SUMMARY: Responsible for reviewing and appealing clinical denials, tracking clinical denial trends, identifying... continuous improvement opportunities. Responds to any compliance department inquiries requiring clinical expertise. Conducts...
and compose a comprehensive rebuttal via the appeal process in a timely manner to the DRG denial claims for clinical and coding... denials that are received from the insurer/auditor. Successful appeals result in our upholding the clinical support and the...
and compose a comprehensive rebuttal via the appeal process in a timely manner to the DRG denial claims for clinical and coding... denials that are received from the insurer/auditor. Successful appeals result in our upholding the clinical support and the...
Job Summary The CDI III Educator Auditor (Clinical Documentation Specialist) functions as a subject matter expert... Validates clinical indicators in denied cases Analyzes denial patterns and trends Develops strategies to address documentation...
& Performance leadership and Conifer Compliance as warranted. The Auditor will perform analysis on clinical documentation... and completion of BSN within five years of employment RN License in the State of Practice Current working knowledge of clinical...
with us today! Responsibilities: Job Summary / Purpose The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding... needs are met at the highest level. The Sr Coding Compliance Auditor’s primary focus will be to facilitate and ensure the...
with us today! Responsibilities Job Summary / Purpose The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding... needs are met at the highest level. The Sr Coding Compliance Auditor’s primary focus will be to facilitate and ensure the...
your best work. Job Summary: Evaluates medical record documentation for evidence of clinical information to support charges... applicable. Associates clinical and coding information to national and local coverage determination. Reviews the medical record...
your best work. Job Summary: Evaluates medical record documentation for evidence of clinical information to support charges... applicable. Associates clinical and coding information to national and local coverage determination. Reviews the medical record...
your best work. Job Summary: Evaluates medical record documentation for evidence of clinical information to support charges... applicable. Associates clinical and coding information to national and local coverage determination. Reviews the medical record...
rebuttals to the auditor/payer’s denial rationale, and evidence-based guidelines and references. The position must possess..., and regulatory changes impacting claims. Educate clinical and administrative teams on documentation practices to reduce denial rates...