• Claims and Denial Coding Analyst

    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
    St. Luke's University Health Network (10/16/24)
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  • Healthcare Medical Claims Coding Sr.…

    Commonwealth Care Alliance (Boston, MA)
    …health care programs and reimbursement methodologies (Medicaid and Medicare) * Medical Coding , Compliance , Payment Integrity and Analytics * Direct and relevant ... * Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding ...all of the required certification OR willing to get certified within 1 year of employment - * … more
    Commonwealth Care Alliance (11/26/24)
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  • Sr Operations Coding Analyst

    Healthfirst (MD)
    …accepted payment policy requires + Collaborates with other departments to improve compliance with coding conventions and clinical practice guidelines + Leads ... Healthfirst product lines + Participate in special projects and advanced Claims Coding activities + Proactively identifies areas of opportunity with respect to new… more
    Healthfirst (11/06/24)
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  • Coding and Cost Analyst I, Geisinger…

    Geisinger (Danville, PA)
    …(Associate's Degree = 2 years; Bachelor's Degree = 4 years). Certification requirement: CPC- Certified Coding Specialist through AAPC or CCS- Certified ... (Required), Minimum of 2 years-Clinical (Preferred) Certification(s) and License(s) Certified Coding Specialist - American Health Information Management… more
    Geisinger (11/20/24)
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  • Claims Coding Analyst

    Healthfirst (VA)
    …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
    Healthfirst (11/21/24)
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  • Revenue Integrity Analyst / Revenue Cycle…

    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
    Hartford HealthCare (10/11/24)
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  • Certified Coder/ Analyst

    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
    Nuvance Health (11/05/24)
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  • Hospital Compliance Analyst II

    Penn Medicine (Bala Cynwyd, PA)
    …employees shape our future each day. Are you living your life's work? **Hospital Compliance Analyst II** Job Summary: + Responsible for the performance and ... at all hospitals owned by Penn Medicine to assure compliance with applicable federal and state coding ...unit, department, entity, and health system organization. Credentials: + Certified Coding Specialist (CCS), Certified more
    Penn Medicine (09/27/24)
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  • Compliance Analyst

    Emory Healthcare/Emory University (Atlanta, GA)
    …physicians and staff as appropriate. + Five years of experience in CPT and ICD-10 CM coding . + Certified as a coding specialist (CCS), coding specialist ... **MINIMUM QUALIFICATIONS:** + Five years of experience in CPT and ICD-10 CM coding . + Certified as a coding specialist (CCS), coding specialist physician… more
    Emory Healthcare/Emory University (09/18/24)
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  • Director Professional Coding

    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
    Arkansas Children's (11/15/24)
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  • MES System Analyst III

    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 Location - Savannah, GA CBU :...and software interfacing. Conducts programming tasks, including program design, coding , debugging, and documentation. As directed, prepares feasibility studies… more
    Hyundai Autoever America (11/19/24)
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  • CDM Analyst RI Auditor

    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
    Chesapeake Regional Healthcare (10/26/24)
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  • Risk Adjustment Provider Educator Lead…

    The Cigna Group (Houston, TX)
    …Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered Health Information ... along the engagement continuum within an assigned market. Lead Analyst will be primary contact for provider groups on...inquiries from all internal and external audit departments regarding compliance , coding , and inappropriate coding .… more
    The Cigna Group (11/14/24)
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  • E3 - MES System Analyst (various levels)

    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
    Hyundai Autoever America (10/24/24)
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  • Clinical Trials Research Coverage Analyst

    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 (08/30/24)
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  • Clinical Trials Research Coverage Analyst

    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 (11/21/24)
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  • Intermediate Clinical Auditor/ Analyst , QA…

    UPMC (Pittsburgh, PA)
    UPMC Health Plan is looking for an Intermediate Clinical Auditor/ Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday - ... Steel Tower, however, this role may work remotely. The Intermediate Clinical Auditor/ Analyst is an integral part of the Quality Assurance and Operational Integrity… more
    UPMC (11/01/24)
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  • Charge Description Master (CDM) Analyst

    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
    Alameda Health System (10/03/24)
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  • Clinical Documentation Analyst - Remote

    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
    Dartmouth Health (11/05/24)
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  • Revenue Integrity Analyst

    Hartford HealthCare (Farmington, CT)
    …and other common practices across the system. *_Position Summary:_* The Revenue Integrity Analyst - Level 2 serves as an integral part of both revenue optimization ... and compliance within the organization through leveraging an integrated, Epic...*Key Areas of Responsibility* 1) Evaluates current charging and coding structures and processes in revenue generating departments to… more
    Hartford HealthCare (10/20/24)
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