3 jobs found in Kankakee

Riverside Healthcare in Illinois seeks a Professional Coding Compliance Specialist to audit ICD-10-CM and CPT/HCPCS codes across a multi-specialty group. You will provide education to providers and coders, maintain current coding guidelines, and support with newsletters and compliance initiatives. The role requires 3+ years of coding experience, CPC certification, and commitment to ongoing professional education. #J-18808-Ljbffr

OverviewThe Professional Coding Compliance Specialist provides revenue cycle support to Riverside Medical Group and its coding team by regularly auditing provider documentation and corresponding coding to ensure correct, complete and compliant practices that fully support diagnoses reported and charges submitted for services rendered, meet regulatory and payor-specific requirements, and accurately describe the patient encounter; providing feedback and education to providers and coders based on audit results, regulatory changes, and industry trends; assisting with orientation of new providers, residents/fellows, and new members of the coding team.Essential DutiesCompletes timely audits of assigned providers and coders for accurate, complete, and compliant ICD-10-CM and CPT/HCPCS code assignment, ensuring that documentation supports the diagnoses reported, E/M level selected, and CPT/HCPCS codes submitted for services rendered during the episodes of care reviewedReviews audit...

Riverside Healthcare seeks a Documentation Integrity Specialist to monitor and improve electronic health record documentation quality. You will identify copy/paste and cloned documentation issues, perform audits, and coordinate corrective actions with HIM and other departments. The role emphasizes collaboration with providers, CDI, Compliance, and Revenue Cycle to ensure the accuracy and completeness of the legal health record and adherence to regulatory requirements. #J-18808-Ljbffr