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Carle HealthNew
Overview
Performs inpatient chart reviews to ensure accurate DRG assignment and clinical documentation that reflects patient severity and risk of mortality. Coordinates with multidisciplinary teams to identify diagnoses and manages the appeal process for DRG denials.
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Compensation
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Posted
New
UHS
The specialist is responsible for improving the quality and completeness of clinical documentation through concurrent and retrospective reviews of inpatient medical records. They collaborate with physicians and coders to ensure accurate reimbursement and reflect the true severity of patient illness.
21 days ago
Adventist Health
Reviews and assesses patient medical records to ensure accuracy, specificity, and compliance with government regulations. Acts as a liaison between medical staff and the coding department to ensure appropriate clinical diagnosis and severity levels are captured.
$63 - $86 / HOUR
22 days ago
Highmark Health
Conduct comprehensive in-home, virtual, and telephonic clinical assessments for patients with chronic health conditions. Manage palliative care, facilitate advance care planning, and coordinate with interdisciplinary teams to ensure optimal health outcomes.
$102,700 - $164,600 / YEAR
1 month ago
Seaport Home Health Care Services
The role involves reviewing OASIS assessments and ICD-10 coding to ensure clinical accuracy, regulatory compliance, and documentation integrity. The nurse will collaborate with clinical teams to identify documentation gaps and support quality improvement initiatives.
$45 - $55 / HOUR
Rice Community Health
The Certified Coder analyzes patient records to ensure accurate coding of diagnoses and procedures in accordance with ICD-10 and CPT guidelines. They also manage billing denials, maintain the chargemaster, and query physicians to improve documentation quality.
Prisma Health
The specialist conducts concurrent and retrospective reviews of medical records to ensure documentation, including illness diagnosis, is accurate, complete, and consistent, validating diagnosis codes and identifying missing information. This involves employing query processes and reconciliation to accurately reflect patient severity of illness, risk of mortality, and other key metrics, while collaborating with healthcare providers.
The specialist reviews and evaluates patient medical records to ensure documentation specificity, accuracy, coding compliance, and completeness, ensuring adherence to all relevant regulations. This involves performing coding, updating DRG assignments, formulating physician queries, and acting as a liaison between medical staff and the coding department.
$54 - $74 / HOUR
2 months ago
The specialist evaluates and assesses patient medical records to ensure the accuracy, specificity, and completeness of clinical documentation, performing coding and DRG assignment while entering review activity into tracking software. This role involves analyzing documentation, formulating physician queries, and updating DRG assignments based on findings or query responses to maintain compliance.
The specialist evaluates and assesses patient medical records to ensure documentation specificity, accuracy, and compliance with coding requirements and regulations, performing coding and DRG assignment updates based on findings. This role involves formulating and following up on physician queries to ensure accurate clinical diagnosis and severity capture, acting as a liaison between medical staff and the coding department.
$48 - $66 / HOUR
The specialist conducts concurrent and retrospective medical record reviews to validate diagnoses, ensure documentation clarity, completeness, and accuracy, and reflect the patient's severity of illness. This involves employing the query process with providers and completing reconciliation to ensure accurate coding reflective of patient status.
Emanate Health
The Clinical Documentation Integrity Specialist facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other healthcare team members. This role involves communicating with providers via discussion or compliant queries to address unclear or conflicting diagnoses and ensuring documentation accurately reflects the patient’s clinical conditions and level of service.
$69 / HOUR
South Central Regional Medical Center
The Certified Medical Coder is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for professional services, ensuring regulatory compliance and supporting revenue capture. Essential duties include reviewing medical documentation, collaborating with providers, conducting audits, and resolving coding-related denials.
Sentara Health
The Physician Advisor conducts timely and compliant medical necessity reviews and manages denials, including facilitating peer-to-peer discussions and writing appeal letters to support the centralized Utilization Review process for hospital facilities. This role also involves direct communication and education with attending physicians regarding status changes, regulatory requirements, and documentation integrity to support medical necessity.
Connecticut Children's
This role involves identifying opportunities for physician documentation improvement to ensure patient conditions and care are accurately reflected, and working closely with physicians and other providers to clarify documentation and resolve discrepancies. The specialist also collaborates continuously with the hospital Inpatient Coding team and stays current with coding guidelines and documentation standards to support the CDI program.
3 months ago
UF Health
The specialist is responsible for improving inpatient clinical documentation by concurrently reviewing medical records to ensure accuracy based on clinical evidence and ICD-10-CM coding guidelines. This involves identifying documentation enhancement opportunities and querying physicians for clarification to accurately reflect the patient’s severity of illness and risk of mortality.
The specialist is responsible for improving inpatient clinical documentation by concurrently reviewing medical records to ensure accuracy based on clinical evidence and ICD-10-CM coding guidelines. This involves identifying documentation enhancement opportunities and querying physicians to support more specific and accurate diagnoses.
Sarasota Memorial Health Care System
The specialist facilitates the improvement of clinical documentation quality and completeness to support coding in the post-acute inpatient setting by reviewing medical records concurrently until discharge. Responsibilities include querying physicians for diagnosis specificity to ensure accurate reflection of patient acuity and resource utilization, and providing necessary documentation and coding education.
