- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management ... of situations or data requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit… more
- Highmark Health (Columbus, OH)
- …consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in ... The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment...coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the… more
- Elevance Health (Mason, OH)
- **DRG CODING AUDITOR** **_Virtual_** **_: _** _ _ __...an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of ... the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary… more
- Elevance Health (Cincinnati, OH)
- **DRG Coding Auditor Principal** **_Virtual: _** _ _ This...an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of ... the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary… more
- Elevance Health (Mason, OH)
- …be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of ... Manager of DRG Coding Audit-Program/Project Locations: _The selected candidate must reside...companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate… more
- Elevance Health (Mason, OH)
- …member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary ... **Business Analyst III - Payment Intergrity Datamining** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and… more
- Humana (Columbus, OH)
- …claims initially paid correctly in the system) + Minimum of 2 years Provider Payment Integrity (formally known as Financial Recovery) experience + CAS claims ... to gather knowledge on Medicare Advantage and Medicaid State Regulations + Certified Professional Coding (AAPC) + Previous experience working with the internal… more
- Trinity Health (Grove City, OH)
- …Understands relation between diagnosis and procedure using CPT and ICD-9 coding to ensure compliance with third party regulations. Understands Medicare, Medicaid ... medical and financial information, debt collection and credit reporting. Establishes payment arrangements for patients and evaluates past account history. Abides by… more
- Cleveland Clinic (Cleveland, OH)
- …and able to integrate this patient care approach with the reputation and integrity of the Cleveland Clinic. This physician will focus on the Functional Medicine ... assuring completeness and accuracy + Take responsibility for comprehensive and accurate coding of each patient encounter submitted the day of encounter + Participate… more
- Nelnet (Columbus, OH)
- …a professional services company, consumer loan originator and servicer, payment processor, renewable energy innovator, and K-12 and higher education expert (and ... lives through the power of service as a student loan servicer, professional services company, consumer loan originator and servicer, payments processor, renewable… more