records Ability to interact professionally with other associates, department directors and the Medical Staff through... lost revenue via Axiom and high dollar medical necessity edits Identify trended coding quality issues requiring new...
to, HCC Capture and Risk Adjustment Factor (RAF) Scores Perform code abstraction of medical records to ensure ICD-10-CM codes... outpatient visits and ensuring they are coded accurately and to the highest specificity. They additionally will verify...
, secondary diagnoses and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based... for inpatient, outpatient and ambulatory and will provide coding feedback for education opportunities identified to the coding team...
, APR DRG and/or outpatient APC. Responsibilities: Performs coding quality reviews on inpatient records to validate the... compliance with all outpatient coding mandates. Ensures medical necessity criteria is met and local medical review polices...
and prior experience" ESSENTIAL FUNCTIONS OF THE ROLE Facilitates accurate and complete documentation of medical conditions... and treatment in patient records. Performs review of record to determine complete, accurate documentation of patient condition...
and extracts accurate reports from software tools Required Skills: Certified Professional Coder (CPC), Certified Outpatient... performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global...
Coverage Determinations (NCD/LCD), and Joint Commission (TJC) required functions and credentialing. Assists medical records... Coder (CPC), Certified Professional Coder - Hospital (CPC-H), Certified Outpatient Coder (COC), or Certified Ambulance Coder...
requirements. Provides coding support to BHMG coding and billing staff. Responsibilities: 1. Audits medical records... targets for record audits. 2. Audits all establish provider medical records on by annual basis: a. Audits medical records...
, methodology, and tools for accurately coding. Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records... Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses...
inpatient and/or outpatient records for quality and comprehensive coding. The incumbent reviews records regarding coding... and/or outpatient records in a hospital utilizing ICD-10/CPT/HCPCS and other third-party payor codes. This experience must include...
Qualifications RHIT, RHIA, CCS, CPC preferred and/or other coder specialist certifications. Graduation from a medical records.../outpatient coding and healthcare management/medical records experience preferred. At least 1 year of behavioral health hospital...
Qualifications RHIT, RHIA, CCS, CPC preferred and/or other coder specialist certifications. Graduation from a medical records.../outpatient coding and healthcare management/medical records experience preferred. At least 1 year of behavioral health hospital...
] Certified Outpatient Coder [COC]) PMI (Certified Medical Coder [CMC]) AHIMA (Certified Coding Specialist-Physician [CCS-P... medical records Extensive knowledge of medical terminology and Anatomy 3-4 years experience in a related field...
Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record... (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology...
. Experience reviewing and analyzing denied/downgraded MS-DRG and APR-DRG and APC medical records and accounts received from payers... reviews the denial letter criteria received, reviews the medical record and pertinent documentation, laboratory values...
of work 8. Supervises audits of coded medical records. Compiles, analyzes, and presents data related to coder performance...), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Coding...
) or Certified Outpatient Coder (COC), formerly CPC-H or, Certified Inpatient Coder (CIC) by the American Academy of Procedural.... Using electronic platforms, the position reviews all charges, both inpatient and outpatient, that are incurred on “flagged...
to ensure accuracy of medical records, facilitate record transfer for billing and/or optimize reimbursement for patient care... claims information, medical records and other applicable documentation. Assists with work flow, priorities for work...
and reimbursed appropriately. Qualifications: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or similar... risk. Charge Capture Analysis: Review and analyze patient records, billing data, and financial statements to ensure...
and Revenue Cycle team: Audit hospital and/or physician medical records and charges to ensure compliance with coding... and regulatory standards. Conduct medical record reviews to ensure accurate, ethical documentation, coding, charging and billing...