The specialist performs prospective medical record reviews to validate chronic conditions and ensure coding accuracy and HCC capture. They also monitor documentation trends and report outcomes to support program goals and regulatory compliance.
UASI
21 Remote Job Openings at UASI
The HCC Documentation Specialist performs prospective medical record reviews to validate chronic conditions and ensure coding accuracy and regulatory compliance. They also monitor and report on documentation trends and CDI outcomes to support program goals.
The specialist performs prospective medical record reviews to validate chronic conditions and ensure coding accuracy and HCC capture. They also monitor and report on documentation trends and outcomes to support program goals and regulatory compliance.
The manager will provide leadership, coaching, and support to the outpatient CDI team to ensure high-quality, compliant documentation services. They are responsible for onboarding new staff, monitoring performance metrics, and collaborating with operational leaders to achieve organizational objectives.
The Client Success Lead is responsible for overseeing outpatient CDI operations, ensuring high-quality service delivery, and maintaining compliance. They act as the primary client relationship lead to align project goals, monitor performance metrics, and identify opportunities for growth.
The auditor evaluates the accuracy and completeness of CDI staff reviews and validates HCC coding decisions to ensure compliance with CMS standards. They also prepare and deliver training to providers and coders while identifying documentation gaps to improve overall quality and outcomes.
The specialist will perform prospective medical record reviews to validate chronic conditions and ensure clinical documentation integrity. They are responsible for monitoring documentation trends, managing work queues, and reporting on HCC recapture performance.
The specialist performs prospective medical record reviews to validate chronic conditions and ensure documentation accuracy, clinical integrity, and appropriate HCC capture. They also monitor and report on CDI outcomes and documentation trends to support program goals and regulatory compliance.
The Denials Specialist reviews provider documentation to ensure accurate coding and resolves claim denials related to billing and payer policy compliance. They identify coding errors and trends to recover revenue and prevent future denials.
The CDI Manager will lead and mentor a team of CDI professionals while serving as the primary point of contact for client engagements. They are responsible for managing project scope, financial performance, and quality deliverables while driving business growth through client relationship management.
Responsible for reviewing complex payer denials and crafting evidence-based appeal letters to maximize reimbursement recovery. The role involves analyzing medical records, identifying payer weaknesses, and collaborating with clinical teams to overturn denials.
The CDI Auditor performs high-level secondary case reviews to ensure clinical documentation is accurate, complete, and compliant with regulatory standards. They identify documentation gaps and provide education to staff to improve coding accuracy and reimbursement integrity.
The role involves performing inpatient medical coding for diagnosis and procedure codes in an acute care setting. The specialist must meet client productivity targets while maintaining a coding quality accuracy of 95% or greater.
Perform accurate code assignments for facility outpatient, same day surgery, and observation records. Maintain a coding quality rate of 95% or greater while meeting client productivity targets.
Perform accurate code assignments for Emergency Department facility and professional fee records. Maintain a coding quality rate of 95% or greater while meeting client productivity targets.
Review and evaluate medical record documentation for completeness, accuracy, and compliance. Collaborate with clinical and coding professionals to formulate compliant physician queries and improve clinical outcomes reporting.
Perform accurate code assignments for inpatient and outpatient professional fee records across various specialties. Maintain a coding quality rate of 95% or greater while meeting client productivity targets.
Perform inpatient coding audits and reviews for client sites remotely to identify trends and formulate corrective action plans. Provide educational seminars and in-service training to clients and staff based on audit findings.
Perform professional billing and CPT coding for surgical cases in both inpatient and outpatient settings. Maintain a coding quality rate of 95% or greater while meeting client productivity targets.
The DRG Validator reviews inpatient medical records to ensure the accuracy of DRG assignments and compliance with coding guidelines. The role involves collaborating with physicians and CDI specialists to optimize reimbursement and correct documentation discrepancies.
Lead CDI consulting projects to drive growth and ensure high-quality client delivery through strategic solution development. Act as a subject matter expert to support business development and mentor internal staff on consulting methodologies.
