- Commonwealth Care Alliance (Boston, MA)
- …Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims ... health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance , Payment Integrity and Analytics + Direct and relevant… more
- LifePoint Health (Denver, CO)
- …ICD-10 and HCPC quality reviews as well as other projects related to physician coding compliance . Demonstrates a thorough understanding of complex coding , ... your next opportunity. We are currently seeking a Quality Analyst - Coding . The Quality Analyst...and other staff on a regular basis. * Ensure compliance with all relevant regulations, standards, and laws. *Qualifications… more
- Providence (Everett, WA)
- **Description** The Coding Analyst is responsible for detailed diagnostic coding associated with Risk Adjustment and HCC coding . This impacts revenue and ... impacts operations, programmatic and information systems, as well as contracted providers. Coding analyst will have a comprehensive understanding of ICD-9,… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Coding Analyst Technology Lead? At Parallon, you come first. HCA Healthcare has ... lives and you have the opportunity to make a difference. We are looking for a dedicated Coding Analyst Technology Lead like you to be a part of our team. **Job… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... JOB DUTIES AND RESPONSIBILITIES: + Maintain current knowledge of coding , compliance , and documentation guidelines + Resolve...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- Providence (Beaverton, OR)
- …best people, we must empower them._** **Providence Health Plan is calling an Associate Coding Analyst who will:** + Be responsible for detailed diagnostic ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 5018 HCS CODING COMPLIANCE OR REGION **Address:** OR Beaverton 3601 SW Murray Blvd… more
- Rush University Medical Center (Chicago, IL)
- …and training to clinicians and revenue cycle employees for charge capture functionality, coding , and EHR documentation. The Senior Business Analyst will work ... veteran status, and other legally protected characteristics.** **Position** Sr Business Analyst - Revenue Cycle and Coding **Location** US:IL:Chicago **Req… more
- Healthfirst (NJ)
- …accepted payment policy requires + Collaborates with other departments to improve compliance with coding conventions and clinical practice guidelines + Leads ... Healthfirst product lines + Participate in special projects and advanced Claims Coding activities + Proactively identifies areas of opportunity with respect to new… more
- Essentia Health (Fargo, ND)
- **Job Description** **Job Description:** Will conduct documentation and coding reviews to ensure compliance with published coding standards, federal and ... ICD-10-CM, HCPCS, CPT and Evaluation and Management codes to determine overall coding accuracy and identify documentation and educational gaps. This position is also… more
- Dayton Children's Hospital (Dayton, OH)
- …return of Dayton Children's professional billing claims for reimbursement. Ensures billing compliance ; maintains knowledge of CPT and ICD-10 coding guidelines, ... as well as Medicare/Medicaid billing rules and regulations. Serves as a professional coding resource to providers and staff. The professional fee coder works a… more
- Elevance Health (Woodbridge, NJ)
- …**Shift:** Monday- Friday 8am-5pm PST **Responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and ... compliance .** **Primary duties may include, but are not limited...and reviews medical documentation for appropriate ICD-10 and CPT coding and documentation. + Queries physicians when code assignments… more
- Penn Medicine (Bala Cynwyd, PA)
- …shape our future each day. Are you living your life's work? **Senior Hospital Compliance Analyst ** Job Summary: + Responsible for the performance and validation ... correct coding methodology and revenue risk/opportunities. + Assure government compliance by advising faculty, providers, coders and other appropriate staff of… more
- Penn Medicine (Bala Cynwyd, PA)
- …employees shape our future each day. Are you living your life's work? **Hospital Compliance Analyst II** Job Summary: + Responsible for the performance and ... at all hospitals owned by Penn Medicine to assure compliance with applicable federal and state coding ...that Penn Medicine receives appropriate reimbursement. + Assists Senior Analyst (s) and Director in research and development of annual… more
- BlackRock (Wilmington, DE)
- …asset manager? Look no further! BlackRock is currently seeking an **Investment Guidelines Compliance Analyst ** to become a member of our team. We recognize ... of Legal & Compliance + Crafting new system rules, improving existing compliance coding , and investigating or trouble shooting potential errors when needed +… more
- UNC Health Care (Morrisville, NC)
- … Program requirements. Must be able to understand, demonstrate, and teach professional compliance , billing and coding compliance to others. Ability to ... or group feedback. Performs billing audits and ensures correct coding and billing compliance . Documents audit work and findings in accordance with department… more
- Dorman (Colmar, PA)
- Trade Compliance Analyst Apply now " Date: Sep 19, 2024 Location: Colmar, PA, US, 18915 Company: Dorman Products Dorman was founded on the belief that people ... fundamental to working at Dorman. Job Summary The Trade Compliance Analyst is responsible for providing overall...to facilitate customs clearances. + Refund and Bill Tracking, Coding , Logging. + Monthly duty allocation and accrual reporting… more
- SUNY Upstate Medical University (Syracuse, NY)
- …trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding , and billing guidelines. ... Job Summary: Position Summary: Under the direction of the Compliance Officer the main duties for this position include:...main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or… more
- Alaka'ina Foundation Family of Companies (Washington, DC)
- Software Compliance Analyst Location DC - Washington Job Code 12221 # of openings 1 Apply Now ... The Alaka`ina Foundation Family of Companies (FOCs) is looking for a Software Compliance Analyst to support our government customer located in Washington, DC.… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …supports billed codes by applying appropriate CPT and ICD-10 CM coding and governmental guidelines. + Formulates recommendations based upon the findings ... + Five years of experience in CPT and ICD-10 CM coding . + Certified as a coding specialist (CCS), coding specialist physician (CCSP), procedural coder… more
- T. Rowe Price (Baltimore, MD)
- …available data elements to determine how restrictions can be captured in the compliance systems + Provides creative coding solutions and alternatives to capture ... opportunity to join us and grow your career with us. Role Summary Investment Compliance is a global function responsible for ensuring compliance with regulatory,… more