- Texas Health Resources (Arlington, TX)
- **Education & Quality Coding Analyst ** _Are you looking for a rewarding career with an award-winning company? We're looking for a qualified_ **Education & ... Quality Coding Analyst ** _like you...Quality Coding Analyst ** _like you to join our...(Preferred). **What you will do** . Performs audits of medical records and validates assignment of diagnosis and procedure… more
- Corewell Health (Southfield, MI)
- … Audit; Inpatient, Outpatient, Emergency and Professional Coding Performs quality and compliance audits. Reviews medical record documentation to determine ... of denials and rejections including HIM work queues, complex coding issues, and quality initiatives. + Maintains expert coding knowledge (ICD-10-CM/PCS,… more
- Healthfirst (MD)
- …current payment policy configuration to resolve the provider payment discrepancies + Reviews medical records to ensure coding is consistent with the services ... Healthfirst product lines + Participate in special projects and advanced Claims Coding activities + Proactively identifies areas of opportunity with respect to new… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for all components of diagnostic and procedural coding review for complex pre and post-surgical procedures. Negotiates reimbursement ... with third party carrier Medical Directors and insurance representatives. Manages the post-payment review...of claims and collection. Provides education and guidance on coding and claims management to billing and other FPA… more
- Healthfirst (VA)
- …policy configuration in order to resolve the providers payment discrepancy. + Reviews medical records to ensure coding is consistent with the services billed ... 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
- Geisinger (Danville, PA)
- …of billed services, authorizations, plan benefit documents, itemized statements, medical records, discharge summaries and detailed data reports. Makes reimbursement ... or recovery recommendations based on appropriate coding , billed statistics, policies, industry standards and compliance with contractual, state, and federal… more
- HCA Healthcare (Pensacola, FL)
- …need:** High School Diploma or GED 2+ years experience in healthcare to include quality reporting, medical billing/ coding , and support functions. HCA Florida ... care like family! Jump-start your career as a(an) Cardiovascular Quality Analyst today with HCA Florida West...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …the Patient Financial Services Director, the Nurse Auditor/ Revenue Integrity/ CDM Analyst is responsible for performing audits of itemized charges versus the ... patient medical record and other applicable hospital documentation, assigning modifiers...codes and modifiers. The Nurse Auditor/ Revenue Integrity/ CDM Analyst works directly with revenue producing departments regarding lost… more
- University of Washington (Seattle, WA)
- …FTE + DAYS - ON SITE **POSITION HIGHLIGHTS** As a unique member of Harborview Medical Center's Clinical Quality Analyst team this role will provide analytics ... stakeholderson priority quality improvement initiatives **DEPARTMENT DESCRIPTION** Harborview Medical Center's Clinical Quality Analyst Team **JOB… more
- Covenant Health Inc. (Knoxville, TN)
- …and makes necessary corrections to ensure accuracy and timely billing. + Participates in quality coding and audit reviews for each provider. + Assists provider ... with correct coding initiatives. Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting. Assists… more
- The Cigna Group (Houston, TX)
- …documentation (may occur be before/after normal business hours). + Perform the coding quality reviews consistent with established departmental requirements. + ... along the engagement continuum within an assigned market. Lead Analyst will be primary contact for provider groups on...audit departments regarding compliance, coding , and inappropriate coding . + Provides second level medical record… more
- Arkansas Children's (Little Rock, AR)
- … department including strategic planning, fiscal management, human resource management, quality improvement, coding and regulatory compliance. Responsible for ... Commission, Arkansas Department of Health Rules and Regulations, and Medical Staff Rules and Regulations. **Additional Information:** **CERTIFICATION REQUIREMENT -**… more
- Vanderbilt University Medical Center (Nashville, TN)
- **Discover Vanderbilt University Medical Center:** Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, ... **Organization:** HealthIT CE Product Team **Job Summary:** The Senior Application Analyst will support the currently unmanaged software applications associated with… more
- Vanderbilt University Medical Center (Nashville, TN)
- **Discover Vanderbilt University Medical Center:** Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, ... **Organization:** HealthIT CE Product Team **Job Summary:** The Application Analyst will support the currently unmanaged software applications associated with… more
- Banner Health (AZ)
- …Systems frequently used: FinThrive, Cerner, MS4 **Desired Experience: Acute Charge Capture Analyst experience, a minimum of 2-3 years. Coding certifications are ... , CDM Services Expected reimbursement As a Revenue Integrity Analyst you will work with a variety of claims,...medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area and… more
- 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 ... however, this role may work remotely. The Intermediate Clinical Auditor/ Analyst is an integral part of the Quality...organize multiple projects and tasks. + In-depth knowledge of medical terminology, ICD-10 and CPT-4 coding . +… more
- LifePoint Health (Brentwood, TN)
- * Analyst Business Systems - HIM* *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will ... you'll do:* Lifepoint Health has an opportunity for an Analyst - Business Systems. The Analyst -...knowledge and skills to meet non-clinical staff and/or hospital/clinics/legal medical records needs and performs in accordance with LifePoint… more
- Atrius Health (Chelmsford, MA)
- …Bachelor's degree (or equivalent education, training or experience) required. o Certification in medical coding is preferred including CCS, CCS-P, CPC or other ... or claim data analysis required. o Plus if candidate has specific experience in medical policy/chart reviews for claim coding corrections and writing medical … more
- Prime Therapeutics (Eagan, MN)
- …and drives every decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst ... conducting complex analysis on large sets of pharmacy, claims, medical , and/or financial data + Basic to intermediate SAS..., and/or financial data + Basic to intermediate SAS coding skills + Previous experience in a client facing… more
- Fairview Health Services (St. Paul, MN)
- …is offering a great opportunity for a Revenue Intergrity Charge Description Master Analyst . Here are some key points about the position: + **Location:** University ... of MN Medical Center East Bank Hospital, Minneapolis, MN + **Position:**...Description** **Job Summary:** The Revenue Integrity Charge Description Master Analyst serves as a liaison between organizational leadership, end-users,… more
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