- 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
- Centene Corporation (Tallahassee, FL)
- …management experience preferred. **Benefits and Payment Configuration:** **Compliance Coding /Prepay Compliance (Payment Integrity):** Bachelor's degree in related ... field or equivalent experience. 2+ years of business process analysis, preferably healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. Advanced knowledge of Microsoft Applications, including Excel and… more
- Chapa-De (Auburn, CA)
- …field, we are seeking a motivated person to join a growing organization and support the medical side of coding ! The Coder/ Analyst must have the ability to ... perform ICD-10 and CPT coding per guidelines using EMR systems and assure documentation...once training is complete) Benefit Highlights: + Health Insurance ( medical , dental and vision). + 10 days PTO per… 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** 13896 ... 10. Serve as the internal liaison for Rush University Medical Center for coding and compliance questions and concerns. 11. Facilitate compliance initiatives… more
- Texas Health Resources (Arlington, TX)
- **Education & Quality Coding Analyst ** _Are you looking for a rewarding career with an award-winning company? We're looking for a qualified_ **Education & ... Quality Coding Analyst ** _like you to join our...(Preferred). **What you will do** . Performs audits of medical records and validates assignment of diagnosis and procedure… more
- St. Luke's University Health Network (Allentown, PA)
- …a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and ... ASCs across the network. Utilizes provider documentation and queries, coding software tools and Insurance carrier medical ...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a Revenue Integrity Clinical Coding Analyst RN? At Parallon, 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...We are looking for a dedicated Revenue Integrity Clinical Coding Analyst RN like you to be… more
- Elevance Health (Durham, NC)
- …** Coding Analyst Senior** is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and ... you will make an impact:** + Audits and reviews medical documentation for appropriate ICD-9 and CPT coding... medical documentation for appropriate ICD-9 and CPT coding and documentation. + Queries physicians when code assignments… more
- Hunterdon Health Care System (Flemington, NJ)
- …+ Preferred: + None + License, Registry or Certification : + Required: + Medical coding certification, one of the following CCA,CCS,CPC in good standing + ... Position Summary + Responsible for application and maintenance of medical necessity software, insuring compliance relating to Medicare billing requirements,… more
- Providence (OR)
- **Description** **Providence is calling a Coding Analyst \*Remote - Most states eligible The Telehealth Billing and Coding SME will have overall ... advantage. Acts as PHS Subject Matter Expert for telehealth coding and billing guidelines, legal and regulatory issues, and...experience in a similar healthcare domain. + Experience in medical billing. + Experience in a medical … more
- Penn State Health (Hershey, PA)
- … medical or genetic information._ **Union:** Non Bargained **Position** Epic Application Analyst Senior Health Information Management and Coding - IS Business ... the development, configuration, implementation, and on-going support of the Epic Electronic Medical Record (EMR) and other supporting IT systems for Penn State… more
- South Central Regional Medical Center (Laurel, MS)
- Job Description: Analyst - HIM - Tracking, Information Release, Coding /Abstraction, Document Imaging, Patient Index Department: EPIC Summary Primary build and ... support contact for medical records, coding and document imaging applications within the electronic health record. Acts as subject matter resource for EHR… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for all components of diagnostic and procedural coding review for complex pre and post-surgical procedures. Negotiates reimbursement ... with third party carrier Medical Directors and insurance representatives. Manages the post-payment review...of claims and collection. Provides education and guidance on coding and claims management to billing and other FPA… more
- Sierra Nevada Corporation (Sparks, NV)
- We are seeking a skilled and detail-oriented Cybersecurity Analyst to join our team. The primary responsibility of this role is to review code for security ... issues. The ideal candidate will possess a strong understanding of secure coding practices and have experience in identifying and mitigating security risks within… more
- Molina Healthcare (WI)
- …potential health care fraud, waste, and abuse through the identification of aberrant coding and/or billing patterns. + Performs medical record audits in order ... validate coding accuracy. + Performs, as required, non- medical record review audits to validate billing accuracy. +...internal and/external use detailing audit findings. + Renders provider coding education as appropriate based on coding … more
- Healthfirst (FL)
- …policy configuration in order to resolve the providers payment discrepancy. + Reviews medical records to ensure coding is consistent with the services billed ... all areas of the company with regards to claims editing and proper coding , billing, and payment. + Researches and provides feedback on claims editing performance… more
- Hartford HealthCare (Farmington, CT)
- …and financial analysis skills. * Demonstrated knowledge of revenue cycle processes, medical terminology and related coding and charge capture processes. * ... **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Revenue Integrity Analyst / Revenue Cycle Cmdr Coding * **Location:**… more
- HCA Healthcare (Richmond, VA)
- …opportunities. **What you will do in this role: ** + Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP service lines ... that invests in you as a Senior Revenue Integrity Coding Specialist for Cath Lab and Interventional Radiology? At...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Rush University Medical Center (Chicago, IL)
- …* Able to learn and apply technical knowledge in the areas of clinical research, medical coding and revenue cycle in a consultative manner. * Excellent verbal ... guidance and their effect on research billing processes. The analyst will provide high-level professional support in the growing...within the CTMs and conduct financial activities within the medical billing and coding software (ie OnCore,… more
- BlueCross BlueShield of North Carolina (NC)
- … expertise to analyze medical records and charts in relation to provider coding . The Coding Analyst identifies physician practices with complex coding ... Services (CMS). **What You'll Do** + Analyzes necessary documentation, including medical records/charts, and applies clinical coding expertise to evaluate… more
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