- WellSpan Health (Chambersburg, PA)
- Position Function: Under the direction of the Coding Manager, functions as a medical coder for the Health Information Management Department to review, retrieve, ... guidelines with 95% accuracy or higher. 7. Works cooperatively with the medical staff and other healthcare professionals in obtaining documentation to complete … more
- TEKsystems (Linthicum Heights, MD)
- …the benefits available for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement ... Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** In collaboration with the Medical Director, the Medical Policy Analyst will research, analyze, evaluate, and revise ... medical policies and operating procedures to support the corporate...in a healthcare setting. **Preferred Qualifications** : Certified Professional Coder (CPC). **Knowledge, Skills and Abilities (KSAs)** + Ability… more
- CareFirst (Baltimore, MD)
- …as an internal expert to ensure that as value-based reimbursement and medical policy models are developed and implemented. Provides advanced knowledge to support ... 10 codes in claims submissions. Utilizes extensive coding knowledge, combined with medical policy, credentialing, and contracting rules knowledge to help build the… more
- Elevance Health (Hanover, MD)
- …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** ... from an office.** The **DRG Coding Auditor** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of… more
- Elevance Health (Hanover, MD)
- …Related Group Clinical Validation Auditor-RN** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
- CareFirst (Baltimore, MD)
- …for conducting research and analysis and reviewing billing requirements, provider manuals, medical policies, and other sources as needed to identify new overpayment ... overpayment scenarios. Performs analysis on claims, provider data, enrollment data, medical policies, claim payment policies for payment integrity concepts for… more
- Elevance Health (Hanover, MD)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for ... control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions...in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years… more