- Premera Blue Cross (Mountlake Terrace, WA)
- …communities that we serve through our Healthsource blog: https://healthsource.premera.com/ . The ** Medical Coding Auditor** plays a crucial role in ensuring the ... coding errors and documentation deficiencies. In addition to auditing, the Medical Coding Auditor conducts quality assurance (QA) reviews of peer and vendor… more
- Stanford Health Care (Palo Alto, CA)
- …of Ethical Coding , as well as all American Hospital Association (AHA) Coding Clinics for HCPCS and the American Medical Association (AMA) CPT Assistant. ... problems + Ability to utilize the ICD-10-CM/PCS and CPT-4 coding conventions to code medical record entries; abstract information from medical records;… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …The **_Clinical Policy Coding Administrator_** is a senior member of the Medical Policy and Clinical Coding team whose work is critical in managing ... Coding Administrator_** will draw on their knowledge of medical policy and clinical coding to identify...their knowledge of medical policy and clinical coding to identify the appropriate codes that accurately represent… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …years of professional work experience\. _Experience_ + 1 year \- Progressive medical coding and health care experience required\. _Skills\\Certifications_ + ... guidelines\. + Perform comprehensive 1st pass reviews of medical records and physician assessment forms \(HCC coding... medical records and physician assessment forms \(HCC coding \)\. + Assist with the intake and quality assurance… more
- Luke Staffing (Butner, NC)
- ** MEDICAL BILLING CODING SPECIALIST** **We encourage Military Veterans and Military Spouses to apply** **SITE OF SERVICE:** DOJ (Department of Justice Prison) - ... Information Administrator (RHIA) . Registered Health Information Technician (RHIT) . Certified Coding Specialist (CCS) . Certified Coding Assistant (CCA) .… more
- Caris Life Sciences (Austin, TX)
- …NYS, CAP, FDA, ISO, etc.). **Required Qualifications** + High school diploma and completion of Medical Coding course. + 0-2 years of experience in medical ... coding . Completion of medical coding courses and certification are required. + Must hold...and certification are required. + Must hold an active medical coding certification through AAPC or AHIMA.… more
- Tidelands Health (Myrtle Beach, SC)
- …patient records + Expertise in assigning accurate CPT(R), HCPCS Level II, and ICD-10-CM medical codes and modifiers based on coding and payer guidelines. + ... Tidelands and help people live better lives through better health!** **Provider Coding Specialist** Are you passionate about quality and committed to excellence?… more
- Stanford Health Care (Palo Alto, CA)
- …computer application to medical records + Knowledge of ICD-10-CM & CPT coding conventions to code medical record entries; abstract information from ... of standards and regulations pertaining to the maintenance of patient medical records; medical records coding systems; medical terminology; anatomy… more
- Insmed Incorporated (NJ)
- …identified which may affect the quality and integrity of clinical studies.Perform medical monitoring, coding , and data cleaning in collaboration with Clinical ... development team. This individual will be the primary point person for medical monitoring and oversight of assigned clinical programs including monitoring of… more
- Seattle Children's (Seattle, WA)
- …OR. Completion of the Seattle Children's Revenue Cycle Coordinator program or accredited medical billing/ coding program. Minimum of two years of experience in ... and electronic data interchange systems, eg Epic, Relay Health, Xactimed/Med Assets. Medical billing/ coding experience. Bachelor's degree or certified medical… more
- Stanford Health Care (Palo Alto, CA)
- …of clinical criteria set (Milliman, Inferqual, Medicare, Health Plan) + Knowledge of medical terminology and medical coding , including but not limited ... and linkages with community resources. + Effective coordination and communication with Medical Directors and clinical staff. + All other duties as assigned including… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …+ Proficiency with claims processing software and technology + Understanding of medical terminology, coding , and healthcare industry regulations + Ability to ... **Overview** BroadPath is hiring a work from home, detail-oriented medical **Claims Examiner** looking to make a significant impact in the healthcare industry. Join… more
- Emory Health Care (Atlanta, GA)
- …leadership programs and more! We are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of ... DRGs. This individual will: Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of… more
- Stony Brook University (East Setauket, NY)
- …including experience in validating the configuration and build of contracts. + Medical Coding Certification through the American Academy of Professional Coders ... in Joint Operating Calls (JOC) with insurance payers. + Monitors medical record request, correspondence distribution and scanning processes, volume, and trends.… more
- Seattle Children's (Seattle, WA)
- …providers ie, physicians, PhDs & APPs on complete and accurate professional coding and coding -related processes, in collaboration with professional coding ... and CUMG leadership teams. Develop educational materials and standard procedures. Communicate coding and billing updates to clinical leaders and providers. Build and… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …coding trends, denial patterns, and productivity metrics. Skilled in resolving coding edits including modifier application, medical necessity validation, NCCI ... Day Shift **Purpose Statement/Position Summary:** In conjunction with the Manager, HIM Coding & CDI, responsible for direct supervision of the HIM Coders to… more
- Children's Hospital Los Angeles (Glendale, CA)
- …Familiarity with medical billing processes, insurance claims, and understanding of medical coding (such as ICD-10, CPT) is essential. Experience with ... electronic health record (EHR) systems and billing software is also beneficial. Knowledge of CCS, Medi-Cal, GHPP. The ability to analyze financial documents, identify discrepancies, and resolve billing issues is essential. Strong problem-solving skills help in… more
- Emanate Health (Covina, CA)
- …ICD10 and CPT codes submitted for Medicare and Covered CA lines of business. Coding specialist will be responsible to review medical records and claims data ... for the oversight of HCC Program and STAR measures coding related functions. The coding specialist will...manner. Assigns diagnostic/procedural codes to in- patient and outpatient medical records. Ensures that all accounts are coded accurately… more
- US Physical Therapy (Houston, TX)
- …of experience in medical billing and collections + Knowledge of medical billing and coding , insurance regulations, and healthcare reimbursement policies + ... timely reimbursement. + Maintain knowledge of current insurance regulations and coding requirements. **Qualifications** + High school diploma or equivalent required;… more
- US Physical Therapy (Sanford, FL)
- …data entry skills with high attention to detail + Proven experience with medical terminology and coding + Strong organizational and time management abilities ... + Verify patient insurance coverage, benefits, and eligibility prior to medical services + Communicate effectively with insurance providers, patients, and healthcare… more
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