Lead Coder
2 weeks ago
Adheres to hospital policies and procedures.
Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
Successfully perform coding quality reviews to validate correct coding and abstracting.
Provide feedback to coding staff regarding audit results.
Provide cross-training support to the Coders and Coding Quality Analysts in areas where coding compliance is not met.
Provide quality reviews as requested from other departments such as Case Management, Quality, and Patient Financial Services.
Assist with scrubbing claims for errors and correcting claim edits.
Work with analyst to build edits to prevent denials.
Ensure accuracy and optimization of quality initiatives such as Potentially Preventable Events, ICD-10, Data Governance, and future initiatives.
Maintain ongoing communication with management, CDI, and coding staff to ensure coding compliance goals are met.
Assist CBO management in performing coder education tasks and new employee orientation.
Assist in preparation of Compliance and Audit reports.
Assist with new physician education and audit schedule.
Assist CBO management in the analysis of Compliance and Audit reports. Education and/or Experience: Associate degree (A. A.) or equivalent from two-year college or technical school; or two to three years related experience and/or training; or equivalent combination of education and experience.
Bachelor's degree (B. A.) from four-year college or university; or two to three years related experience and/or training; or equivalent combination of education and experience. Certificates, Licenses, Registrations. CPC or CCS-P required
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Lead Coder
3 weeks ago
Corpus Christi, United States Driscoll Health Full timeWhere compassion meets innovation and technology and our employees are family.Thank you for your interest in joining our team! Please review the job information below.General Purpose of Job:Ensures that coding compliance initiatives are met with all record types. Reviews and analyzes medical records and abstracted data submitted by the coding staff to...
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Medical Matron
5 days ago
Grand Prairie, TX, United States Humana Inc Full timeBecome a part of our caring community and help us put health first The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient outcomes. Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 175 centers...
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Houston, TX, United States UnitedHealth Group Inc Full timeRegistered Nurse RN Senior Clinical Coding Nurse Houston Texas Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and...
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El Paso, TX, United States UnitedHealth Group Inc Full timeRN Clinical Coding Nurse Consultant WellMed El Paso Texas Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and...
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San Antonio, TX, United States UnitedHealth Group Inc Full timeRN Clinical Coding Nurse Consultant WellMed San Antonio Texas Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and...
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Houston, TX, United States UnitedHealth Group Inc Full timeRegistered Nurse RN Senior Clinical Coding Nurse Houston TexasOpportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and...
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San Antonio, TX, United States UnitedHealth Group Inc Full timeRN Clinical Coding Nurse Consultant WellMed San Antonio TexasOpportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and...
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El Paso, TX, United States UnitedHealth Group Inc Full timeRN Clinical Coding Nurse Consultant WellMed El Paso TexasOpportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and...