- 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)
- The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not ... 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 ... + 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 or equivalent combination of… 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
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: The Medical Coder II reviews codes for accuracy in accordance with coding rules and policies (eg ICD-10, CPT-4, HCPCS, DRG). This position is ... reviews and follows up on insurance coding denials for resolution . **JOB DUTIES AND RESPONSIBILITIES:** + Uses knowledge of...related field preferred. + 1 year of experience as Medical Coder required or equivalent combination of… more
- HCA Healthcare (Las Vegas, NV)
- …purpose and integrity. We care like family! Jump-start your career as an Outpatient Coder today with Work from Home. **Benefits** Work from Home, offers a total ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...by location._** Come join our team as an Outpatient Coder . We care for our community! Just last year,… 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
- HCA Healthcare (Nashville, TN)
- …purpose and integrity. We care like family! Jump-start your career as an Inpatient Coder today with Work from Home. **Benefits** Work from Home, offers a total ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...by location._** Come join our team as an Inpatient Coder . We care for our community! Just last year,… 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
- RWJBarnabas Health (Oceanport, NJ)
- Quality Officer IReq #:0000138249 Category: Coder Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department:HIM - Coding South Location: ... critical thinking and a skill set above what is expected as a coder . Quality Officers must also sustain an excellent organizational average accuracy rate. Adherence… more
- Fairview Health Services (St. Paul, MN)
- …every two weeks. Are you interested in benefits (http://fairview.org/benefits) ? We offer medical , dental, and vision coverage along with PTO and 403B! Join M Health ... by identifying ways to fully resolve accounts through single-touch resolution when possible. + Understands revenue cycle and the...provide all information for payers to process and pay claims quickly and accurately. + Resolve credit balances and… more
- CareFirst (Columbia, MD)
- …may include performance of audits of financial business records, provider and subscriber medical data, claims , systems? reports, medical records, analysis of ... detailed offsite audits/investigations with interviews when appropriate. Researching provider/subscriber claims activity, operations manuals, data systems, medical … more
- Planned Parenthood of Central and Western NY (Buffalo, NY)
- …preferably in a business, public health, or related field + Certified Professional Coder or Certified Professional Medical Auditor desired + Notary Public ... training, and enforcement of internal procedures and controls, and problem resolution . + Works collaboratively with Revenue Cycle Leadership to create policies… more