- UNC Health Care (Chapel Hill, NC)
- …assigned clinical department. Duties include reversing denials from carriers, recoding denied claims , and identifying coding trends. Substantial knowledge of all ... medical service such as transplant. Researches and resolves denied claims with carrier and patients. 3. Identifies coding... claims with carrier and patients. 3. Identifies coding trends that do not support maximum reimbursement. Makes… more
- Geisinger (Danville, PA)
- …management, physicians, clinical and non-clinical personnel utilizing the national correct coding standards, approaches, and industry standard coding rules to ... Biller through AAPC + Applies expanded knowledge of CPT, ICD-10 and HCPCS coding skills toward the maintenance and development of prospective claim edits and… more
- University of Southern California (Alhambra, CA)
- … Denials Management Specialist " analyze, investigate, mitigate, and resolve all coding -related ' claims denials' and ' claims rejections,' specific to ... interface and claims submission. * Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining… more
- Intermountain Health (Murray, UT)
- **Job Description:** The Claims Solution Specialist plays a crucial role in the professional revenue cycle by performing final validation and resolving ... professional claims issues that do not require coding ...Key responsibilities include manual charge entry and collaborating with Claims Solution Specialist -Coders to enhance the efficiency… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration requirements for… more
- Fairview Health Services (St. Paul, MN)
- …Info Admin or Registered Health Info Tech or Certified Inpatient Coder (CIC)or Certified Coding Specialist **Preferred Qualifications** + BS/BA in HIM + 1 year ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts...including preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ensure… more
- HCA Healthcare (Ocala, FL)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have ... Do you want to work as a Clinical Denial Coding Review Specialist where your passion for...researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires regular outreach to payors and… more
- HCA Healthcare (San Antonio, TX)
- …Do you want to join an organization that invests in you as a Coding Account Resolution Specialist -Inpatient? At Parallon, you come first. HCA Healthcare has ... make a difference. We are looking for a dedicated Coding Account Resolution Specialist -Inpatient like you to...necessary (eg, combining the codes for outpatient and inpatient claims subject to the payment window) + Assists the… more
- HCA Healthcare (Nashville, TN)
- …individual is recognized. Submit your application for the opportunity below: Coding Account Resolution Specialist -OutpatientParallon **Benefits** Parallon offers ... benefits may vary by location._** We are seeking a Coding Account Resolution Specialist -Outpatient for our team...abstracts as necessary (eg, combining the codes for outpatient claims subject to the payment window) + Assists the… more
- CareFirst (Baltimore, MD)
- …Level:** High School Diploma or GED. **Licenses/Certifications Upon Hire Required:** + CCS-Certified Coding Specialist or + Certified Coder (CCS or CPC)-AHIMA or ... proper use of CPT and ICD 10 codes in claims submissions. Utilizes extensive coding knowledge, combined with medical policy, credentialing, and contracting rules… more
- Genesis Healthcare (PA)
- Overview We are seeking a full time Certified Professional Coding Specialist to join our Advanced Care Organization (ACO) team. This is a remote position. ... experience in the field in required.** The Certified Professional Coding specialist will work as a compliance...assisting with the LTC ACO HCC program ensuring that claims are coded and documented accurately and completely, helping… more
- HCA Healthcare (Richmond, VA)
- …each individual is recognized. Submit your application for the opportunity below: Outpatient Coding Resolution Specialist Parallon **This is a work from home ... may vary by location._** We are seeking an Outpatient Coding Resolution Specialist for our team to...abstracts as necessary (eg, combining the codes for outpatient claims subject to the payment window) + Assists the… more
- Johns Hopkins University (Middle River, MD)
- …equivalent, to the extent permitted by the JHU equivalency formula. Classified Title: Coding Specialist III Job Posting Title (Working Title): Coding ... We are seeking a **_Coding Specialist III_** who will be responsible for all...III_** who will be responsible for all aspects of coding , quality assurance and compliance with Federal payer documentation… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote ... **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team environment...diagnoses assigned in the EHR by the providers to claims being submitted for their services. Using billing system… more
- Trinity Health (Boise, ID)
- **Employment Type:** Part time **Shift:** Day Shift **Description:** Job Title: Coding Specialist Schedule: 30 hours per week (part‑time role) The Coding ... and ICD documentation for the patient billing process. The Coding Specialist creates a positive experience for...and communicate with providers 5. Understanding of various medical claims formats. 6. Understanding of working on appeals for… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk Adjustment Data ... customers who may be demanding or otherwise challenging. **Licenses/Certifications** : CCS-Certified Coding Specialist or CPS, CCS-P, CRC Upon Hire Required or… more
- Sedgwick (Los Angeles, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice | Professional Liability | California **PRIMARY ... professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and… more
- Sedgwick (Fort Worth, TX)
- …with claimant and client. + Ensures claim files are properly documented and claims coding is correct. + Maintains professional client relationships. **ADDITIONAL ... Best Workplaces in Financial Services & Insurance Licensed Auto Claims Adjuster - Bodily Injury Specialist (New...Licensed Auto Claims Adjuster - Bodily Injury Specialist (New York License Required) **PRIMARY PURPOSE** **:** To… more
- Sedgwick (Houston, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , E&O, D&O | Professional Liabilty **ESSENTIAL FUNCTIONS and ... professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and… more
- Johns Hopkins University (Baltimore, MD)
- …charge capture encounters before submitting to insurance companies. + Works closely with Coding Specialist III at Green Spring's Medical Oncology for coverage. + ... + Epic experience and understanding of third-party payer issues Classified Title: Coding Specialist II Role/Level/Range: ATO 40/E/02/OF Starting Salary Range:… more