- 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...of claims and collection. Provides education and guidance on coding and claims management to billing and other FPA… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims ... auditing and clinical coding and reimbursement edits and necessary coding configuration requirements for Optum CES and Zelis edits. This role will ensure… more
- 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 to join our...PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement , Student Loan Repayment Program as well as several… 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 ... coding software tools and Insurance carrier medical and reimbursement policies during the claim review process. JOB DUTIES...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- Elevance Health (Durham, NC)
- …** Coding Analyst Senior** is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement , training, education and ... + Audits and reviews medical documentation for appropriate ICD-9 and CPT coding and documentation. + Queries physicians when code assignments are not… more
- Penn State Health (Hershey, PA)
- …family medical or genetic information._ **Union:** Non Bargained **Position** Epic Application Analyst Senior Health Information Management and Coding - IS ... to electronic medical record systems. **PREFERRED QUALIFICATION(S):** + Experience with implementing HIM/ Coding systems + Working knowledge of the various HIM and … more
- Dayton Children's Hospital (Dayton, OH)
- …and maximum financial return of Dayton Children's professional billing claims for reimbursement . Ensures billing compliance; maintains knowledge of CPT and ICD-10 ... coding guidelines, as well as Medicare/Medicaid billing rules and...Medicare/Medicaid billing rules and regulations. Serves as a professional coding resource to providers and staff. The professional fee… more
- Sierra Nevada Corporation (Sparks, NV)
- We are seeking a skilled and detail-oriented Cybersecurity Analyst to join our team. The primary responsibility of this role is to review code for security ... issues. The ideal candidate will possess a strong understanding of secure coding practices and have experience in identifying and mitigating security risks within… more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Revenue Integrity Analyst / Revenue Cycle Cmdr Coding * **Location:** ... care setting with experience in finance, revenue cycle operations, or reimbursement . *Certification:* Certified Coder, (CCS, CPC, etc.) *Skills:* * Strong… more
- Centene Corporation (Tallahassee, FL)
- …management experience preferred. **Benefits and Payment Configuration:** **Compliance Coding /Prepay Compliance (Payment Integrity):** Bachelor's degree in related ... benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured testing experience preferred. Pay… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Reimbursement Analyst Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid** The Reimbursement Analyst initiates ... procedures in a health care environment** + _3-5 years of multispecialty coding experience in AmSurg and/or clinic settings Preferred_ + Proficient in Epic… more
- Keystone Lab (Asheville, NC)
- …An exciting and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most beautiful areas in the ... better and more cost-effectively than anyone else. Summary/Objective The Billing and Reimbursement Analyst is responsible for the maximization of reimbursements… more
- Vanderbilt University Medical Center (Nashville, TN)
- …**Organization:** Finance Reimb/Acct **Job Summary:** The primary purpose of the financial analyst is to support and perform analyses of financial matters related to ... reimbursement , net revenue and Medicare cost reporting. The work...and others. Requires familiarity with clinical operations, billing, and coding . Research analysis outcomes at the patient detail level… more
- Sanford Health (Sioux Falls, SD)
- …Hours:** 40.00 **Salary Range:** $27.50 - $44.00 **Job Summary** The Senior Reimbursement Analyst provides critical analytical and reimbursement related ... and implementing new payment methodologies in order to establish optimal reimbursement and payment levels. Recommends policies and procedures for reimbursement… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA $500 Signing Bonus This Role: As a Reimbursement Analyst at LogixHealth, you will work with the department management teams to ... and company-wide social events. About LogixHealth: At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great… more
- Hawaii Pacific Health (Honolulu, HI)
- …gatekeeper for privacy of the organization's medical records and also generates the coding procedures for data collection, research, and reimbursement . With the ... the health care sector. If you are a diligent analyst and gifted with numbers, you could be our...gifted with numbers, you could be our next Certified Coding Specialist. In this role you will assign diagnosis… 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 ... care solutions to our customers. The Quality Review and Audit Senior Analyst role supports Cigna's Individual and Family Plan's (IFP) Business Operations' Risk… 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 and ... with the provider to code services rendered with correct coding initiatives. Abstracts and enters data from the medical... that is needed to comply with billing and reimbursement guidelines set forth by government entities. + Verifies… more
- Scripps Health (San Diego, CA)
- …employees have been with Scripps Health for over 10 years. The Chargemaster Analyst maintains the Scripps Health facility chargemasters within applicable coding ... guidelines and according to Scripps policies and procedures; provides reimbursement analysis; assists with bill problem resolution; and provides coverage guidelines… more
- UNC Health Care (Raleigh, NC)
- …Assists with appealing coding denials. Works with departments on charging and coding issues. Possess claims coding , reimbursement , and billing skills to ... Medically Unlikely Edits (MUEs) as well as complex payor denials/audits. Possess claims coding , reimbursement , and billing skills to review and analyze charges… more