- Commonwealth Care Alliance (Boston, MA)
- …public health care programs and reimbursement methodologies (Medicaid and Medicare) * Medical Coding , Compliance, Payment Integrity and Analytics * Direct and ... Medical Association (AMA) guidelines, etc.) * Advanced experience of medical terminology and medical coding (CPT, HCPCS, Modifiers) along with the… more
- Chapa-De (Auburn, CA)
- …field, we are seeking a motivated person to join a growing organization and support the medical side of coding ! The Coder/ Analyst must have the ability to ... perform ICD-10 and CPT coding per guidelines using EMR systems and assure documentation...once training is complete) Benefit Highlights: + Health Insurance ( medical , dental and vision). + 10 days PTO per… 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 ... facilities, and providers + Identify and research provider diagnostic coding issues, medical record review, documentation standards...This posting is for multiple openings for an Associate Coding Analyst + This position is affiliated… more
- St. Luke's University Health Network (Allentown, PA)
- …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 submission and ... ASCs across the network. Utilizes provider documentation and queries, coding software tools and Insurance carrier medical ...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- Texas Health Resources (Arlington, TX)
- **Education & Quality Coding Analyst ** _Are you looking for a rewarding career with an award-winning company? We're looking for a qualified_ **Education & ... Quality Coding Analyst ** _like you to join our...(Preferred). **What you will do** . Performs audits of medical records and validates assignment of diagnosis and procedure… more
- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a Revenue Integrity Clinical Coding Analyst RN? At Parallon, you come first. HCA Healthcare has committed up ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...We are looking for a dedicated Revenue Integrity Clinical Coding Analyst RN like you to be… more
- Corewell Health (Southfield, MI)
- …, and Coding Audit; Inpatient, Outpatient, Emergency and Professional Coding Performs quality and compliance audits. Reviews medical record documentation ... of duties which can include: serves as an expert coding resource for HIM Management, service line coders, office...line coders, office staff and physicians. (Facility and Professional coding ), review of denials and rejections including HIM work… more
- Healthfirst (MD)
- …current payment policy configuration to resolve the provider payment discrepancies + Reviews medical records to ensure coding is consistent with the services ... Healthfirst product lines + Participate in special projects and advanced Claims Coding activities + Proactively identifies areas of opportunity with respect to new… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for all components of diagnostic and procedural coding review for complex pre and post-surgical procedures. Negotiates reimbursement ... with third party carrier Medical Directors and insurance representatives. Manages the post-payment review...of claims and collection. Provides education and guidance on coding and claims management to billing and other FPA… more
- Sierra Nevada Corporation (Sparks, NV)
- We are seeking a skilled and detail-oriented Cybersecurity Analyst to join our team. The primary responsibility of this role is to review code for security ... issues. The ideal candidate will possess a strong understanding of secure coding practices and have experience in identifying and mitigating security risks within… more
- Healthfirst (VA)
- …policy configuration in order to resolve the providers payment discrepancy. + Reviews medical records to ensure coding is consistent with the services billed ... all areas of the company with regards to claims editing and proper coding , billing, and payment. + Researches and provides feedback on claims editing performance… more
- Geisinger (Danville, PA)
- …of billed services, authorizations, plan benefit documents, itemized statements, medical records, discharge summaries and detailed data reports. Makes reimbursement ... or recovery recommendations based on appropriate coding , billed statistics, policies, industry standards and compliance with contractual, state, and federal… more
- Hartford HealthCare (Farmington, CT)
- …and financial analysis skills. * Demonstrated knowledge of revenue cycle processes, medical terminology and related coding and charge capture processes. * ... **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Revenue Integrity Analyst / Revenue Cycle Cmdr Coding * **Location:**… more
- Rush University Medical Center (Chicago, IL)
- …* Able to learn and apply technical knowledge in the areas of clinical research, medical coding and revenue cycle in a consultative manner. * Excellent verbal ... guidance and their effect on research billing processes. The analyst will provide high-level professional support in the growing...within the CTMs and conduct financial activities within the medical billing and coding software (ie OnCore,… more
- Rush University Medical Center (Chicago, IL)
- …* Able to learn and apply technical knowledge in the areas of clinical research, medical coding and revenue cycle in a consultative manner. * Excellent verbal ... guidance and their effect on research billing processes. The analyst will provide high-level professional support in the growing...within one year of hire with experience in research medical billing and coding . Certifications may include… more
- University of Colorado (Aurora, CO)
- **Qualitative Analyst Research Services Professional Intermediate/Senior** **Description** **University of Colorado Anschutz Medical Campus** **Department: Adult ... for Outcomes Research and Delivery Science** **Working Title: Qualitative Analyst - Research Services Professional Intermediate/Senior** **Position #:00828530 -… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …the Patient Financial Services Director, the Nurse Auditor/ Revenue Integrity/ CDM Analyst is responsible for performing audits of itemized charges versus the ... patient medical record and other applicable hospital documentation, assigning modifiers...codes and modifiers. The Nurse Auditor/ Revenue Integrity/ CDM Analyst works directly with revenue producing departments regarding lost… more
- Covenant Health Inc. (Knoxville, TN)
- …with correct coding initiatives. Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting. Assists ... medical record to determine ICD-10 CM and CPT-4 coding that is needed to comply with billing and...American Health Information Management Association. Apply/Share Job Title CODER ANALYST SPEC-CLNIC ID 4140629 Facility Covenant Medical … more
- The Cigna Group (Houston, TX)
- …internal and external audit departments regarding compliance, coding , and inappropriate coding . + Provides second level medical record review of external ... and CPT coding principles and guidelines. + Excellent understanding of medical terminology, disease process, anatomy, and physiology. + Working Knowledge of CMS… more
- CODAMETRIX (Boston, MA)
- …customer-facing team that implements and supports software applications that improve the medical coding , registration and billing efficiency at customer sites. ... AI-platform that translates clinical information into accurate sets of medical codes. CodaMetrix's autonomous coding supports improved...The Implementation Analyst reports up through the Professional Services team. As… more