- Somatus (Mclean, VA)
- …MPH, MBA, etc.) + Experience in healthcare industry and strong knowledge of medical coding systems + Experience using business intelligence reporting suites (eg, ... and be the best version of themselves, including: + Subsidized, personal healthcare coverage ( medical , dental vision) + Flexible Paid Time Off (PTO) + 401(k) Match +… more
- Lyric (Newtown Square, PA)
- …in a health insurance payer or automated claims editing solution, as a payment, reimbursement or medical policy analyst , medical claims processor, ... managing a team of high performing Clinical Managers and Medical Content Analysts. In this intricate role, the Senior...combine their deep knowledge of CPT, HCPCS, and ICD10CM coding guidelines with strong leadership skills to guide their… 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 ... operations. + Provides on-going in-service training for staff on proper coding guidelines, insurance regulations, medical records and physician documentation… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- … in Eagan, MN. In this role, you will be responsible for ensuring healthcare medical coding and reimbursement policies are implemented and integrated in all ... compliance. * Assist in communicating changes in Blue Cross coding and reimbursement policies to all lines...3 years of relevant health plan or provider office medical coding /claims and/or Business Analyst … 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* ... toward achieving operational efficiency, complete regulatory compliance, and total reimbursement .This role supports HHC institutes that includes hospitals and… more
- University of Washington (Seattle, WA)
- …Practice Plan Services (FPPS)** has an outstanding opportunity for a full-time, remote ** Coding Business Analyst .** **WORK SCHEDULE** + 40 hours per week + ... Shift + This position is Remote **POSITION HIGHLIGHTS** The Coding Business Analyst is an operationally focused...experience in a Health Care environment. + Familiarity with reimbursement and billing regulations such as the WAC, CMS,… 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...medical , dental, Paid Parental Leave, flex spending, tuition reimbursement , Student Loan Repayment Program as well as several… 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
- Elevance Health (Tampa, FL)
- …employment 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 ...accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence to providers regarding… more
- Centene Corporation (Jefferson City, MO)
- …extraction of medical diagnoses and ensure accurate and complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and ... and ensure compliance with regulatory and coding guidelines. + Ensure coding accuracy by reviewing inpatient and outpatient medical records using clinical… 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
- Centene Corporation (Tallahassee, FL)
- …experience, preferably in healthcare. Project management experience preferred. Coding certification highly preferred. Experience researching and interpreting ... including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible approach to work… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Audit, Network Administration and/or Medicare Advantage staff, and entry level Reimbursement Analyst by developing and implementing project/program narratives ... Medicare Advantage must have working knowledge of Medicare enrollment guidelines and reimbursement . **Licenses and Certifications** + Pursuit of coding (CPC or… more
- St. Luke's Health System (Boise, ID)
- …reducing costs through data-driven insights and actionable analytics. The Network Reimbursement Analyst is responsible for developing, maintaining, and updating ... and operational data to evaluate the financial and operational impact of reimbursement changes on provider revenue, medical spend (PMPM), site-of-service… more
- Catholic Health (Buffalo, NY)
- …knowledge of ICD-10-CM, CPT-4, Evaluation and Management (E/M), anatomy and physiology, medical terminology, APC's, and Outpatient referred coding requirements + ... Hours: 8a-4:30p Summary: The Auditor/Educator will work cooperatively with CH coding associates, Clinicians, Outpatient Coding Managers, CDEI Education Manager… more
- Calvert Memorial Hospital (Prince Frederick, MD)
- …CCS, CCS-P) + AAPC Certifications (CPC, CPC-H) + Experience : + 1 year of medical coding experience in a clinical, hospital, or physician office setting + ... + Job Summary : + Codes and abstracts outpatient medical records in accordance with established coding ...(MHACS) experience, required. + Familiarity with Meditech and 3M Coding and Reimbursement System, preferred. + 360… more
- Mount Sinai Health System (New York, NY)
- …Contract Manager Analyst ** will play a critical role in testing, coding , modeling, and reporting on Hospital Billing (HB) and Professional Billing (PB) contracts ... Professional Billing (PB) contracts. + Strong background in contract coding , logic, and reimbursement structures. + Prior...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Covenant Health Inc. (Knoxville, TN)
- …with correct coding initiatives. Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting. Assists ... medical record to determine ICD-10 CM and CPT-4 coding that is needed to comply with billing and...American Health Information Management Association. Apply/Share Job Title CODER ANALYST SPEC-CLNIC ID 4398928 Facility Covenant Medical … more
- Covenant Health Inc. (Knoxville, TN)
- Overview Coding Analyst , Centralized Coding ...be utilized, in accordance with coding and reimbursement guidelines. + Verifies data in the medical ... appropriate DRG assignment. Communicates with physicians for clarification of documentation for coding . Abstracts and enters data from the medical records in… more
- Beth Israel Lahey Health (Woburn, MA)
- …Beth Israel Deaconess Medical Center (BIDMC), the Revenue Integrity Senior Analyst contributes to Revenue Integrity and Coding oversight at the enterprise, ... Under the direction of the Director, Revenue Integrity and Coding at Harvard Medical Faculty Physicians (HMFP)...CPT, HCPCS, and wRVUs for accuracy, compliance with applicable coding and billing guidelines, and optimization of reimbursement… more
