- Ochsner Health (New Orleans, LA)
- …and regulatory requirements to ensure compliance. + Collaborate with clinical staff and coding teams to obtain necessary documentation for appeals + Track and ... make a difference at Ochsner Health and discover your future today!** The Appeals Specialist is responsible for managing and resolving insurance claim denials and… 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... appeals assuring that federally and state mandated coding rules are followed and that the medical… 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...appeals and providing appropriate CPT, CMS, specialty society, Coding Policy, and/or other official documented rationale for … more
- Intermountain Health (Bismarck, ND)
- …the database for internal and external data reporting. + Monitors and responds to coding denials, appeals , and audits. + Maintains current knowledge of coding ... is at an intermediate level of complexity and ensures compliance with coding guidelines, documentation requirements, and reimbursement policies, as well as ensures… more
- UPMC (Pittsburgh, PA)
- …Auditor/Analysts. + Provide new-hire training to Clinical Auditor/Analysts. Performing administrative appeals /preparing medical necessity appeals for ... Medical Directors for second level appeals . Participate in training programs to develop a thorough...and organize multiple projects and tasks. In-depth knowledge of medical terminology, ICD-10 and CPT-4 coding . Knowledge… 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...appeals . + 2+ years of experience as a coding auditor with proven accuracy and compliance. + Required… more
- R1 RCM (Boise, ID)
- …transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise ... AI, intelligent automation, and workflow orchestration. As our Denials and AR Senior Analyst , you will help R1 by managing assigned accounts or clients. Every day,… more
- Robert Half Accountemps (Los Angeles, CA)
- …Revenue Cycle Processes, Medical Claims, Billing Functions, UB-04 form, HMO PPO, Medical Appeals , Medical Denials, and Epic Software. Robert Half is ... National Healthcare Organization is in the need of a Medical Revenue Cycle Analyst to join its...for improvement within the revenue cycle processes, including billing, coding , collections, and reimbursements. + Maintain and analyze financial… more
- Sharp HealthCare (San Diego, CA)
- …and satisfaction in accordance with corporate goals and objectives.Coordinates and/or assists the medical group in the establishment of correct coding tools for ... perform troubleshooting activities and communicates resolution to the affected parties.Provide coding and reimbursement analysis PFS/CCD and medical group. +… more
- Beth Israel Lahey Health (Charlestown, MA)
- …job, you're making a difference in people's lives.** The Revenue Cycle Denial Analyst is charged with coordinating the analysis and effective resolution of denied ... down to the line item detail, identifying payer and coding trends, risks, and opportunities, to implement operational or...be appealed. Responsible for writing timely, comprehensive and compelling appeals to third party payers in order to get… more
- Molina Healthcare (Racine, WI)
- …for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested ... and contractual guidelines. + Partner with provider relations, Health plans and appeals teams to address recurring dispute trends and recommend systemic solutions. +… more
- Guthrie (Sayre, PA)
- …High school diploma or equivalency required. CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Minimum ... staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain...to the team environment. Must maintain a knowledge of medical terminology, CPT and IC D‐10 Coding … more
- City and County of San Francisco (San Francisco, CA)
- …of mental health and substance use treatment services. Under general supervision, 2112 Medical Records Technician assists in analyzing, coding , and compiling all ... patients' records by diagnosis and procedures performed. + Processes medical records of patients by assembling, analyzing, coding...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- Guthrie (Sayre, PA)
- …procedures, for the audit program. * Conduct regular audits and reviews of medical records, billing, coding , provider activity, and departmental processes to ... Position Summary The Healthcare Compliance Analyst & Examiner is responsible for ensuring organizational...compliance, auditing, or clinical management. * Strong knowledge of medical terminology, anatomy, coding guidelines (CPT, ICD-10/11,… more
- TEKsystems (Tampa, FL)
- …will be on the bill review team specifically working in the backlog of appeals . The Bill Review Analyst position holds accountability for accurate and timely ... review, processing and payment of bills to include pre- coding accuracy and adjudication of appeals /provider reconsideration...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more