDI operations, including staffing, workload balancing, and training for clinical documentation improvement.
Conduct real-time clinical reviews for complex cases and analyze data to ensure quality and accuracy.
Collaborate with physicians and staff to enhance documentation quality and compliance with coding guidelines.
Adventist HealthCare is a faith-based, not-for-profit healthcare organization providing comprehensive services including acute-care hospitals, rehabilitation, outpatient centers, and home care. With over 6,000 employees, they are the largest healthcare provider in Montgomery County, Maryland, focused on extending God's care through physical, mental, and spiritual healing.
Provide executive oversight for HIM, coding, and CDI operations, ensuring alignment with strategic priorities and regulatory compliance.
Establish and enforce documentation quality standards and coding accuracy to optimize reimbursement and maintain medical record integrity.
Manage vendor performance for HIM, coding, CDI, transcription, and ROI services, ensuring adherence to quality and regulatory requirements.
CommonSpirit Health is one of the nation's largest nonprofit Catholic healthcare organizations, delivering more than 20 million patient encounters annually through over 2,300 clinics and 158 hospital-based locations across 24 states. With more than 160,000 employees, 45,000 nurses, and 25,000 physicians, they provide over $5 billion in charity care and community benefits each year.
Assess physician educational needs regarding coding and documentation, and develop training programs.
Conduct coding and billing training for billing specialists and physicians.
Perform coding and data quality reviews to ensure compliance with standards and regulations.
Piedmont Healthcare is a healthcare organization focused on providing comprehensive medical services. They offer wellness programs and benefits, fostering a supportive culture for employee growth and recognition.