- MVP Health Care (Rochester, NY)
- … Analyst to join #TeamMVP. If you have a passion for managing audits, medical coding , and analytical thinking and this is the opportunity for you. What's ... degree with the equivalent combination of related experience may also be considered. Coding certification, such as AAPC CPC, CIC, COC, CCS is required. The… more
- Campbell County Health (Gillette, WY)
- …in understanding Coding rules/concepts; bundling issues, MUE and modifier issues, medical necessity, etc. Familiar with CPT, HCPCs, and ICD10 Coding systems. ... hospital/ medical billing. Must be proficient in understanding CPT. HCPCs, ICD10 coding conventions. Current knowledge of NCCI edits, Medical Necessity rules… more
- MVP Health Care (Rochester, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a Risk Adjustment Analyst to join #TeamMVP. This is the opportunity for you if you have a ... Use Clinical Risk Group (CRG) software to target interventions for improved coding for Medicaid members. Calculates ROIs for Risk Adjustment programs. Maintain… more
- MVP Health Care (Tarrytown, NY)
- …Registered Nurse (RN) required New York State license required Licensed Behavior Analyst (LBA) or Board-Certified Behavior Analyst (BCBA) preferred. If ... managed care organization is preferred Knowledgeable with diagnosis and procedural coding preferred Detail oriented with strong organizational skills including the… more
- Aston Carter (Salem, OR)
- Job Title: Medical Coding Analyst Job Description The Medical Coding Analyst plays a critical role in ensuring accurate medical coding ... equivalent. + Minimum of 2 years experience as a Coding Analyst or Coding Supervisor....in initiating and leading performance improvement projects within a medical coding environment. + Understanding of EHR,… more
- TEKsystems (Indianapolis, IN)
- TekSystems is hiring a Medical Billing & Coding Analyst for a large healthcare system in Indianpolis, IN! + This department is in charge of turning around ... claims submitted in the billing process. Essentially, analyst collects money from insurance companies. + This is...Skills & Qualifications MUST HAVE: + 1+ year of medical office or healthcare experience where they handle health… more
- Elevance Health (Indianapolis, IN)
- …based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective ... and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. +… more
- Huron Consulting Group (Chicago, IL)
- …Representative will report to the Huron Managed Services Domestic Coding team. The Medical Coding Analyst will report to the Domestic Business Office ... responsible for executing a variety of activities involving the coding of medical records, resolving coding...and may be implemented in the future._ **Position Level** Analyst **Country** United States of America At Huron, we're… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …will be considered. * 3 years of relevant health plan or provider office medical coding /claims and/or Business Analyst experience in a healthcare setting ... Cross and Blue Shield of Minnesota Position Title: Healthcare Coding Analyst Location: Hybrid | Eagan, Minnesota...this role, you will be responsible for ensuring healthcare medical coding and reimbursement policies are implemented… more
- Centene Corporation (Tallahassee, FL)
- …experience, preferably in healthcare. Project management experience preferred. Coding certification highly preferred. Experience researching and interpreting ... coding guidelines. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and ... and identifying potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding… more
- CareFirst (Baltimore, MD)
- …and integration of medical codes across policies and platforms. The Senior Coding Analyst partners with medical policy analysts, configuration teams, and ... use of CPT, HCPCS, and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy, credentialing, and contracting rules… 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 for ... public health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance, Payment Integrity and Analytics + Direct and… more
- Rush University Medical Center (Chicago, IL)
- …disability, veteran status, and other legally protected characteristics. **Position** Sr Compliance Coding Analyst **Location** US:IL:Chicago **Req ID** 19719 ... 10. Serve as the internal liaison for Rush University Medical Center for coding and compliance questions and concerns. 11. Facilitate compliance initiatives… more
- Providence (OR)
- **Description** ** Coding Policy Analyst ** **_Remote_** The Coding Policy Analyst is responsible for the coordination of technically detailed work that ... within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for...401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life insurance, disability insurance, time off… more
- Hartford HealthCare (Farmington, CT)
- …Integrity Analyst 1 - CL / Revenue Cycle Cmdr Coding * **Location:** *Connecticut-Farmington-9 Farm Springs Rd Farmington (10566)* **Requisition ID:** *25164602* ... revenue generating clinical departments. Under the direction of the Manager Revenue Integrity Analyst - Clinical Liaison, the Revenue Integrity Analyst I plays a… more
- Texas Health Resources (Arlington, TX)
- …a rewarding career with an award-winning company? We're looking for a qualified_ Inpatient Coding Analyst _like you to join our Texas Health family._ Work ... Inpatient Coding Denials Analyst _Are you looking...a Texas Health Coder * Benefits include 401k, PTO, medical , dental, Paid Parental Leave, flex spending, tuition reimbursement,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …or projects with minimal direction or oversight. . Acts as an expert in reviewing medical coding and medical record review with ability to oversee complex ... Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position...I . Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and… more
- CommonSpirit Health (Prescott Valley, AZ)
- **Job Summary and Responsibilities** The Coding Analyst & Education Specialist position champions coding accuracy and integrity across our facilities and ... and/or knowledge of APC's, modifiers, and other payment methodologies. Electronic Medical Record (EMR) or Cerner experience. Certified Coding Specialist (CCS),… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid** The Reimbursement Analyst ... operations. + Provides on-going in-service training for staff on proper coding guidelines, insurance regulations, medical records and physician documentation… more
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