- Element Science (San Francisco, CA)
- …policies, healthcare regulations, and billing practices related to durable medical equipment.RESPONSIBILITIES:As the first person to hold this title, you have a ... Oversee in-house resources & billing tools and/or third-party vendor to ensure accurate coding and submission of claims ; improve claim submission process to… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible ... Degree Required Experience (must have): + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+...Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding … more
- Zelis (St. Petersburg, FL)
- …understanding of payment integrity, claim processing and/or revenue cycle for healthcare claims + Understanding of medical coding and medical ... integrity market. Key Responsibilities: + Gather requirements/acceptance criteria for Expert Claims Review initiatives centered around handling of medical … more
- Whitney Young Health Center (Watervliet, NY)
- …. Four (4) years of progressive experience in medical billing and claims processing in a multi-specialty healthcare setting. Professional coding ... Claims Coding Specialist (Req 100825) Watervliet, NY (http://maps.google.com/maps?q=1601+Broadway+Watervliet+NY+USA+12189) Apply Description GENERAL… more
- Humana (Columbus, OH)
- …caring community and help us put health first** The Claims Financial Recovery Coding Specialist / Medical Coding Coordinator 2 for the Financial Recovery ... and CMS guidelines. The Claims Financial Recovery Coding Specialist / Medical Coding ...of medical claims knowledge and/or claims processing experience within the healthcare industry.… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with purpose and ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family… more
- VNS Health (Manhattan, NY)
- …accuracy and compliance in the healthcare field? We are seeking a skilled Home Coding Specialist to review and audit claims , ensuring they meet all billing, ... medical records, including ICD-10-CM or current coding system and medical record systems required Strong knowledge of claims submission procedures and… more
- Guidehouse (Lewisville, TX)
- …or customer service. + Working knowledge can be of the following: insurance claims , billing, coding , follow-up, finance, accounting or customer service related ... Required** **:** None **What You Will Do** **:** The ** Medical Biller** is expected to perform all areas of...billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the… more
- HCA Healthcare (Denver, CO)
- …midpoint of the range. **Introduction** Do you have the career opportunities as a Medical Insurance Claims Representative you want with your current employer? We ... have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider...of colleagues. Do you want to work as a Medical Insurance Claims Representative where your passion… more
- Prime Healthcare (Ontario, CA)
- …to all levels using Microsoft Office applications. + Strong knowledge of medical coding (ICD-10, HCPCs/CPT, etc.) Preferred qualifications: + Certified ... to improve the quality and minimize process cost of Claims for all Prime Healthcare 's self-insured Employee...Professional Coding Certification, AIC, ARM, or equivalent. + Familiarity with… more
- VNS Health (Manhattan, NY)
- …of quality and production standards required by leadership to ensure continued medical coding accuracy. This requires advanced knowledge, certifications, and ... level of quality and production standards required by leadership to ensure continued medical coding accuracy. + Provider Engagement, Audit, Training and Support… more
- University of Washington (Seattle, WA)
- …(Patient Account Representative 2) is responsible for the optimal payment of coding related denied claims from commercial insurers, managed care plans, ... month Shift: First Shift Notes: + Choose from top medical and dental insurance programs + Plan for your...(FPPS) has an outstanding opportunity for an **Insurance Follow-Up Coding Denials Specialist.** **WORK SCHEDULE** + 40 hours per… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …healthcare -related field of study is preferred. Licensure: . Coding Certification required. . Registered Health Information Technician/Administrator (RHIT/RHIA) ... and implement methods to maximize efficiency and compliance related to coding , billing, accounts receivable, and reimbursement processes and procedures. Job… more
- Bozeman Health (Bozeman, MT)
- …in healthcare administration, revenue cycle, health information management, or coding + Three (3) years supervisory or management experience + Knowledge of ... for PPS and CAH Hospital, Provider-Based, Free-Standing Clinic, and Swing Bed Coding + Preferred: Master's degree in healthcare administration or business… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs. Required ... all messages in a timely manner. + Maintains communication between medical providers, administrative staff, and/or patient/families. Business Services: + Performs… more
- LogixHealth (Bedford, MA)
- …with MS Excel and Outlook required; Microsoft Teams experience is a plus + Medical office background, Coding experience and/or certification is a plus Specific ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
- Houston Methodist (Houston, TX)
- …changes are needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records, claims data, payer medical policies, etc.), ... future denials. + Integrates the payer medical policies, case specific medical documentation, and claims information into a concise appeal letter, including… more
- UT Health (Houston, TX)
- …for child and elder care + Plus many more! **Position Summary:** The Certified Coding Specialist I is responsible for reviewing medical documentation provided by ... procedures. **Position Key Accountabilities:** **Essential Functions** + Resolves Epic Coding and Optum Claims Manager edits. +...work queue in a timely manner and resolving all coding related edits. + Reviews medical record… more
- Covenant Health Inc. (Knoxville, TN)
- …order to ensure compliance. + Reviews information from third party payers relative to claims charging, coding , and billing in order to ensure compliance. + ... Covenant Health Overview: Covenant Health is East Tennessee's top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) and over 85… more
- LifePoint Health (Denver, CO)
- … medical record documentation for accurate coding . * Resolve medical record documentation deficiencies through healthcare provider query and provide ... the information into codes that insurers use to process claims . You will make sure that codes are assigned...appropriately as per government and insurance regulations, complying with medical coding guidelines and policies. Following up… more
