- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible for researching...within 18 months of hire, unless existing Certified Professional Coder (CPC) is held. + Experience with paper and… more
- Ellis Medicine (Schenectady, NY)
- Basic Function: The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This ... practice providers to optimize accurate documentation and coding. Additionally, all Medical Coder will participate in regularly scheduled cross-functional… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: The Medical Coder III functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and ... 2. Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides...related field preferred. + 2 years of experience as Medical Coder required + Additional coding experience… more
- University of Miami (Miami, FL)
- …The University of Miami/UHealth has an exciting opportunity for a full time Professional Coder 2 in the Pathology Department. SUMMARY The Professional Coder 2 ... and other specialties that are predominantly invasive codes for medical specialties including Ancillary, Non-Surgical, and Surgical services. The Professional… more
- Trinity Health (Livonia, MI)
- …and Reporting + The American Hospital Association (AHA) Coding Clinic + The American Medical Association (AMA) for CPT codes and CPT Assistant + The American Health ... queues, systems to assign ER and Observation charges and hours, based on medical record documentation, if performed by HIM at a Health Ministry. Demonstrates… more
- HCA Healthcare (Nashville, TN)
- …work environment where diversity and inclusion thrive? Submit your application for our Outpatient Coder opening with Work from Home today and find out what it truly ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...may vary by location._** We are seeking an Outpatient Coder for our team to ensure that we continue… more
- Billings Clinic (Billings, MT)
- …package to all full-time employees (minimum of 24 hours/week), including Medical , Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution ... starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! HIM Specialty Coder II FINANCE (Billings Clinic Main Campus) req8604 Shift:… more
- Trinity Health (Livonia, MI)
- …established by Revenue Excellence/HM. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation ... Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial and appeals issues affecting reimbursement. Maintains CEUs as appropriate… more
- Trinity Health (Livonia, MI)
- …by Revenue Excellence/HM. 7. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists ... Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial, and appeals issues affecting reimbursement. 10. Maintains CEUs as… more
- Catholic Health Initiatives (Omaha, NE)
- …requirements. The incumbent conducts follow-up process activities through review of medical records and contact with providers, phone calls, online processing, fax ... thinking skills to analyze denials and reimbursement methodologies to bring timely resolution to issues that have a potential impact on revenues. In addition,… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor...Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for… more
- CenterLight Health System (Flushing, NY)
- …for provider education and/or system (re)configuration. Initiates and follows through with resolution of all pended claims , (re)pricing, returned or refund ... JOB PURPOSE: The Claims Specialist will support department operations related to...on any claim related matters + Analyzes patient and medical information to identify COB, Worker's Compensation, No-Fault, and… more
- St. Luke's University Health Network (Allentown, PA)
- …pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution ... provider documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim review process. JOB DUTIES… more
- Priority Health Care (Marrero, LA)
- …Responsibilities include following up on claim status, billing and re-billing of claims , credit balance resolution , denial management, following up on aging ... and/or non-adjudicated claims and billing issues due to coverage issues, medical record requests, and authorizations. + Recommend accounts to be written off on… more
- WellSpan Health (York, PA)
- …preferred). + Working knowledge of medical terms to help interpret edit resolution , claims remittance advice, medical record documentation and payer ... claim status, payment and to resolve claim discrepancies.- Submits itemized bills, medical records, and corrected claims as needed.- Reviews remittance advice… more
- HCA Healthcare (Nashville, TN)
- …scrubbing/edits, vendor edit challenges/disputes and post bill processes for efficient claims resolution , including effective appeals for select inventory. This ... and improve the quality of physician documentation within the body of the medical record to support code assignments. The Education Consultant, in collaboration with… more
- Mount Sinai Health System (New York, NY)
- …Manages the post-payment review process. Demonstrates proficiency in analysis and problem resolution , ensuring accurate and timely payment of claims and ... combination of education and specific experience. + Certified Procedural Coder with active credentials. + 5 years experience in... with active credentials. + 5 years experience in medical billing or health claims , with experience… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and customer service policies, procedures and systems. . Strong knowledge of claims adjudication, medical terminology, medical /hospital procedure and ... internal systems, determines eligibility, benefits, and prior activity related to the claims payment or service denial issues related to appeal requests. Completes… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- Medical Billing & Coding Specialist Department: Community Health & Research Center Location: Dearborn, MI START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=2402723&source=2402723-CJB-0) Job Title: Medical Billing and Coding Specialist Job Status: Full-time Job… more
- Highmark Health (Columbus, OH)
- …cases of the change or problems and takes appropriate steps to effect resolution . (10%) + Reviews and interprets medical information, classifies that information ... factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff… more