- Seattle Children's (Seattle, WA)
- … coding accuracy opportunities for providers. Serve as a subject matter expert on professional coding and payment methodologies as it relates to coded ... to educating billing providers ie, physicians, PhDs & APPs on complete and accurate professional coding and coding -related processes, in collaboration with … more
- Stanford Health Care (Palo Alto, CA)
- …lead to appropriate execution of regulatory requirements and guidelines related to professional or facility and documentation, charging, coding and billing, ... requested. + Collaborates with RI CDM to optimize the integrity of the Chargemaster + Applies consistent and standardized...to medical records + Knowledge of ICD-10-CM & CPT coding conventions to code medical record entries; abstract information… more
- Lyric (Newtown Square, PA)
- …(AHIMA) Certified Coding Specialist-Physician (CCS-P) + Working knowledge of pre- payment editing and payment integrity + Extensive demonstrated ... to be recognized as 2025 Best in KLAS for Pre- Payment Accuracy and Integrity and is HI-TRUST...combine their deep knowledge of CPT, HCPCS, and ICD10CM coding guidelines with strong leadership skills to guide their… more
- National Health Care Associates (Poughkeepsie, NY)
- …reimbursement for services provided. You will ensure the highest level of revenue integrity and compliance to all state and federal regulations for MDS completion ... and coding conventions. **Key Responsibilities:** + Lead and oversee the...compliance and accuracy in assessments + Determine Patient Driven Payment Method (PDPM) and expense associated with a potential… more
- Lamar Advertising Company (Apple Valley, MN)
- …30 day training program + Career advancement opportunities + Ongoing professional development and internal leadership programs to maximize your career potential ... asked to complete an 8-15 minute personality assessment. This assessment compares your professional soft skills to the skills required for success in this role.… more
- National Health Care Associates (Plantsville, CT)
- …reimbursement for services provided. **Key Responsibilities:** + Determine Patient Driven Payment Method (PDPM) and expense associated with a potential admission + ... changes that may affect reimbursement + Ensure the highest level of revenue integrity and compliance to all state and federal regulations for MDS completion and… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management ... of situations or data requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit… more
- LA Care Health Plan (Los Angeles, CA)
- …and individual provider coding practices. Responsible for training and mentoring Payment Integrity Nurse Coder, RN staff. Supports the creation and execution ... Payment Integrity Nurse Coder RN III...coding elements. Audits can include inpatient, outpatient, and professional claims. Serves cross functionally with Utilization Management, Medical… more
- Martin's Point Health Care (Portland, ME)
- …as a "Great Place to Work" since 2015. Position Summary The Manager of Payment Integrity is responsible for developing, implementing, and managing programs and ... manager partners closely with internal teams and external PI vendors to optimize payment integrity outcomes, compliance, regulatory impact, and cost savings. Job… more
- CommonSpirit Health (Prescott Valley, AZ)
- …and Responsibilities** The Coding Analyst & Education Specialist position champions coding accuracy and integrity across our facilities and provider teams. ... patient, medical record, department, and employee confidentiality at all times. Accurate Coding and Data Integrity : Accurately assigns and sequences CPT,… more
- Highmark Health (Little Rock, AR)
- …consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in ... The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment...coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the… more
- Elevance Health (Chicago, IL)
- **DRG Coding Auditor Principal** **_Virtual: _** _ _ This...an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of ... the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary… more
- Elevance Health (Ashburn, VA)
- **Be Part of an Extraordinary Team** Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly ... Payment Integrity , is determined to recover, eliminate...the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _… more
- Rush University Medical Center (Chicago, IL)
- …for conducting reviews of EMR documentation of patient encounters to ensure coding accuracy and documentation adequacy. The professional will work ... **Other information:** **Required Job Qualifications:** * Bachelor's Degree * Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based… more
- Queen's Health System (Honolulu, HI)
- RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: * Follows-up on payment with insurance payers and patients on outstanding accounts. * Expedites larger dollar ... accounts to ensure prompt payment . Monitors to ensure all insurance are billed in...field and/or completion of a healthcare administration billing and coding program may be substituted for one (1) year… more
- Stanford Health Care (Palo Alto, CA)
- … Coding Initiative (NCCI) and payer specific edits related to hospital and professional coding . The Single Path Coder processes codes for surgical encounters ... Coding Specialist II serves as a subject matter expert in hospital and professional coding , and interacts with other teams and departments across the… more
- University of Southern California (Alhambra, CA)
- …Coding Clinic, and CPT Assistant to maintain knowledge of the principles of coding . * Keep up-to-date and reviews other professional journals and newsletters ... In accordance with current federal & state coding compliance regulations and guidelines, the HIM ...rejection to honor Keck Medicine of USC request for payment for both IP & OP healthcare services provided… more
- HCA Healthcare (Ocala, FL)
- …accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and/or cash ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
- Stony Brook University (Commack, NY)
- Coding Educator **Position Summary** At Stony Brook Medicine, **the Coding Education professional ** will develop and provide educational programs as they ... Integrity (CDI) staff on a brief History of Coding . + Provide education to the CDI staff on...education to the CDI staff on the Inpatient Prospective Payment System. + Provide education to the CDI staff… more
- Ellis Medicine (Schenectady, NY)
- The Supervisor, Medical Coding - Outpatient is responsible for the oversight and development of the office coding department. This includes mentorship and direct ... management of the outpatient medical coding team. The Supervisor of Medical Coding ...EDUCATION AND EXPERIENCE REQUIREMENTS: + Bachelors Degree + Certified Professional Coder (CPC) + Knowledge of Anatomy and Physiology,… more
