- Guidehouse (St. Paul, MN)
- …Have : 5 years' experience in Revenue Integrity Coding and Billing Hospital medical billing and auditing experience Associate's ... this work include resolving standard billing edits such as: Correct Coding Initiatives (CCI) Medically Unlikely Edits (MUE) Medical Necessity edits Other… more
- Geisinger (Danville, PA)
- …staff on documentation and coding requirements. Determines the adequacy of medical record documentation, coding , and billing , using established ... services. Job Duties Performs compliance audits to determine the adequacy of medical record documentation, billing , and coding , utilizing policies,… more
- BJC HealthCare (St. Louis, MO)
- …scheduled reviews of BJCMG specialty providers' documentation involved with professional fee billing for accuracy of coding and physical presence; reviews ... serves as mentor to fellow coordinators related to the audit process, coding , billing and compliance; identifies and notifies management educational… more
- CVS Health (Boston, MA)
- … Billing and Coding Specialist (CBCS) preferred. Experience working within Medical Billing Platforms Anticipated Weekly Hours 40 Time Type Full time Pay ... diploma or equivalent Required Qualifications 5+ years work experience, ideally in a medical billing or call center environment Experience with Excel Preferred… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …capture, and documentation to assess adherence to government, payer, and institutional billing guidelines as well as national coding guidelines. The Senior ... cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide... coding , and revenue cycle staff on documentation, coding , and billing requirements; update materials to… more
- Dana-Farber Cancer Institute (Brookline, MA)
- … Compliance Reviewer plans and executes risk-based audits, analyzes documentation and coding for medical necessity and regulatory adherence, and recommends ... to ensure compliance with federal and state regulations, payer requirements, national coding guidelines, and internal policies. The Billing Compliance Reviewer… more
- Elevance Health (St. Louis, MO)
- …you will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of ... formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The DRG CODING AUDITOR is responsible for… more
- Elevance Health (Mason, OH)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The DRG Coding Auditor Principal is responsible ... business, and its clients. Specializes in review of DRG coding via medical record and attending physician's...assurance environment preferred. Broad, deep and niche knowledge of medical claims billing /payment systems provider billing… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Coding Validator I is also responsible for coding functions to support timely coding and billing . **The Coding Validator II is also responsible for ... while performing coding functions to support timely coding and billing . Job Description: Essential Duties...resource for inpatient coding questions. Responsible for coding all types of inpatient medical records… more
- UnitedHealth Group (Minnetonka, MN)
- …AAPC (CPC, CCS-P, RHIA, RHIT) to be maintained annually 3+ years of Physician medical coding (ICD-10, CPT, HCPCS II) experience in a multi-specialty physician ... care delivery to our patients. Join us in making an impact as an Optum Team Member...needed Apply expert coding knowledge to professional coding and billing initiatives and inquiries Identify… more
- Cognizant (Little Rock, AR)
- About the role As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient. You will be a valued member of the ... and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance Perform Peer Reviews...Minimum of five years of facility-based auditing experience with an additional two years of coding experience… more
- Community Health Systems (Kingston, PA)
- …with all policies and standards. Qualifications 0-2 years of experience in medical billing , insurance claims processing, or revenue cycle management required ... up-to-date reference materials. Collaborates with management, clinic staff, and coding teams to ensure proper billing and...Knowledge, Skills and Abilities Knowledge of medical billing processes, insurance claim procedures, and… more
- UnitedHealth Group (Minneapolis, MN)
- …to codes on claims in a telecommuting work environment Determines accuracy of medical coding / billing and payment recommendation for claims This could ... peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you...10/CM/PCS coding experience or Licensed nurse with medical record auditing and coding / billing … more
- Humana (Salem, OR)
- …eCW). Facilitate presentations and train physicians and other staff regarding documentation, billing and ICD10 coding , and provide feedback to physicians ... federal regulations. Cultivate effective partnerships in a matrix environment of coding educators, medical director, clinical and market operations. Facilitate,… more
- UnitedHealth Group (Minnetonka, MN)
- … coding certification from AHIMA (CCS, CCS-P or RHIT) or AAPC (CPC) 2+ years of coding experience in CPT medical coding 2+ years of medical record ... peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you...team members to understand trends and schemes related to billing issues/ coding trends You'll be rewarded and… more
- Beth Israel Lahey Health (Burlington, MA)
- …processing electronic and manual charge and cash revenue transactions into the electronic medical record. The Single Billing Office Cash Specialist provides a ... documented on the cash sheet as appropriate. Working in an SBO (Single Billing Office) environment, the...ability to utilize various electronic, web based and manual coding resources Ability to perform transactions in a patient… more
- Robert Half (Minneapolis, MN)
- Description We are looking for an experienced Billing Representative to join our team. In this role, you will play a vital part in ensuring accurate and timely ... service areas. Coordinate with internal teams and external entities to validate billing information and implement necessary coding updates. Maintain detailed… more
- Trinity Health (Livonia, MI)
- Employment Type: Full time Shift: Description: CERTIFIED RISK ADJUSTMENT CODING SPECIALIST Location: Trinity Health PACE Corp Michigan Status: Full time Remote ... and claims processing. Duties also include abstracting and validating data from medical records and providing education on documentation to support HCCs. Position… more
- Cardinal Health (Little Rock, AR)
- …and coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. Prepares written reports of audit findings ... state regulations and laws, CMS and other third-party payer billing rules and internal documentation, coding and...preferred. 6+ years of experience in physician and/or hospital coding and auditing, medical necessity reviews, or… more
- Trinity Health (Livonia, MI)
- …& all service lines. Guides, communicates & educates on correct charge capture, billing & coding processes & local, state & federal guidelines. Examines, ... support coverage of other departmental functions. Collaborates with Physicians, Medical Records / Health Information Management, Ancillary, Nursing, Patient Business… more
