- Commonwealth Care Alliance (Boston, MA)
- … experience, specific to Medicare and Medicaid * 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims , ... public health care programs and reimbursement methodologies (Medicaid and Medicare) * Medical Coding , Compliance, Payment Integrity and Analytics * Direct and… 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
- HCA Healthcare (Nashville, TN)
- …more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare 's graduate medical education leader. We provide direction for over 260 ... **Description** **Job Summary and Qualifications** The Coding Operations Education and Appeals Consultant is responsible for assisting in the efficient and effective… more
- HCA Healthcare (Nashville, TN)
- …work environment where diversity and inclusion thrive? Submit your application for our Inpatient Coding Editor opening with Work from Home today and find out what it ... truly means to be a part of the HCA Healthcare team. **Benefits** Work from Home, offers a total...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- … staff and other healthcare professionals in obtaining documentation to complete medical records and ensure quality coding + Select the DRG for each ... visit, ensuring coding compliance based on approved coding guidelines and conventions + Abstract medical ... record abstract data prior to billing interface and claims submission + Routinely code inpatient records to meet… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …to manager on a weekly/monthly basis any scheduled/assigned tasks/projects + Create case to coding team member any claims in your assigned worklist that pertain ... The Senior Coding Specialist is responsible for performing coding...efficient operation of the physician practices within Chesapeake Regional Medical Group. Essential Duties and Responsibilities These duties 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)
- …want to join an organization that invests in you as a Medical Insurance Claims Representative? At HCA Healthcare , you come first. HCA Healthcare has ... home after meeting and maintaining productivity standards._** **Benefits** HCA Healthcare , offers a total rewards package that supports the...make a difference. We are looking for a dedicated Medical Insurance Claims Representative like you to… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- Medical Billing & Coding Specialist Department: Community Health & Research Center Location: Dearborn, MI START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=2402723&source=2402723-CJB-0) Job Title: Medical Billing and Coding Specialist Job Status:… more
- Molina Healthcare (KY)
- … Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses ... to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of … 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, ... initiatives and increasing compliance requirements for a wide array of healthcare operational and financial matters including revenue cycle processing and reporting.… more
- Hartford HealthCare (Farmington, CT)
- …appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPT coding , by reviewing the medical record, facility protocol, and other ... where every moment matters. Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing in...and resolve specific billing edits and denials that require coding and billing expertise with some clinical knowledge that… more
- HCA Healthcare (Campbell, CA)
- …the San Jose, CA market* Do you have the career opportunities as a Senior Claims Examiner you want with your current employer? We have an exciting opportunity for ... which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** HCA ...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… 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
- HCA Healthcare (Nashville, TN)
- …CA market area Do you want to join an organization that invests in you as a Claims Examiner? At Work from Home, you come first. HCA Healthcare has committed up ... 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
- The Cigna Group (Bloomfield, CT)
- …experience in ACA Claim Operations and/or Payment Integrity functions, such as claims editing, claim coding , enrollment, coordination of benefits, overpayment ... The Claims Strategy and Payment Integrity Senior Manager will...and overall workflow + Keep up to date with carrier/ coding /billing rule changes to ensure compliance with state regulations… 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
- Houston Methodist (Houston, TX)
- …FUNCTIONS** + Responds to or clarifies internal requests from all business partners for medical coding information in a timely manner. + Participates in ... clarification to accurately code diagnosis and procedures. + Collaborates with management on coding and diagnosis issues to reduce claims denials by providing… 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
- 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