- Novant Health (NC)
- …but may require travel at the discretion of leadership. The Coding Education Specialist position supports the facility coding education program to ensure that Novant ... patient types of hospital coding activities. The Coding Education Specialist position should be a subject matter expert in...as a coding educator, preferred. + **Licensure/Certification:** RHIA, RHIT, CCS , CCS -P, CPC, COC or CIRCC, required.… more
- St. Luke's University Health Network (Allentown, PA)
- …a patient's ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment in accordance with ... coding conventions, UHDDS guidelines and CMS directives. Researchs failed claims , identifies discrepancies and communicates resolution to appropriate departments.… more
- CareFirst (Baltimore, MD)
- …during proactive training events or just in time on complex claims matters. Consults with various teams including, medical policy and colleagues to interpret ... proper use of CPT and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy,...School Diploma or GED. **Licenses/Certifications Required Upon Hire:** + CCS -Certified Coding Specialist or + Certified Coder… more
- CareFirst (Baltimore, MD)
- …experience is required in addition to the required work experience. **Licenses/Certifications:** + CCS -Certified Coding Specialist or CPS, CCS -P, CRC Upon ... **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, HHS-Risk Adjustment Data… more
- Kelly Services (Ottawa, IL)
- **Regulatory Affairs Specialist - Onsite - Ottawa, Illinois** The Regulatory Affairs Specialist will ensure global compliance with all cosmetic and OTC ... process improvements, product registrations, and global market compliance. The specialist is responsible for implementing protocols, processes, and programs to… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve medically necessary referrals… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **38308BR** **Extended Job Title:** Coding Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Review medical record provider ... ability to professionally interact and exchange information, education and training to clinic personnel, physicians, administration, providers, and co-workers.… more
- Trinity Health (Livonia, MI)
- …Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist ( CCS ) is required. Three (3) years of current ... Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial and appeals issues affecting reimbursement. Maintains CEUs as appropriate… more
- Houston Methodist (Fort Worth, TX)
- …Apprentice (AAPC) **OR** + CPCA - Certified Professional Coder Associate (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty ... Classification (APC) Coordinator position is responsible for reviewing and correcting all claims edits related to the APC grouper, National Correct Coding Initiative… more
- University of Utah (Salt Lake City, UT)
- …Coder-Hospital ( CPC -H), Certified Professional Coder-Payer ( CPC -P), Certified Coding Specialist ( CCS ), Certified Coding Specialist - Physician ... Additionally, Level 2 Coders mentor and assist in the training of Level 1 Coders and provide feedback to...Researches and resolves high volume accounts and complex, suspended claims . 5. Interprets and applies basic regulatory guidelines to… more
- Molina Healthcare (Lexington, KY)
- …Certification, Association** + Certified Professional Coder (CPC) + Certified Coding Specialist ( CCS ) **Preferred Education** Bachelor's Degree in related field ... feedback to management, providers, and office staff + Provides training and education to network of providers on how...Certified Professional Payer - Payer (CPC-P) + Certified Coding Specialist - Physician based ( CCS -P) To all… more
- Banner Health (AZ)
- …physiology, or the equivalent training and education. Requires Certified Coding Specialist ( CCS ) or Certified Professional Coder (CPC) or Certified Coding ... submission acceptance for the state; coding accuracy; % clean claims ; staff stats; etc. Participates in the improvement of...Specialist -Physician ( CCS -P) or Registered Health Information Technologist… more
- University of Miami (Miami, FL)
- …Coding Associate (CCA), Certified Professional Coder (CPC; CPC-A), Certified Coding Specialist ( CCS ), Certified Coding Specialist -Physician Office ( ... clinical laboratory pathological review (CP20) encounters and create electronic claims . + Review AP and CP20 documentation to ensure...+ Provide support to Coding Manager on provider's education, training and QA. + Help the rest of the… more
- University of Utah Health (Salt Lake City, UT)
- …Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist ( CCS ), Certified Coding Specialist - ... Researches and resolves high volume accounts and complex, suspended claims . + Interprets and applies basic regulatory guidelines to...+ Serves as a mentor and assists in the training of Level I Coders. **Knowledge / Skills /… more
- HCA Healthcare (Nashville, TN)
- …Apply Today! **Job Summary and Qualifications** As an Inpatient Coding Specialist , you will be responsible for working inpatient coding related alerts/edits, ... MOCK abstracts as necessary (eg, combining the codes for outpatient and inpatient claims subject to the payment window) + Assists the Coding Leads and/or Coding… more
- Ellis Medicine (Schenectady, NY)
- …Diploma or Equivalent required. Certified Professional Coder (CPC), Certified Coding Specialist ( CCS ), Registered Health Information Technician (RHIT) or ... (EBEW) and related worklists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and… more
- Health First (Rockledge, FL)
- …required. * Certification: o Certified Professional Coder (CPC) or Certified Coding Specialist ( CCS ) certification. o Certified Risk Adjustment Coder (CRC) from ... to Risk Adjustment operational activities including but not limited to: executing training for new associates, new associate audits, special audits, oversee ongoing … more
- Trinity Health (Livonia, MI)
- …Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist ( CCS ) is required. Three (3) years of current acute ... resolves claim edits that occur after coding to support timely final claims submission. Assigns appropriate code(s) by utilizing coding guidelines established by: +… more
- Robert Half Finance & Accounting (Fort Wayne, IN)
- …(Electronic Medical Records) Requirements + Certified Professional Coder (CPC) or Certified Coding Specialist ( CCS ) designation is required. + At least 2-3 years ... The Medical Coder will be responsible for accurately coding healthcare claims for reimbursement from insurance companies and government healthcare programs such… more