Certified Professional Coder Salary at The Regents Of The University Of California BETA

Job Description Job Description Summary: Responsible for overseeing the quality of both outpatient and inpatient coded clinical and administrative date. Responsible for synthesizing audit findings to provide actionable feedback to physicians and administrators on areas of improvement. Candidate is expected to be an active participant in continuous quality improvement processes and workgroups with a strong partnership with HCC co-worker specialists and other quality management staff. Educate providers and administrative staff on correct coding and charting as it applies to Medicare Advantage and Covered CA members. Will provide in-services in small and large group settings. May requires driving to Southern CA clinics and provider offices. Duties and Responsibilities: 1. Reviews and audits medical records at provider offices/clinics to identify coding risk areas and ensure that training activities are addressing these areas. 2. Review records for completeness, accuracy and compliance wit

Job Title: HCC Medical Coder Location: Remote, US Shift Hours: Applicant should be available to work from 8 AM to 5 PM CST. Pay Rate: $22/hr. + Productivity Bonus The candidate must be available to consistently commit to 40 hours per week, from Monday to Friday. Applicants are required to possess a Windows-operated laptop/desktop with video capabilities and high-speed internet connectivity. Job Summary: We are seeking experienced Medical Coders with a strong background in Risk Adjustment and Hierarchical Condition Category (HCC) coding. The ideal candidate will hold at least a CPC or CCS certification from AHIMA or AAPC, and higher-level certifications are highly desirable. As a Medical Coder specializing in Risk Adjustment/HCC, you will play a crucial role in ensuring accurate and compliant coding for our healthcare organization. Key Responsibilities: Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidel

Your Role The Facility Compliance Review team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events.. The Certified Clinical Coder Nurse, Lead/Consultant will report to the Senior Manager, Facility Compliance Review. In this role you will be leading a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as MS-DRG and APR-DRG reviews based on clinical determination. Reviews will also be performed for medical necessity and to meet the criteria for the coding billed. You will also be responsible for reviewing outpatient coding for appropriateness of billing related to injection and infusions. Review medical records and perform coding analysis on all diagnoses, procedures, DRG/APC and charge codes. Ensure that the billed coding is appropriate based on reimb

Job ID#: 616277 Our client, a mid-sized medical/biotech company, is seeking a Clinical Data Associate to join their growing team. This role is heavily focuses on resolving queries and data cleaning/review, and is perfect for someone with 5+ years in a medical device/biotech/CRO setting working with clinical trial data. See below for other details! ***Please Note: This is an onsite position, no exceptions - Do not apply if you cannot commute daily*** Job Summary: Creates the data cleaning strategy and leads the data cleaning efforts supporting Clinical Studies. Lead and perform regular data review across studies to identify quality issues, data trends/outliers and generate queries as necessary. Review and reconcile data from external sources. Database Build and User Acceptance Testing (UAT): Assist with the creation of the CRF and Edit Check Specifications documents. Perform User Acceptance Testing (UAT) of clinical databases including EDC. EDC User Management: Manage EDC User Access fo

Job Description Job Description - Member of the coding team working with large clinics to improve their HCC coding program as well as improve coding for other quality measures. Desired candidate will be assigned health centers in a specified geographic area and work with each location on a rotating schedule. Educate providers and administrative staff on correct coding and charting as it applies to Medicare Advantage and Covered CA members. Will provide in-services in small and large group settings. Requires driving to Southern CA health centers approximately 90% of the time. Duties and Responsibilities 1. Reviews and audits medical records at provider offices/clinics to identify coding risk areas and ensure that training activities are addressing these areas. 2. Review records for completeness, accuracy and compliance with regulations. 3. Identify and communicate documentation deficiencies to providers to improve documentation for accurate risk adjustment coding. 4. Using independent j

As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various entities of Keck Medical Center of USC and monitors the alignment of the various entities to the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization of data between the CDM residing in the billing system and CDM management tools . The Senior RI Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes ensuring all annual updates required by Medicare and other third-party payers are up to date. The Senior RI Specialist delivers direction to the documentation of all policies and procedures regarding CDM Maintenance and charge process; and conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Speci

Job Description Job Description * 13 weeks, ASAP start * M-F, 8 hour days, 40 hours per week; mileage reimbursed * Must have recent Home Health visiting experience * CA RN License & BLS required Company Description Continuum Medical Staffing is a boutique national staffing firm with a big purpose. Our mission and passion is to cultivate talent in the healthcare field and connect exceptional talent with meaningful and rewarding employment opportunities. We help our elite candidates achieve their career goals through personal attention and ongoing support by taking a consultative approach delivering innovative solutions that meet your individual needs. Our clients trust us to develop long-term relationships and continually send them highly qualified talent who exceed their expectations. Continuum Medical Staffing employs and places healthcare professionals such as Senior Leader Management, Physicians, Physician Assistants, Nurses, Nurse Practitioners, Therapists (PT, OT, SLP), Interim Le

Job Description Job Description South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary audits of medical record to verify the physicians have appropriately documented the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient/Inpatient) documentation from a clinical standpoint for evidence of the possibility of additional medical conditions that may not have been documented in the past, and ensure accurate coding of the encounter data and recommend processes for accurate coding practices. This process involves a very strong understanding of medical coding. Ascertain that medical record documentations have accurate diagnoses and conditions to assure not to up-code, fraudulently or misrepresent the patient condition and ensure compliance to prepare for random CMS medical records audit HEDIS coding and record collection Report Coding discrep