- CHRISTUS Health (Tenneryville, TX)
- …May be required to have a working knowledge of ICD9, CPT and HCPCS coding and managed care. Responds to incoming telephone calls and (per provider instructions) ... calls in refills and prescriptions to pharmacy. Per provider and/or established protocol, instructs patients and/or family with regard to medication and treatment and documents the same. Formulates and updates patient care plans. Orders, prepares, and inspects… more
- Chestnut Health Systems (Carlock, IL)
- …working with insurance payers and collections; knowledge of medical terminology, coding (CPT, ICD~9/10, HCPC), and insurance reimbursement; electronic medical record ... systems; Medicare, private insurance, and Medicaid billing requirements. Are you intrigued by this job but don't meet every single requirement? Research shows that women and people of color are less likely to apply for jobs when that's the case. Chestnut is… more
- Highmark Health (Columbus, OH)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...II code and modifier assignments, ICD diagnosis and procedure coding , DRG/APC structure according to regulatory requirements. Reports findings… more
- Baylor Scott & White Health (Columbus, OH)
- …proficient in three or more types of outpatient, Profee, or low acuity inpatient coding . + The Coder 2 may code low acuity inpatients, one time ancillary/series, ... and/or professional fee to include evaluation and management (E/M) coding or profee surgery. + For professional fee ...coding or profee surgery. + For professional fee coding , team members in this job code will be… more
- R1 RCM (Detroit, MI)
- The Inpatient Coding Quality Reviewer will be responsible for reviewing inpatient coded cases for coding completeness and accuracy. This person will identify ... potential coding and DRG errors, researches appropriate guidelines to support...involved on a timely basis. The Reviewer provides expert coding advice to coding staff and relays… more
- Commonwealth Care Alliance (Boston, MA)
- …Responsibilities: * Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding configuration ... research, as necessary on all new CPT and HCPCS codes for coding logic, related Medicare/Medicaid policies to make recommend reimbursement determinations. * Analyze,… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: Manages the activities of the Coding areas. Supervises staff in area of responsibility and serves as a liaison for outside vendor of contracted ... DUTIES AND RESPONSIBILITIES:** 1. Directs and supervises assigned staff in Coding areas. Oversees simple visit coding and coding denial coding staff to… more
- Penn Medicine (Philadelphia, PA)
- …shape our future each day. Are you living your life's work? **HIM Inpatient Coding Specialist II** **Job Summary:** + Performs all coding and abstracting for ... of reimbursement to which the facility is legally entitled according to stringent coding and compliance guidelines. Reviews and acts as the gatekeeper for the… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **38985BR** **Extended Job Title:** Documentation & Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Performs coding ... **Major/Essential Functions:** + Maintains current knowledge of billing and coding requirements, risks and billing compliance requirements. Regularly reviews JH-MAC… more
- Providence (Beaverton, OR)
- …best people, we must empower them._** **Providence Health Plan is calling an Associate Coding Analyst who will:** + Be responsible for detailed diagnostic coding ... revenue and CMS compliance with the coordination of technically detailed coding applications that impacts operations, programmatic and information systems, as well… more
- MD Anderson Cancer Center (Houston, TX)
- …clinical data by assigning codes from patient records in accordance to coding classification systems. Reviews patient encounters for accurate code assignment of all ... in the record is inadequate, ambiguous or unclear for coding purposes. Serves as a resource for other department...in the record is inadequate, ambiguous, or unclear for coding purposes. . Must be flexible and adapt to… more
- HCA Healthcare (Nashville, TN)
- …purpose and integrity. We care like family! Jump-start your career as a Coding Operations Education and Appeals Consultant today with HCA Healthcare. The Coding ... assisting in the efficient and effective design, development, and delivery of all coding operations education components and an effective coding appeals review… more
- R1 RCM (Boise, ID)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Coding Auditor & Educator** , you will help ensure accurate medical ... coding and billing for our clients to optimize revenue...Every day you will access and audit accounts using coding software to ensure accurate diagnostic and procedure codes… more
- Intermountain Health (Las Vegas, NV)
- …expertise in the areas of national physician code sets, insurance reimbursement, coding compliance issues, and internal coding policies, procedures and ... Nevada. Selected candidate must live in Nevada** Scope The Senior II Professional Coding Consultant is responsible for providing general expertise in the areas of… more
- TEKsystems (Glen Burnie, MD)
- Description: 1. Performs retrospective and prospective account reviews and resolves coding edits to ensure that coding is accurate and documentation supports ... reimbursement. 3. Analyzes coding -related denials (for problems such as bundling issues and...trends and root causes. 5. Develops process improvements for coding and documentation workflows based on denial analysis and… more
- HCA Healthcare (Nashville, TN)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Coding Quality Audit Reviewer with Work from Home you can be a part of ... in our organization. We are looking for an enthusiastic Coding Quality Audit Reviewer to help us reach our...your potential! **Job Summary and Qualifications** As an Inpatient Coding Auditor, you will be responsible for performing internal… more
- Municipality of Anchorage (Anchorage, AK)
- PUBLIC HEALTH BILLING & CODING CLERK (Accounting Clerk III) - Range 10 / AMEA Print (https://www.governmentjobs.com/careers/moa/jobs/newprint/4719953) Apply PUBLIC ... HEALTH BILLING & CODING CLERK (Accounting Clerk III) - Range 10 /...Street Example of Duties This position provides medical billing. coding and collections functions for AHO clinics and clients.… more
- R1 RCM (Chicago, IL)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Coding Manager, Pro Fee & FQHC** , you will supervise remote-based, ... pro fee coding associates. Every day you are responsible for managing...quality. In addition to the managerial responsibilities, the Site Coding Manager works directly with R1's clients to communicate… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Coding Analysis Technology Specialist? At Parallon, you come first. HCA Healthcare has committed up ... make a difference. We are looking for a dedicated Coding Analysis Technology Specialist like you to be a...of our team. **Job Summary and Qualifications** As a Coding Analysis Technology Specialist, you will be responsible for… more
- R1 RCM (Boise, ID)
- …cash flows while reducing operating costs and enhancing the patient experience. The Coding Denial Auditor will be responsible for reviewing denial coded cases for ... completeness and accuracy. This person will identify potential coding and DRG errors, researches appropriate guidelines to support...involved on a timely basis. The Reviewer provides expert coding advice to coding staff and relays… more
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