- University Medical Center of El Paso (El Paso, TX)
- …for planning, organizing, managing and controlling the daily operations of the Medical Records Coding Associates- Inpatient and Outpatient. Ensures hospital's ... in a secure and confidential manner. Analyzes code assignment for correct coding to achieve optimal and timely reimbursement. Performs duties within approved… more
- Merck & Co. (Rahway, NJ)
- …revenue and productivity, thereby advancing our company's contribution to global medical innovation.Enterprise IT (EIT) is an essential component of the current ... team in delivering high-quality and efficient solutions.Define and enforce coding standards, development methodologies, and quality assurance processes.Drive innovation… more
- MultiPlan (Atlanta, GA)
- …technology, data, and innovation voice in healthcare. Onward and Upward The Senior Medical Coding Specialist provides analysis of the highest dollar and most ... complex claims by applying research, coding standards, industry knowledge and federal regulations to ensure...as well as to monitor bills for accuracy and compliance . JOB ROLES AND RESPONSIBILITIES: Review and analyze complex… more
- Careerbuilder-US (Hulmeville, PA)
- …organized, and detail-driven. The ideal candidate will have 1-2 years of experience in medical billing and coding . If you have experience or education in ... medical billing and coding , we'd love to meet you. Shift: 8:00am -...on the latest billing regulations and procedures to ensure compliance . Collaborate with other departments to streamline the billing… more
- Careers Integrated Resources Inc (Atlanta, GA)
- …HCC abstraction. Review medical records for completeness, accuracy and compliance with applicable coding guidelines and regulations. Maintains department ... from the American Health Information Management (AHIMA) Requires 5+ years of Medical Coding experience Requires a minimum of 5+ years' experience in Health… more
- Northeast Georgia Health System, Inc (GA)
- …outpatient procedure codes (ED Only).Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical ... the employee has demonstrated an advanced knowledge of ICD-10 CM-PCS and CPT coding guidelines and is fully competent to independently code the most complex… more
- Pacer Staffing (Atlanta, GA)
- Job Summary: Conducts retrospective medical claim reviews and adjudication for coding determinations. Provides coding -related information to medical ... determination letters, and supports both non-clinical and clinical staff on coding and retrospective medical claims review processes. Key Responsibilities:… more
- Careers Integrated Resources Inc (Atlanta, GA)
- …HCC abstraction. Review medical records for completeness, accuracy and compliance with applicable coding guidelines and regulations. Identify, compile and ... American Health Information Management (AHIMA) Requires 2 - 5 years of Medical Coding experience Requires a minimum of 2 years' experience in Health… more
- GHR Healthcare (Atlanta, GA)
- … coding changes and clarifications to ancillary departments and Medical Staff members. Physician Queries: Accurately complete physician queries following AHIMA ... Remote Inpatient Opportunity: Join Our Team as a Medical Coder! Summary: The Medical Coder...and uphold Southeast Georgia Health System's commitment to safety, compliance with regulatory requirements, and service excellence. Pay Rate:… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …and Unique Knowledge, Skills and AbilitiesAbility to research complex coding , reimbursement and regulatory requirementsKnowledge of clinical settings such as ... Cost Reporting and BudgetExtensive knowledge of CPT/HCPCS, UB-92 Revenue Coding , modifiers, billing regulations, DRGs and APCsUnderstanding of Graduate … more
- MultiPlan (Atlanta, GA)
- …mining and coordination of benefits techniques to client paid claims data.3. Evaluate medical claims for coding and pricing errors using accurate HCPCS, ICD-10, ... people come to shine! JOB SUMMARY: This role reviews medical paid claims against provider contracts and policies to...meet both individual and team goals. 6. Utilize official coding guidelines and resources as required, including CMS directives… more
- The Staff Pad (Helena, MT)
- …they relate to revenue capture. Lastly, this position supports the corporate compliance program by verifying adherence to charge posting policies and procedures by ... ensuring that the charge master is in compliance with all applicable regulatory guidelines. This position oversees staff members as part of the revenue integrity… more
- Pacer Staffing (Atlanta, GA)
- …and medical management systems. Familiarity with InterQual ISD(R) criteria and medical coding . Problem Solving: Ability to analyze issues systematically and ... individualized care plans, and monitoring outcomes. The Case Manager ensures compliance with HIPAA regulations, URAC standards, and TRICARE policies while advocating… more
- American Honda Motor Co Inc (Raymond, OH)
- …Senior Engineer I Career Level, the Engineer is capable of leading software coding design and verification testing of in-vehicle digital services as well as ... software units which meet AUTOSAR Adaptive requirements and all other software coding guidelines. Expected to lead other engineers on highly complex design… more
- Pacer Staffing (Atlanta, GA)
- …standards. Coordinates Policy Key development and revision; manages ongoing research and coding for the Referral and Authorization Decision Support (RADS) tool; and ... criteria resources to support development of Policy Keys, clinical guidelines and coding for the RADS tool. Participates with Contract Modification meetings and… more
- University Medical Center of El Paso (El Paso, TX)
- …continuity of care and overall patient safety while meeting regulatory compliance requirements. Minimum Job Requirements: Work Experience: Three years of direct ... Texas Registered Nurse license required. CCDS or CDIP certification preferred. Coding certification (CCS, CIC, or CPC) preferred. Education and Training: Bachelor's… more
- Pacer Staffing (Atlanta, GA)
- …standards. Coordinates Policy Key development and revision; manages ongoing research and coding for the Referral and Authorization Decision Support (RADS) tool; and ... Management experience . Proficient at in-depth analysis of clinical policy and medical records for appropriateness of care and/or level of care criteriarequired… more
- Cambia Health Solutions, Inc (Portland, OR)
- …of coding . Applies resources, including but not limited to, internal medical and reimbursement policies and correct coding guidelines based on national ... and other healthcare practices.Competency to apply clinical expertise to ensure compliance with medical policies and/or reimbursement policies.Ability to read… more
- Credit Acceptance Corporation (Atlanta, GA)
- …location.Take steps to ensure that the Company initiates collection lawsuits in compliance with the law and Company policies and procedures.Monitor performance of ... communicate with collection law firms regarding their performance, including compliance with their contract and applicable laws.Perform audits of collection… more
- Blanchard Valley Health System (Findlay, OH)
- …with other physicians and nurses to implement professional care. Completes billing/ coding /precertification and other duties as assigned. Works with the office staff ... all duties and responsibilities as office nurse. Blanchard Valley Medical Practices is a division of Blanchard Valley Health...with patients and families to promote education, care plan compliance and improve health of patient. Duty 5: Performs… more
