Analyzes and Audits Claims; Integrates medical chart coding principles, clinical guidelines and objectivity in performance of medical audit activities.
Effectively Utilizes Audit Tools; Utilizes Cotiviti proprietary auditing systems with a high level of proficiency to make audit determinations and generate audit letters.
Meets or Exceeds Standards/Guidelines for Productivity and Accuracy/Quality.
Cotiviti is a company that focuses on Coding & Clinical Chart Validation for Inpatient audits. They offer a competitive benefits package to address a wide range of personal and family needs.
Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition.
Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation is needed.
Works with Coders and CDSs to draft and initiate physician queries.
Emory Healthcare is a healthcare system in Atlanta, GA. We fuel professional journeys with benefits, resources, mentorship, and leadership programs, fostering a supportive environment.
Review doctor-patient messages across platforms to ensure quality.
Ensure all communication aligns with clinical guidelines and company policies.
Provide structured feedback to providers and internal teams.
Homera Health builds tech, marketing, and growth engines for successful telehealth brands. As they expand into new verticals, they are hiring talent across various domains to build the next generation of virtual healthcare experiences.
Conducts audits of clinical documentation reviews to ensure compliance and regulatory requirements.
Develop and deliver training sessions based on audit findings to support CDI team competency.
Oversee the accuracy, specificity, and completeness of clinical documentation.
Adventist HealthCare is a faith-based, not-for-profit organization dedicated to improving the health and well-being of people and communities. They employ over 6,000 professionals and are one of the longest serving healthcare systems in the Washington, D.C., area.
Organizes and prioritizes assigned work to ensure completion within the assigned time frame.
Reviews charts and medical records, assigning ICD and CPT code combinations to each data element.
Audits for documentation opportunities and queries clinical staff to fill in any gaps.
Riverside Health System's mission is to care for others as we would care for those we love. We extend that sense of caring to every patient, resident and customer, as well as to each member of our team, offering care at all stages of life, in hundreds of locations.
Ensuring the accuracy, integrity, and quality of coding practices within the HIM department.
Conducting thorough reviews of clinical documentation, coding, and billing processes to ensure compliance.
Educating and training coding staff on best practices and updates in coding guidelines.
Cooper University Health Care is committed to providing extraordinary health care. They focus on clinical innovations and access to facilities, equipment, technologies and research protocols, and offer competitive rates, compensation programs, benefits, and career growth.