• Kaiser Permanente (Portland, OR)
    …Certified Coding Associate OR Certified Professional Medical Auditor OR Certified Coding Specialist OR Certified Coding Specialist ... or anesthesia. Working knowledge of the KPHC/EpicCare system. COMPANY: KAISER TITLE: Certified Coding Auditor II (Must reside in KPNW region) LOCATION:… more
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  • Trinity Health (Livonia, MI)
    …preferred. Must have one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist , Certified Professional Coder thru ... Employment Type: Full time Shift: Description: CERTIFIED RISK ADJUSTMENT CODING SPECIALIST...processing. Duties also include abstracting and validating data from medical records and providing education on documentation to support… more
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  • Fairview Health Services (St. Paul, MN)
    …Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) Outpatient or Professional ... Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) or Certified … more
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  • Elevance Health (Mason, OH)
    …Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Certified Coding Specialist , CIC as a Certified ... formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The DRG Coding Auditor Principal is responsible… more
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  • Highmark Health (Harrisburg, PA)
    …AHIMA Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) AAPC Credentials ... GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
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  • Elevance Health (St. Louis, MO)
    …and/or RHIT certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified ... formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The DRG CODING AUDITOR is responsible for… more
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  • Molina Healthcare (Phoenix, AZ)
    …to present those findings. Preferred License, Certification, Association AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred Certified ... JOB DESCRIPTION Job Summary The SIU Coding Investigator is responsible for investigating and resolving...and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip,… more
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  • BayCare Health System (Raleigh, NC)
    …This position requires 3 years' Inpatient Coding experience and a Certified Coding Specialist (CCS) certification. The Advanced Inpatient Coders ... health care throughout the communities we serve. Certifications and Licensures Required: Certified Coding Specialist (CCS) Preferred: RHIT (Health… more
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  • Datavant (St. Paul, MN)
    …in Interventional Radiology and HCC is a plus. You Will: Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... experiences to realize our bold vision for healthcare. As an ProFee Audit Specialist you will be instrumental in addressing consulting and educational needs related… more
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  • Commonwealth Care Alliance (Boston, MA)
    …public health care programs and reimbursement methodologies (Medicaid and Medicare) Medical Coding , Compliance, Payment Integrity and Analytics Direct and ... Professional Coder (CPC) Certified Inpatient Coder (CIC) Certified Professional Medical Auditor (CPMA) Desired Education...Medical Association (AMA) guidelines, etc.) Advanced experience of medical terminology and medical coding … more
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  • UPMC (Pittsburgh, PA)
    …personnel in a professional and diplomatic manner required. Licensure, Certifications, and Clearances: Certified Coding Specialist (CCS) OR Certified ... UPMC Corporate Revenue Cycle is hiring a Clinical Documentation Specialist to join our coding team. This...DRG selection; OR specific knowledge as a consultant in Medical Record coding and DRG assignment required.… more
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  • Saint Francis Health System (Tulsa, OK)
    …Minimum Education: High School Diploma or GED. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) by AHIMA. Work Experience: ... department; limited benefit offerings. Variable Job Summary: The Coder III Specialist codes ER, Outpatient, Outpatient Surgeries, Observations and Inpatient records.… more
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  • Oracle (Salem, OR)
    …Knowledge of medical and insurance terminology, MS-DRG, APR-DRG, CPT, ICD coding structures, and billing forms (UB, 1500). Experience with coding , clinical ... burden of clinical and reimbursement tasks such as charting, documentation, and coding by applying power of generative AI. Our diverse team of creators… more
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  • Community Health Systems (Kingston, PA)
    …Certifications CPB- Certified Medical Biller issued by AAPC preferred or Certified Medical Insurance Specialist (CMIS) issued by PMI preferred This ... Benefits As a Billing Specialist I, you'll join a team and be...credit balances, reclassifies revenue, and processes adjustments per transaction coding guidelines. Monitors and resolves claim denials and rejections,… more
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  • Sedgwick (Harrisburg, PA)
    …achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial ... Services & Insurance Unemployment Specialist PRIMARY PURPOSE : To analyze complex or technically...claimant, client, state agency, managed care organization and appropriate medical contact. Ensures claims files are properly documented and… more
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  • CVS Health (Boston, MA)
    …and decision making skills Certified Billing and Coding Specialist (CBCS) preferred. Experience working within Medical Billing Platforms Anticipated ... heart, each and every day. Primary Job Duties & Responsibilities Ensures accurate coding and documentation of medical services, procedures, and diagnoses to… more
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  • Centene Corporation (Lansing, MI)
    …the level of the position. A license in one of the following is preferred: Certified Coding Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Master ... within a managed care environment related to HEDIS record review, quality improvement, medical coding or transferable skill sets that demonstrates the ability to… more
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  • EY (Columbus, OH)
    …Developer (CAD) Minimum of 2 of the following ServiceNow certifications: ServiceNow Certified Implementation Specialist - Hardware Asset Management ServiceNow ... including mobile, web, and tablets. You will engage in coding , programming, and creating specifications to deliver development services...Certified Implementation Specialist - Software Asset Management ServiceNow Certified … more
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  • EY (Little Rock, AR)
    …Developer (CAD) Minimum of 2 of the following ServiceNow certifications: ServiceNow Certified Implementation Specialist - Hardware Asset Management ServiceNow ... components, ensuring that business requirements are met through effective coding and programming. Your key responsibilities As a Senior...Certified Implementation Specialist - Software Asset Management ServiceNow Certified … more
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  • Fairview Health Services (St. Paul, MN)
    …experience Registered Health Info Tech or Registered Health Info Admin or CHRI, or Certified Coding Specialist or CPC Epic Certification in Resolute ... (CDM) file in the Epic EHR system to ensure compliance with CPT/HCPC coding , National Uniform Billing Committee (NUBC), revenue code, billing, payor, and regulatory… more
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