- Equiliem (Orange, CA)
- …requests for medical appropriateness. Verifies and processes referrals using established clinical protocols to determine medical necessity. Screens requests for the ... Diseases (ICD-10), Current Procedural Terminology (CPT-4) and Healthcare Common Procedure Coding System (HCPCS) codes for accuracy and existence of coverage specific… more
- Providence (Everett, WA)
- **Description** The Coding Analyst is responsible for detailed diagnostic coding associated with Risk Adjustment and HCC coding . This impacts revenue and ... impacts operations, programmatic and information systems, as well as contracted providers. Coding analyst will have a comprehensive understanding of ICD-9,… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO,...the ability to formulate an appeal rationale based on clinical documentation, application of LCD, relative carrier policy and… more
- Commonwealth Care Alliance (Boston, MA)
- …Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration ... Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding … more
- University of Washington (Seattle, WA)
- …of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding , billing, release, and tracking to management of ... UW Medicine Enterprise Records and Health Information has an outstanding opportunity for a ** CODING EDUCATION ANALYST ** **WORK SCHEDULE** + 100% FTE + Mondays -… more
- Rush University Medical Center (Chicago, IL)
- …and training to clinicians and revenue cycle employees for charge capture functionality, coding , and EHR documentation. The Senior Business Analyst will work ... veteran status, and other legally protected characteristics.** **Position** Sr Business Analyst - Revenue Cycle and Coding **Location** US:IL:Chicago **Req… more
- Healthfirst (NJ)
- …ensure coding is consistent with the services billed and compares against the clinical coding guidelines to determine if a claim adjustment is necessary + ... policy requires + Collaborates with other departments to improve compliance with coding conventions and clinical practice guidelines + Leads continuous… more
- Rush University Medical Center (Chicago, IL)
- …positive outlook. * Able to learn and apply technical knowledge in the areas of clinical research, medical coding and revenue cycle in a consultative manner. * ... disability, veteran status, and other legally protected characteristics.** **Position** Clinical Trials Research Coverage Analyst **Location** US:IL:Chicago… more
- Rush University Medical Center (Chicago, IL)
- …positive outlook. * Able to learn and apply technical knowledge in the areas of clinical research, medical coding and revenue cycle in a consultative manner. * ... origin, disability, veteran status, and other legally protected characteristics.** **Position** Clinical Trials Research Coverage Analyst - Research Billing… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** Clinical Documentation Integrity Educator/ Analyst (Remote in Wisconsin) **Cost Center:** ... Description:** **_Wisconsin residents only eligible to apply_** **JOB SUMMARY** The Clinical Documentation Integrity (CDI) Educator/ Analyst is a CDI professional… more
- Banner Health (Torrington, WY)
- …Shift:** Day **Job Category:** Information Technology Banner Health is currently seeking an Clinical Support Analyst I responsible for supporting the clinical ... computer systems, workflow design, data management, and an integrated electronic health record. The Clinical Support Analyst I serves as a liaison between the … more
- Dartmouth Health (Lebanon, NH)
- …to the team. Responsibilities * Coordinates and conducts audits for documentation of coding in assigned clinical sections. * Coordinates coding feedback ... in on-going written communication for providers. * Monitors provider documentation and coding in all professional and hospital outpatient settings. * Responds to… more
- MD Anderson Cancer Center (Houston, TX)
- …position is to serve as team lead and subject matter expert for OPI/ Clinical Operations Informatics projects. The Lead Analyst conducts quantitative and ... and outcomes reporting, manages departmental projects, trains institutional users of clinical data, and trains and supervises the work of subordinate staff.… more
- Highmark Health (Dover, DE)
- …in the areas of compliance, process improvement, medical record review and coding , and member and provider satisfaction for all product lines. Recommends and ... members and to improve documentation of these services for appropriate ICD 10-CM coding . Serves as a resource and educator regarding provider and office staff… more
- Hackensack Meridian Health (Edison, NJ)
- …transform healthcare and serve as a leader of positive change. The **Senior Clinical Data Analyst ** is responsible for managing the collection, organization and ... external to HMH. **Responsibilities** A day in the life of a **Senior Clinical Data Analyst ** at **Hackensack Meridian** **_Health_** includes: + Subject Matter… more
- Vitalief (New Brunswick, NJ)
- …and accounting principles for research preferred. + Experience or training in clinical research budgeting, financial management and/or coding . + Maintains ... are expanding our footprint rapidly as a value-add, innovative Healthcare, Research and Clinical Trials Consulting Company. As a result, we are seeking talented and… more
- Sutter Health (San Francisco, CA)
- …items and services. Supporting Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) billing determinations of clinical trial ... Administration investigational drug and device research. + Knowledge of medical coding , protocol visit span allowances, protocol-specified clinical services, and… more
- Providence (Apple Valley, CA)
- …across Providence; developing and executing strategic plans around acute-care coding /abstracting and clinical documentation ( coding -related) improvement ... **Description** The Supervisor Coding is accountable for the development and operations...Association. Or + upon hire: National Certified Health Data Analyst - American Health Information Management Association. Or +… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Coder Analyst Specialist, Clinical Document Integrity Full time, 80 hours per pay period, Day shift Covenant Medical Group is Covenant Health's employed ... Management Association. Apply/Share Job Title CODER ANALYST SPEC-CLNIC ID 4047001 Facility Covenant Medical Management Department Name Clinical Doc Integty more
- Commonwealth Care Alliance (Boston, MA)
- …and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims, settlement, claims auditing and/or utilization ... Sr. Director, TPA Management and Claims Compliance, the Payment Integrity (PI) Recovery Analyst will assist in the development of a strategic roadmap to recover,… more
