- 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 ... Degree Required Experience (must have): + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+...Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding … more
- Zelis (St. Petersburg, FL)
- …understanding of payment integrity, claim processing and/or revenue cycle for healthcare claims + Understanding of medical coding and medical ... integrity market. Key Responsibilities: + Gather requirements/acceptance criteria for Expert Claims Review initiatives centered around handling of medical … more
- Whitney Young Health Center (Watervliet, NY)
- …required. Four (4) years of progressive experience in medical billing and claims processing in a multi-specialty healthcare setting. Professional coding ... Claims Coding Specialist (Req 100825) Watervliet, NY (http://maps.google.com/maps?q=1601+Broadway+Watervliet+NY+USA+12189) Apply Description GENERAL… more
- Humana (Columbus, OH)
- …caring community and help us put health first** The Claims Financial Recovery Coding Specialist / Medical Coding Coordinator 2 for the Financial Recovery ... and CMS guidelines. The Claims Financial Recovery Coding Specialist / Medical Coding ...of medical claims knowledge and/or claims processing experience within the healthcare industry.… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- Medical Billing and Coding Specialist Department: Community Health & Research Center Location: Dearborn, MI START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=2484711&source=2484711-CJB-0) Job Title: Medical Billing and Coding Specialist Job Status:Full-Time… more
- Prime Healthcare (Ontario, CA)
- …to all levels using Microsoft Office applications. + Strong knowledge of medical coding (ICD-10, HCPCs/CPT, etc.) Preferred qualifications: + Certified ... to improve the quality and minimize process cost of Claims for all Prime Healthcare 's self-insured Employee...Professional Coding Certification, AIC, ARM, or equivalent. + Familiarity with… more
- Molina Healthcare (Owensboro, KY)
- …waste, overpayments, and processing errors of claims . + Manages a caseload of claims . Procures all medical records and statements that support the claim. + ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims… more
- Bozeman Health (Bozeman, MT)
- …in healthcare administration, revenue cycle, health information management, or coding + Three (3) years supervisory or management experience + Knowledge of ... for PPS and CAH Hospital, Provider-Based, Free-Standing Clinic, and Swing Bed Coding + Preferred: Master's degree in healthcare administration or business… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs. Required ... all messages in a timely manner. + Maintains communication between medical providers, administrative staff, and/or patient/families. Business Services: + Performs… more
- LogixHealth (Bedford, MA)
- …with MS Excel and Outlook required; Microsoft Teams experience is a plus + Medical office background, Coding experience and/or certification is a plus Specific ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
- Trinity Health (Farmington Hills, MI)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... appealing them based upon coding expertise and coding judgment within the Hospital and/or Medical ...and CPT-4 procedural codes for CMS-1500 outpatient or inpatient claims , or other coding reasons and processing… more
- Houston Methodist (Houston, TX)
- …changes are needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records, claims data, payer medical policies, etc.), ... future denials. + Integrates the payer medical policies, case specific medical documentation, and claims information into a concise appeal letter, including… more
- Geisinger (Danville, PA)
- …and arranges training for coding professionals in the use of coding guidelines and practices, proper documentation techniques, medical terminology, and ... Job Summary Our ideal candidate has experience with Inpatient Procedure Coding System (PCS). Job Duties Health information coding is the transformation of verbal… more
- Covenant Health Inc. (Knoxville, TN)
- …order to ensure compliance. + Reviews information from third party payers relative to claims charging, coding , and billing in order to ensure compliance. + ... Covenant Health Overview: Covenant Health is East Tennessee's top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) and over 85… more
- LifePoint Health (Denver, CO)
- … medical record documentation for accurate coding . * Resolve medical record documentation deficiencies through healthcare provider query and provide ... the information into codes that insurers use to process claims . You will make sure that codes are assigned...appropriately as per government and insurance regulations, complying with medical coding guidelines and policies. Following up… more
- CareFirst (Baltimore, MD)
- …CMS filing, HHS-Risk Adjustment Data Validation (RADV) audit and any other chart coding functions, by performing moderately complex medical record review and ... Work with leadership and third-party vendors to negotiate agreement on complex medical record diagnoses and determine compliance with coding guidelines which… more
- LogixHealth (Bedford, MA)
- …School Diploma or equivalent combination of education and experience required + Certified in Medical Coding or currently actively pursuing a Medical ... Excel and MS Word required. + Prior experiences in medical /clinical setting required + 2 or more years in...management services, offering a complete range of solutions, including coding and claims management and the latest… more
- Nuvance Health (Danbury, CT)
- …knowledge required for this position is advanced expertise in regards to medical terminology, anatomy, physiology, documentation, coding guidelines, state and ... Procedural Terminology (CPT), ICD-9-Clinical Modification (CM), ICD-10-Clinical Modification (CM), Healthcare Common procedure Coding System (HCPCS) and… more
- LogixHealth (Bedford, MA)
- …ien ce: Priorex pe r ie nce an dpro fi c ie ncywith MS Exc el and medical background r eq uired Coding experience and/or certification is a plus. Spe cificJ ob ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
- LogixHealth (Bedford, MA)
- …Diploma or equivalent combination of education and experience required 2. Baseline knowledge of medical coding or currently in a certification program is a plus ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more