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St. Luke's University Health Network
Overview
The RN Clinical Review Appeals Specialist conducts retrospective reviews of patient medical records and claims data to ensure accurate coding and DRG assignment. They develop appeal arguments and facilitate communication with various stakeholders to resolve documentation and coding issues.
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Compensation
Salary not listed
Posted
7 days ago
Sparrow
The Inpatient Coder is responsible for reviewing medical records and accurately assigning codes for diagnoses and procedures. This includes ensuring compliance with federal regulations and collaborating with clinical documentation specialists.
8 days ago
Gainwell Technologies LLC
The Clinical DRG Auditor performs clinical and coding validation reviews of medical records to ensure the accuracy of DRG assignments and diagnosis coding. They also provide mentorship and training to team members while maintaining compliance with regulatory and official coding guidelines.
$85,000 - $95,000 / YEAR
13 days ago
Orlando Health
Conducts concurrent reviews of medical records to ensure accurate documentation of patient acuity and justification of the level of care. Collaborates with providers and stakeholders to clarify diagnoses and provide education on documentation concepts.
22 days ago
Omega Healthcare Solutions
The specialist is responsible for improving the quality and completeness of clinical documentation within electronic health records through collaboration with physicians and coding staff. They ensure documentation accuracy to facilitate compliant coding and meet regulatory standards for reporting outcomes.
29 days ago
Day Kimball Healthcare
The CDI Specialist ensures accurate physician documentation to support severity of illness and risk of mortality in patient medical records. This involves reviewing records, collaborating with healthcare providers, and partnering with coding professionals to determine final DRG assignments.
$80,000 / YEAR
1 month ago
Crossing Rivers Health
The Medical Coding and Prior Authorization Specialist is responsible for coding patient encounters and managing prior authorization processes. This role ensures compliance, maximizes reimbursement, and facilitates timely access to necessary medical care for patients.
Children's Wisconsin
The Coding Specialist III will be responsible for supporting accurate, complete, and consistent coding practices to produce quality healthcare data, focusing on complex inpatient cases. This role requires applying correct ICD-9/ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes to strive for optimal reimbursement.
Olmsted Medical Center
Assigns medical codes including ICD-10 and CPT to ensure optimal reimbursement and accurate billing. Monitors documentation timeliness and manages account denials and insurance inquiries.
$25 - $31 / HOUR
UCSF
The Health Information Coder III is responsible for coding and abstracting acute academic inpatient cases using ICD-10-CM and ICD-10-PCS systems. They must analyze medical records to ensure compliance with official coding guidelines, practice standards, and UCSF Health policies.
Hoag
The Coder reviews clinical documentation and diagnostic results to apply appropriate coding for diagnoses and procedures. These codes support billing, reporting, research, and compliance activities.
Virtua Health
Codes and abstracts hospital medical records across various departments while ensuring accuracy according to federal and state guidelines. Collaborates with medical staff and clinical documentation improvement teams to clarify documentation and maintain compliance.
$29 - $45 / HOUR
FMOLHS
The Medical Coder 3 abstracts clinical information from medical records and assigns accurate ICD-10 and CPT codes. They are also responsible for working with coding databases and confirming DRG assignments.
WakeMed Health & Hospitals
The senior coder is responsible for accurate ICD-10-CM and ICD-10-PCS coding and DRG assignment for medical records. They also serve as a liaison between the coding team and the clinical documentation specialists to ensure documentation quality.
The Hospital Authority of Miller County
The specialist is responsible for accurately converting diagnoses and procedures into medical codes to optimize reimbursement while adhering to ethical standards. They also act as a resource for hospital staff regarding coding changes and ensure data quality across all patient encounters.
The HIM Coder is responsible for accurately coding and abstracting hospital medical records for various departments using federal and state guidelines. They collaborate with medical staff and clinical documentation improvement teams to ensure documentation clarity and accurate DRG assignment.
GeBBS Healthcare Solutions, Inc.
The Inpatient Facility Coder is responsible for reviewing patient charts and assigning diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS. The coder must ensure high quality standards are achieved while abstracting required clinical information.
Quorum Health
The coder is responsible for assigning and validating diagnostic and procedural codes for outpatient encounters to ensure billing compliance. They must review medical documentation to ensure accuracy in accordance with official coding guidelines and regulatory standards.
Responsible for assigning and validating diagnostic and procedural codes for outpatient charts using ICD-10 and CPT systems. Ensures compliance with coding regulations and medical necessity guidelines while maintaining accurate documentation.
The coder is responsible for assigning and validating diagnostic and procedural codes for outpatient encounters to ensure billing compliance. They must review medical documentation to ensure accurate sequencing and adherence to official coding guidelines.
