- Commonwealth Care Alliance (Boston, MA)
- …Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims ... all of the required certification OR willing to get certified within 1 year of employment - + ...programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance , Payment Integrity and Analytics +… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, 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 ... JOB DUTIES AND RESPONSIBILITIES: + Maintain current knowledge of coding , compliance , and documentation guidelines + Resolve...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- Dayton Children's Hospital (Dayton, OH)
- …requirements Education + High school diploma or GED Certifications + CCS: Certified Coding Specialist + RHIA: Registered Health Information Administrator + ... Technician + CPC-H: Certified Professional Coder- Hospital + CCS-P: Certified Coding Specialist Physican-Based Education Requirements: High School (Required)… more
- Elevance Health (Indianapolis, IN)
- …**Location:** Virtual; Within 50 miles of any Elevance Health PulsePoint office The ** Coding Analyst Senior** is responsible for reviewing, auditing, and ... purpose of ensuring consistent and complete diagnostic accuracy, training, education and compliance . **How you will make an impact:** + Audits and reviews medical… more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Revenue Integrity Analyst / Revenue Cycle Cmdr Coding * **Location:** ... preparation and financial planning processes. Assists with budget review for compliance and identification of cost-saving opportunities. * Serves as consultant to… more
- Healthfirst (FL)
- …accepted payment policy requires. + Collaborates with other departments to improve compliance with coding conventions and clinical practice guidelines + Supports ... all areas of the company with regards to claims editing and proper coding , billing, and payment. + Researches and provides feedback on claims editing performance… more
- Nuvance Health (Carmel, NY)
- … certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance . * Fulfills all compliance ... codes complex inpatient records for facility. Position requires high-level expertise in coding and documentation guidelines, coding clinics, and knowledge of MS… more
- Alaka'ina Foundation Family of Companies (Washington, DC)
- Software Compliance Analyst Location DC - Washington Job Code 12221 # of openings 1 Apply Now ... The Alaka`ina Foundation Family of Companies (FOCs) is looking for a Software Compliance Analyst to support our government customer located in Washington, DC.… more
- Arkansas Children's (Little Rock, AR)
- …including strategic planning, fiscal management, human resource management, quality improvement, coding and regulatory compliance . Responsible for ensuring ... Administrator (RHIA) - American Health Information Management Association (AHIMA)** ** Certified Inpatient Coder (CIC) - American Academy of Professional Coders… more
- Hyundai Autoever America (Savannah, GA)
- …and process optimization concepts, which are highly relevant to an MES System Analyst 's role. + Certified in Production and Inventory Management (CPIM): Provided ... MES System Analyst III (Software Developer - Manufacturing) Location -...and software interfacing. Conducts programming tasks, including program design, coding , debugging, and documentation. As directed, prepares feasibility studies… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …attention to detail and accuracy Certificates, Licenses, Registrations Current Virginia Nursing License and or RHIA with CCS Certified Coding Specialist and CRIP ... and Analysis, and outside consultants to analyze, review and assess identified billing, coding , charging and compliance issues + Understands and reviews payer… more
- The Cigna Group (Bloomfield, CT)
- …technical teams, as required. **_Primary Functions:_** The Quality Review and Audit Lead Analyst has daily responsibility for coding reviews and audits in ... IFP and Vendor coding results to ensure coding accuracy and compliance standards are maintained,...preferred/High School diploma required + **Must have five year's coding experience with Certified Professional Coder (CPC)… more
- Hyundai Autoever America (Savannah, GA)
- …and process optimization concepts, which are highly relevant to an MES System Analyst 's role. Certified in Production and Inventory Management (CPIM): Provided ... E3 - MES System Analyst (various levels) Savannah, GA Purpose of this...ASP.net, HTML5 and Win forms Intermediate proficiency in performing coding utilizing C#, ASP.net, HTML5, and WinForms Intermediate proficiency… more
- Rush University Medical Center (Chicago, IL)
- …experience in research medical billing and coding . Certifications may include: Certified Professional Coder (CPC), Certified Coding Specialist (CCS) and ... Certified Medical Coder (CMC), and any other specialized coding certification approved by the two main governing bodies. * Proficiency with medical terminology… more
- Rush University Medical Center (Chicago, IL)
- …experience in research medical billing and coding . Certifications may include Certified Professional Coder (CPC), Certified Coding Specialist (CCS) and ... Certified Medical Coder (CMC), and any other specialized coding certification approved by the two main governing bodies. * Proficiency with medical terminology… more
- HCA Healthcare (Richmond, VA)
- …+ Healthcare certification/licensure such as RHIT, CCS, CCP,CPC or other recognized AHIMA certified coding credential, LPN, LVN, RT, PT, etc., can be accepted ... invests in you as a Revenue Integrity Charge Review Analyst ? At Parallon, you come first. HCA Healthcare has...this role you will:** + Conduct reviews of charging, coding , and clinical documentation, collaborating with Corporate Revenue Integrity… more
- HCA Healthcare (Brentwood, TN)
- …+ Healthcare certification/licensure such as RHIT, CCS, CCP, CPC or other recognized AHIMA certified coding credential, LPN, LVN, RT, PT, etc., can be accepted ... organization that invests in you as a Billing Integrity Analyst Credentialed? At Parallon, you come first. HCA Healthcare...Analyze and resolve specific billing edits that require HCPCS/CPT coding based on the chargemaster expertise and that are… more
- Alameda Health System (Oakland, CA)
- …Federal regulations. Required Licenses/Certifications: Certified Professional Coder (CPC), or Certified Coding Specialist (CCS), required within 1 year of ... Charge Description Master (CDM) Analyst + oakland, CA + Finance + Revenue...overall organizational billing practices and is compliant with current coding and billing laws. **DUTIES & ESSENTIAL JOB FUNCTIONS**… more
- R1 RCM (Salt Lake City, UT)
- …+ Identify discrepancies or errors in charge capture processes and rectify them. Coding Compliance : + Verify that medical codes (ICD-10, CPT, HCPCS) assigned ... reimbursed appropriately. **Qualifications:** + Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or similar coding certification… more
- Dartmouth Health (Lebanon, NH)
- …in the evaluation of coding data with team. * Coordinates response to compliance concerns through management. * Participates in the development of new coding ... Overview At the direction of the Manager, assume responsibility for coding audit activities for provider groups assigned to the team. Responsibilities * Coordinates… more
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