This role oversees the review, analysis, and appeal of DRG downgrades and payer denials, working closely with Clinical Documentation Improvement (CDI), coding, billing, and clinical teams to promote ...
This role oversees the review, analysis, and appeal of DRG downgrades and payer denials, working closely with Clinical Documentation Improvement (CDI), coding, billing, and clinical teams to promote ...
Certified Clinical Documentation Integrity (CDI) Specialist - RN
Saint Petersburg, FL · On-site
$33.25 - $44.50/hr
The Clinical Documentation Integrity (CDI) Specialist/Consultant serves as a trusted advisor to ... coding principles, and documentation requirements. * Analyze and report CDI findings and trends ...
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Certified Clinical Documentation Integrity (CDI) Specialist - RN
Saint Petersburg, FL · On-site
$33.25 - $44.50/hr
The Clinical Documentation Integrity (CDI) Specialist/Consultant serves as a trusted advisor to ... coding principles, and documentation requirements. * Analyze and report CDI findings and trends ...
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Coding Compliance Auditor
Plaza, ND · On-site
$26 - $29.75/hr
Designs audit tools to monitor the accuracy of clinical coding. * Keeps abreast of coding guidelines and reimbursement reporting requirements. * Conducts trend analyses to identify patterns and ...
Coding Compliance Auditor
Plaza, ND · On-site
$26 - $29.75/hr
Designs audit tools to monitor the accuracy of clinical coding. * Keeps abreast of coding guidelines and reimbursement reporting requirements. * Conducts trend analyses to identify patterns and ...
Certified Clinical Documentation Integrity (CDI) Specialist - FMG
Saint Petersburg, FL · On-site
$33.25 - $44.50/hr
... coding principles, and documentation requirements. • Analyze and report CDI findings and trends ... clinical, coding, and operational insights with peers and leadership. • Represent the firm ...
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Certified Clinical Documentation Integrity (CDI) Specialist - FMG
Saint Petersburg, FL · On-site
$33.25 - $44.50/hr
... coding principles, and documentation requirements. • Analyze and report CDI findings and trends ... clinical, coding, and operational insights with peers and leadership. • Represent the firm ...
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Serve as a coding and billing subject matter expert supporting AI and analytics teams by providing clinical, coding, and reimbursement guidance to inform model logic, features, and outcomes.
Serve as a coding and billing subject matter expert supporting AI and analytics teams by providing clinical, coding, and reimbursement guidance to inform model logic, features, and outcomes.
Serve as a coding and billing subject matter expert supporting AI and analytics teams by providing clinical, coding, and reimbursement guidance to inform model logic, features, and outcomes.
Serve as a coding and billing subject matter expert supporting AI and analytics teams by providing clinical, coding, and reimbursement guidance to inform model logic, features, and outcomes.
Partner with data science and analytics teams to validate AI-enabled outputs for clinical accuracy, coding integrity, and reimbursement appropriateness. Support model and selection logic tuning by ...
Partner with data science and analytics teams to validate AI-enabled outputs for clinical accuracy, coding integrity, and reimbursement appropriateness. Support model and selection logic tuning by ...
Manager, Clinical Payment Integrity
Cleveland, OH · On-site
$29 - $38.50/hr
Manages the review and analyses of clinical coding and medical policies and procedures and the impact to claim payments. * Provides leadership and oversight for the Clinical Review & Recovery teams ...
Manager, Clinical Payment Integrity
Cleveland, OH · On-site
$29 - $38.50/hr
Manages the review and analyses of clinical coding and medical policies and procedures and the impact to claim payments. * Provides leadership and oversight for the Clinical Review & Recovery teams ...
Clinical Coding Specialist III- Full Time Days
Coffeyville, KS · On-site
$30 - $40.50/hr
Code diagnoses, treatments, and procedures according to the appropriate classification system for ... Analyze clinical findings to determine appropriate secondary diagnoses for patient severity indices
Clinical Coding Specialist III- Full Time Days
Coffeyville, KS · On-site
$30 - $40.50/hr
Code diagnoses, treatments, and procedures according to the appropriate classification system for ... Analyze clinical findings to determine appropriate secondary diagnoses for patient severity indices
The technical work - annotation at scale, prompt and rule iteration, and label-quality analysis - is carried out using AI-assisted development tools; we will train the right clinical coding expert on ...
The technical work - annotation at scale, prompt and rule iteration, and label-quality analysis - is carried out using AI-assisted development tools; we will train the right clinical coding expert on ...
JOB SUMMARY The Clinical and Coding Quality Supervisor provides direct operational leadership and ... Provide day-to-day supervision of Coding Quality Analysts, including work assignment ...
JOB SUMMARY The Clinical and Coding Quality Supervisor provides direct operational leadership and ... Provide day-to-day supervision of Coding Quality Analysts, including work assignment ...
Responsibilities • Serve as a coding and billing subject matter expert supporting AI and analytics teams by providing clinical, coding, and reimbursement guidance to inform model logic, features ...
Responsibilities • Serve as a coding and billing subject matter expert supporting AI and analytics teams by providing clinical, coding, and reimbursement guidance to inform model logic, features ...
The technical work -- annotation at scale, prompt and rule iteration, and label-quality analysis -- is carried out using AI-assisted development tools; we will train the right clinical coding expert ...
Quick apply
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The technical work -- annotation at scale, prompt and rule iteration, and label-quality analysis -- is carried out using AI-assisted development tools; we will train the right clinical coding expert ...
Apply Early
Outpatient Coding Education Analyst
Olympia, WA · Remote
$107K/yr
... ANALYSTS WORK SCHEDULE * 100% FTE * Mondays - Fridays * 100% Remote POSITION HIGHLIGHTS * Performs ... clinical coding, billing, release, and tracking to management of access, retention, and destruction.
Outpatient Coding Education Analyst
Olympia, WA · Remote
$107K/yr
... ANALYSTS WORK SCHEDULE * 100% FTE * Mondays - Fridays * 100% Remote POSITION HIGHLIGHTS * Performs ... clinical coding, billing, release, and tracking to management of access, retention, and destruction.
Clinical Coding Specialist III- Full Time Days
Fayetteville, NC · On-site
$32 - $43/hr
Code diagnoses, treatments, and procedures according to the appropriate classification system for ... Analyze clinical findings to determine appropriate secondary diagnoses for patient severity indices
Clinical Coding Specialist III- Full Time Days
Fayetteville, NC · On-site
$32 - $43/hr
Code diagnoses, treatments, and procedures according to the appropriate classification system for ... Analyze clinical findings to determine appropriate secondary diagnoses for patient severity indices
Coding Director
Dallas, TX · On-site
$125K - $150K/yr
This individual will serve as a subject matter expert in clinical coding and revenue integrity ... This Director will partner with client stakeholders to analyze current-state workflows, evaluate ...
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Coding Director
Dallas, TX · On-site
$125K - $150K/yr
This individual will serve as a subject matter expert in clinical coding and revenue integrity ... This Director will partner with client stakeholders to analyze current-state workflows, evaluate ...
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Clinical Documentation Improvement Specialist - CCS Certified Coder 2223-OJO
Cape Girardeau, MO · On-site
$33.50 - $45/hr
Experience in coding and reimbursement. Other Skills and/or Knowledge Required: Demonstrated ... Ability to analyze complex clinical scenarios and apply critical thinking. Knowledge of treatment ...
Clinical Documentation Improvement Specialist - CCS Certified Coder 2223-OJO
Cape Girardeau, MO · On-site
$33.50 - $45/hr
Experience in coding and reimbursement. Other Skills and/or Knowledge Required: Demonstrated ... Ability to analyze complex clinical scenarios and apply critical thinking. Knowledge of treatment ...
Outpatient Coding Education Analyst
Olympia, WA · On-site +1
$107K/yr
... ANALYSTS WORK SCHEDULE * 100% FTE * Mondays - Fridays * 100% Remote POSITION HIGHLIGHTS * Performs ... clinical coding, billing, release, and tracking to management of access, retention, and destruction.
Outpatient Coding Education Analyst
Olympia, WA · On-site +1
$107K/yr
... ANALYSTS WORK SCHEDULE * 100% FTE * Mondays - Fridays * 100% Remote POSITION HIGHLIGHTS * Performs ... clinical coding, billing, release, and tracking to management of access, retention, and destruction.
As the IT Healthcare Consultant - Business Analyst - Advanced (Clinical Analyst and Coding Specialist): Specific duties include, but are not limited to: * Initiates annual (and quarterly) updates ...
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As the IT Healthcare Consultant - Business Analyst - Advanced (Clinical Analyst and Coding Specialist): Specific duties include, but are not limited to: * Initiates annual (and quarterly) updates ...
Inpatient Coder - Coding and Documentation
Rockledge, FL · On-site
$19 - $23/hr
Job Requirements POSITION SUMMARY To be fully engaged in providing timely, complete, and accurate code assignment and data collection for quality clinical analysis and revenue enhancement. PRIMARY ...
Inpatient Coder - Coding and Documentation
Rockledge, FL · On-site
$19 - $23/hr
Job Requirements POSITION SUMMARY To be fully engaged in providing timely, complete, and accurate code assignment and data collection for quality clinical analysis and revenue enhancement. PRIMARY ...
Catalyst Clinical Coding Analytics information
See salary details
$5.29 - $9.05
0% of jobs
$9.05 - $12.81
0% of jobs
$12.81 - $16.56
0% of jobs
$16.56 - $20.32
0% of jobs
$20.32 - $24.08
0% of jobs
$25.37 is the 25th percentile. Wages below this are outliers.
$24.08 - $27.84
73% of jobs
$31.13 is the 75th percentile. Wages above this are outliers.
$27.84 - $31.60
2% of jobs
$31.60 - $35.36
8% of jobs
$35.36 - $39.12
8% of jobs
$39.12 - $42.88
4% of jobs
$42.88 - $46.63
4% of jobs
$5
$29
$46
How much do catalyst clinical coding analytics jobs pay per hour?
What is the difference between Catalyst Clinical Coding Analytics vs Clinical Coding Specialist?
| Aspect | Catalyst Clinical Coding Analytics | Clinical Coding Specialist |
|---|---|---|
| Certifications | Typically requires coding certifications (e.g., CPC, CCS) | Requires coding certifications (e.g., CPC, CCS) |
| Work Environment | Data analysis, reporting, and coding review in healthcare settings | Assigns codes to patient records in healthcare facilities |
| Industry Usage | Used in healthcare analytics, revenue cycle management | Used in hospitals, clinics, and healthcare providers |
Both roles require coding certifications and work within healthcare environments, but Catalyst Clinical Coding Analytics focuses on data analysis and reporting, while Clinical Coding Specialists primarily assign codes to patient records. Understanding these differences helps clarify career paths and employer expectations in healthcare coding and analytics.
Clinical Coding Audit Specialist, HIM, Full Time, Days
Miami, FL • On-site
Full-time
Posted 15 days ago
Job description
Clinical Coding Audit Specialist, HIM
Jackson Memorial Hospital, River Landing
Full Time, Days
Summary
The Clinical Coding Audit Specialist, HIM ensures the accuracy, integrity, and regulatory compliance of Diagnosis Related Group (DRG) assignments across the organization. This role oversees the review, analysis, and appeal of DRG downgrades and payer denials, working closely with Clinical Documentation Improvement (CDI), coding, billing, and clinical teams to promote appropriate reimbursement and maintain compliance with regulatory requirements.
Responsibilities
- Perform comprehensive reviews of DRG downgrades and payer denials to validate the accuracy of clinical documentation and final coding.
- Validate DRG assignments in accordance with ICD 10 CM/PCS, CMS guidelines, UHDDS definitions, and organizational policies.
- Prepare detailed findings and recommendations to support appeals when appropriate.
- Track appeals through all levels (first level, second level, external review) and ensure compliance with Medicare regulations, OCE/MCE edits, and LCD/NCD requirements.
- Provide coding expertise and documentation clarification to support appeal letters and reconsideration requests.
- Conduct routine and targeted internal audits of inpatient coding and DRG assignments to ensure compliance with regulatory and payer requirements.
- Identify patterns of coding errors, documentation gaps, or compliance risks and escalate findings as needed.
- Maintain audit logs, tracking outcomes, trends, and opportunities for improvement.
- Participate in root cause analysis to reduce future denials and strengthen compliance.
- Collaborate with CDI and coding teams to analyze DRG related denials and develop prevention strategies.
- Partner with Coding and CDI teams to provide feedback, education, and clarification on DRG related issues.
- Assist in developing training materials, job aids, and best practice guidelines.
- Communicate audit results and compliance updates to leadership and operational teams.
- Analyze complex data, identify trends, and prepare reports for executive leadership.
- Maintain strong working knowledge of departmental technology solutions, recommend enhancements, and ensure optimal system performance.
- Apply independent judgment in evaluating audit findings, appeal opportunities, and compliance risks.
- Performs all other related job duties as assigned.
Experience
- Generally requires 5 to 7 years of related experience.
Education
- Associate's degree in related field is required. Foreign Physician is preferred.
Skill
- Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines.
- Ability to communicate effectively in both oral and written form.
- Ability to handle difficult and stressful situations with critical thinking and professional composure.
- Ability to understand and follow instructions. Ability to exercise sound and independent judgment.
- Knowledge and skill in use of job appropriate technology and software applications.
Credentials
Certification from AHIMA (e.g., RHIA, RHIT, CCS, CDIP, or CDEI), or AAPC (e.g., CPC, CIC, or COC), or ACDIS (e.g., CCDS) is required. Valid Florida RN license is preferred.
Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law