- Commonwealth Care Alliance (Boston, MA)
- …Degree or equivalent business experience **Desired Licensing (nice to have):** + Certified Coder a definite plus **Required Experience (must have):** + ... of the Sr. Director, TPA Management and Claims Compliance, the Payment Integrity (PI) Recovery Analyst will assist in the development of a strategic roadmap… more
- Humana (Columbus, OH)
- …experience within the healthcare industry. + 2 or more years of experience as a certified medical coder (AAPC Coding Certified - cannot be an _'apprentice'_ ... and help us put health first** The Claims Financial Recovery Coding Specialist /Medical Coding Coordinator 2 for the...Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide… more
- Geisinger (Danville, PA)
- …Degree = 4 years). Position Details Minimum of one certification required: Certified Professional Coder - American Academy of Professional Coders (AAPC ... possible retirement, applicability of code additions and applying correct payment methodologies. + Serves an integral role with other... Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC) Registered… more
- Houston Methodist (Houston, TX)
- …receivable follow up experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + CPC - Certified Professional Coder (AAPC) **OR** + CCS - Certified ... data, payer medical policies, etc.), determines the causes for denials of payment and partners with management to implement strategies to prevent future denials.… more
- Whitney Young Health Center (Watervliet, NY)
- …QUALIFICATIONS: High School diploma/GED required. Certification from the AAPC as a Certified Professional Claims Coder required. Four (4) years of progressive ... addition to category II coding for our value base payment arrangements. SPECIFIC RESPONSIBILITIES: + Acts as the primary...the risk of fraud and abuse, and optimize revenue recovery . + Assists in training of Patient Account staff… more
- Stanford Health Care (Palo Alto, CA)
- …- Certified Coding Specialist preferred . or + CPC and/or CCSP - Certified Professional Coder preferred . or + RHIT - Registered Health Information ... Performs basic financial analyses to report the impact of payment changes resulting from payer practices and CMS regulation...patients and families to focus on health, healing and recovery ._ _You will do this by executing against our… more
- CVS Health (Atlanta, GA)
- …legal proceedings, arbitrations, depositions, etc. **Preferred Qualifications** + AHFI, CFE, Certified Professional Coder + Knowledge of CVS/Aetna's policies and ... by the company guidelines and procedures. + Facilitates the recovery of company and customer money lost as a...result of fraud matters. + Investigates cases to prevent payment of fraudulent claims committed by providers, claimants, and… more
- Wheeler Clinic (Plainville, CT)
- …School diploma or equivalent plus some healthcare billing experience required. Certified Medical Biller/ Coder designation and experience using NextGen preferred. ... mission is to provide equitable access to innovative care that improves health, recovery and growth at all stages of life. POSITION SUMMARY The Accounts Receivable… more