- St. Luke's University Health Network (Allentown, PA)
- …a patient's ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment in accordance with ... coding conventions, UHDDS guidelines and CMS directives. Researchs failed claims , identifies discrepancies and communicates resolution to appropriate departments.… more
- CaroMont Health (Gastonia, NC)
- …by reviewing to validate the documentation supports the codes submitted on claims . Maintain a thorough understanding of anatomy and physiology, medical terminology, ... to professional fee billed encounters. Qualifications: Education and formal training : High school graduate/diploma required. Training in...offered by AAPC or AHIMA including CPC, RHIA, RHIT, CCS , CCS -P or CPC-A. Individuals hired in… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of ... CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and defend the… more
- CareFirst (Baltimore, MD)
- …experience is required in addition to the required work experience. **Licenses/Certifications:** + CCS -Certified Coding Specialist or CPS, CCS -P, CRC Upon ... **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports prospective risk adjustment via concurrent review and supplemental data CMS… more
- Houston Methodist (Houston, TX)
- …AND CERTIFICATIONS - REQUIRED** + CPC - Certified Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty ... At Houston Methodist, the Sr Coding Specialist position is responsible for applying correct coding conventions to patient charge encounters in a clinical… more
- Robert Half Accountemps (Indianapolis, IN)
- …to maintain patient confidentiality. * Certified Professional Coder (CPC) or Certified Coding Specialist ( CCS ) preferred. * Ability to work independently and in ... We are seeking a Part-Time Medical Billing & Coding Specialist based in Indianapolis, Indiana. In this role, you...medical and clinical records. * Prepare, review, and submit claims both electronically and on paper. * Monitor unpaid… more
- Kelly Services (Ottawa, IL)
- **Regulatory Affairs Specialist - Onsite - Ottawa, Illinois** The Regulatory Affairs Specialist will ensure global compliance with all cosmetic and OTC ... process improvements, product registrations, and global market compliance. The specialist is responsible for implementing protocols, processes, and programs to… more
- MD Anderson Cancer Center (Houston, TX)
- …by the American Health Information Management Association (AHIMA). Certified Coding Specialist ( CCS ) by the American Health Information Management Association ... for assistance with coding questions, quality reviews, and coding education/ training . Capable of providing supportive feedback to management and coordinators… more
- UCLA Health (Los Angeles, CA)
- …with: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist ( CCS ) certification, required + A Certified Risk Adjustment Coder ... Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will...+ Bachelor's degree (healthcare or relevant field) or equivalent experience/ training + Five or more years of experience with… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **39360BR** **Extended Job Title:** Coding Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Review medical record provider ... ability to professionally interact and exchange information, education and training to clinic personnel, physicians, administration, providers, and co-workers.… more
- Trinity Health (Livonia, MI)
- …thorough understanding of the Medicare Physician Fee Schedule, Medicare Claims Processing Manual, National Correct Coding Initiatives, current procedural ... thorough understanding of the Medicare Physician Fee Schedule, Medicare Claims Processing Manual, National Correct Coding Initiatives, current procedural… more
- Trinity Health (Livonia, MI)
- …thorough understanding of the Medicare Physician Fee Schedule, Medicare Claims Processing Manual, National Correct Coding Initiatives, current procedural ... 1. Must possess at least one of the following licenses/certifications: CPC, CCS -P, RHIT, RHIA, RN, PT, OT or professional certification in another healthcare… more
- Catholic Health Initiatives (Chattanooga, TN)
- …through American Health Information Management Association (AHIMA) as Certified Coding Specialist ( CCS ) or Certified Coding Specialist Physician ... with the other portion of time focused on provider communication, and claims denial resolutions. Communicates denial trends to leadership and works with practice… more
- Houston Methodist (Houston, TX)
- …Apprentice (AAPC) **OR** + CPCA - Certified Professional Coder Associate (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty ... Classification (APC) Coordinator position is responsible for reviewing and correcting all claims edits related to the APC grouper, National Correct Coding Initiative… more
- University of Utah (Salt Lake City, UT)
- …Coder-Hospital ( CPC -H), Certified Professional Coder-Payer ( CPC -P), Certified Coding Specialist ( CCS ), Certified Coding Specialist - Physician ... Additionally, Level 2 Coders mentor and assist in the training of Level 1 Coders and provide feedback to...Researches and resolves high volume accounts and complex, suspended claims . 5. Interprets and applies basic regulatory guidelines to… more
- Henry Ford Health System (Detroit, MI)
- …Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist ( CCS ), Certified Coding Specialist - ... and meets with providers and medical office staff to provide education and training on accurate coding practices and compliance risks. + Provides instruction to… more
- University of Utah Health (Salt Lake City, UT)
- …Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist ( CCS ), Certified Coding Specialist - ... + Researches and resolves high volume accounts, complex or escalated suspended claims , and compliance issues using appropriate databases and shares this information… more
- University of Miami (Miami, FL)
- …Coding Associate (CCA), Certified Professional Coder (CPC; CPC-A), Certified Coding Specialist ( CCS ), Certified Coding Specialist -Physician Office ( ... clinical laboratory pathological review (CP20) encounters and create electronic claims . + Review AP and CP20 documentation to ensure...+ Provide support to Coding Manager on provider's education, training and QA. + Help the rest of the… more
- Billings Clinic (Billings, MT)
- …Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Coding Specialist ( CCS ), or holding other AHIMA and/or AAPC recognized ... Quality Assurance: Ensure data accuracy prior to billing interface and claims submission, including discharge disposition, appropriate use of modifiers, CPT, ICD,… more