- Dignity Health (Phoenix, AZ)
- …and adheres to all Dignity Health coding policies and procedures. You MUST be a Certified Professional Coder CPC or CBCS to be considered for this position** ... and procedures, as well as laws and regulations affecting payment compliance, denials and appeals recovery . Proficient...MS Office applications, including MS Excel and MS Access. ** Certified Professional Coder CPC or CBCS** **PREFERRED**… more
- Banner Health (AZ)
- …field of study with equivalent working knowledge in the field of healthcare. Certified professional coder (CPC or equivalent). Seven years medical billing and/or ... remote and hybrid work settings. As a Director, Claims Recovery Unit, you will lead a small team and...payments, and work with vendors to remediate and correct payment discrepancies to ensure plan fiscal responsibility. You will… more
- Highmark Health (Dover, DE)
- …+ None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) ... waste and abuse case, conducting the initial investigations and coordinating the recovery /savings of money related to fraud, waste and abuse. The incumbent must… 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 (Columbus, OH)
- …a medical review to facilitate a referral to law enforcement or for payment recovery . **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding ... Association** Licensed registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's… more
- Whitney Young Health Center (Albany, 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
- CVS Health (Austin, TX)
- …legal proceedings, arbitrations, depositions, etc. **Preferred Qualifications** + AHFI, CFE, Certified Professional Coder + Strong analytical and research skills ... regulation. **What you will do:** + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines...and external, in the required timeframe + Facilitates the recovery of company and customer money lost as a… more
- CVS Health (Tallahassee, FL)
- …for business purposes. **Preferred Qualifications** + Preferred Location: FLORIDA + Certified Professional Coder (CPC), AHFI, CFE + Bilingual English/Spanish ... fraud, waste and abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's,...within the timeframes required by Law. + Facilitates the recovery of company and customer money lost as a… more