- Molina Healthcare (NY)
- …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
- LifePoint Health (Denver, CO)
- …a valid job field* **Organization:** **Pacific Medical Data Solutions* **Title:** * Medical Coding Quality Analyst - Remote Position* **Location:** ... care, we may have your next opportunity. We are currently seeking a Quality Analyst - Coding . TheQuality Analystwill spend the majority of the time auditing… more
- 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
- Rush University Medical Center (Chicago, IL)
- …depending on the circumstances of each case. **Summary:** The Sr Compliance Coding Analyst conducts compliance reviews on hospital and physician documentation, ... disability, veteran status, and other legally protected characteristics. **Position** Sr Compliance Coding Analyst **Location** US:IL:Chicago **Req ID** 15086 more
- Texas Health Resources (Arlington, TX)
- …Accountability **Additional perks of being a Texas Health Clinical Coding Analyst ** . Benefits include 401k, PTO, medical , dental, Paid Parental Leave, ... **Clinical Coding Apprenticeship Analyst ** _Are you looking for a rewarding career with an award-winning company? We're looking for a qualified_ **Clinical … more
- Texas Health Resources (Arlington, TX)
- ** Coding Quality/Education Inpatient Analyst ** _Are you looking for a rewarding career with an award-winning company? We're looking for a qualified_ ** Coding ... generally 8:00 am to 4:30 pm but some flexibility on hours **HIMS Coding Department Highlights:** . 100% remote work . Flexible hours/scheduling . Terrific work/life… 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
- 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
- R1 RCM (Salt Lake City, UT)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our US- Coding Analyst , you will help the Billing department review ... times. Every day you will review unbilled claims, review medical records for edit resolution, and escalate coding...needed. **Here's what you will experience working as a Coding Analyst :** You will be a member… more
- Hartford HealthCare (Farmington, CT)
- …**Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Mgr Revenue Integrity Analyst / Revenue Cycle Cmdr Coding * **Location:** ... to the HHC clinical departments as it relates to charging, late charges, medical necessity issues and reconciliation efforts that department staff should complete to… more
- HCA Healthcare (Richmond, VA)
- …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 (Grand Prairie, TX)
- …** Coding Analyst Senior** is responsible for reviewing, auditing, and coding medical records for the purpose of ensuring consistent and complete ... you will make an impact:** + Audits and reviews medical documentation for appropriate ICD-10 and CPT/CPT II ...medical documentation for appropriate ICD-10 and CPT/CPT II coding and documentation. + Queries physicians or providers when… more
- University of Washington (Seattle, WA)
- …Health Information has an outstanding opportunity for both **INPATIENT and OUTPATIENT CODING EDUCATION ANALYSTS** **WORK SCHEDULE** + 100% FTE + Mondays - Fridays ... training of one or more content areas ERHI has coding oversight for + Serve as an expert in...Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, 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
- 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
- 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
- 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
- TEKsystems (Annapolis, MD)
- …business, healthcare, or related field is preferred. + 3-4 Years of medical coding , denial management, and/or reimbursement experience is required. Pay ... Hybrid Coding Appeals Analyst Opportunity to join...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- SUNY Upstate Medical University (Syracuse, NY)
- Position Overview: The UCM Revenue Integrity and Compliance Analyst will be a dynamic and self-motivated individual able to provide revenue cycle support to the ... Revenue Integrity and Compliance Coordinator and Upstate Community Medical (UCM). In addition, the Revenue Integrity and Compliance... (UCM). In addition, the Revenue Integrity and Compliance Analyst will also support other members of the UCM… more
- Hawaii Pacific Health (Honolulu, HI)
- …or review. HIS is the custodian and gatekeeper for privacy of the organization's medical records and also generates the coding procedures for data collection, ... health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i...the health care sector. If you are a diligent analyst and gifted with numbers, you could be our… more