- CareFirst (Baltimore, MD)
- …data, enrollment data, medical policies, claim payment policies for payment integrity concepts for recovery opportunities. Performs analysis of business ... or equivalent work experience required. **Licenses/Certifications Upon Hire Required:** + Certified Professional Coder . **Experience:** 3 years year's relevant… more
- Houston Methodist (Houston, TX)
- …receivable follow up experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + CPC - Certified Professional Coder (AAPC) **OR** + CCS - Certified ... data, payer medical policies, etc.), determines the causes for denials of payment and partners with management to implement strategies to prevent future denials.… more
- Molina Healthcare (Owensboro, KY)
- …a medical review to facilitate a referral to law enforcement or for payment recovery . **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding ... Microsoft Excel (edit/save spreadsheets, sort/filter) **Required License, Certification, Association** Certified Coder (CPC, CCS, and/or CPMA) **Preferred… more
- Whitney Young Health Center (Watervliet, NY)
- …MINIMUM QUALIFICATIONS: High School diploma/GED required. Certification from the AAPC as a Certified Professional Claims Coder required or obtained within 1 year ... addition to category II coding for our value base payment arrangements. SPECIFIC RESPONSIBILITIES: + Acts as the primary...the risk of fraud and abuse, and optimize revenue recovery . + Assists in training of Patient Account staff… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …Applicant is required to become a certified Healthcare Access Associate (CHAA), Certified Professional Coder (CPC), or other HFMA, NAHAM or AAHAM recognized ... of accounts by communicating financial responsibility through estimates, setting up payment plans, and/or providing referrals to financial counselors + Manage… more