- UnitedHealth Group (Phoenix, AZ)
- …6:00 AM and 6:00 PM, Monday through Friday. Preferred Experience: 5+ years as a subject matter expert in corporate coding leadership role for large ... assistance from other intra and inter-departmental resources, as required. Subject Matter Expert of applicable Federal, State,...age or older 3+ years of experience in inpatient hospital coding Experience with MS-DRG and/or APR-DRG… more
- Guidehouse (St. Paul, MN)
- …and timely resolution of assigned Medicare and third-party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, ... Medicaid or Commercial Insurance EAPG's. Knowledge and understanding of hospital charge description master coding systems and...to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to… more
- UnitedHealth Group (Minnetonka, MN)
- …a multi-specialty physician clinic 2+ years of experience with Residency Program (teaching hospital ) with coding experience in complex procedures in one or more ... and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin… more
- BJC HealthCare (St. Louis, MO)
- …and training on accurate coding practices and compliance issues; serves as subject matter expert related to specialty coding . Conducts focused reviews ... giving instruction on federal and state regulations, documentation guidelines, and coding training in a way that ensures compliance with governmental regulations.… more
- Geisinger (Danville, PA)
- …physicians and non-physician practitioners, as determined appropriate. Serves as a clinical coding subject matter expert for multiple assigned specialties ... non-physician practitioners, leadership, and administrative staff on documentation and coding requirements. Determines the adequacy of medical record documentation, … more
- Cardinal Health (Little Rock, AR)
- …physicians and staff regarding coding insufficiencies. Serves as institutional subject matter expert and authoritative resource regarding federal, state and ... or related field preferred. 6+ years of experience in physician and/or hospital coding and auditing, medical necessity reviews, or related work; cancer and… more
- UnitedHealth Group (Minneapolis, MN)
- …to obtain certification within 6 months of hire 3+ years of MS DRG/APR DRG coding experience in a hospital environment with expert knowledge of ICD-10 Official ... Connecting. Growing together . In this position as a Coding & Clinical Auditor / DRG Specialist RN ,...equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where… more
- UnitedHealth Group (Phoenix, AZ)
- …IU medical record review team and UHC IU investigative staff Serve as a resource and Subject Matter Expert for team members in the UHC IU Document medical review ... and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin… more
- Fairview Health Services (St. Paul, MN)
- …Develops, designs, and maintains visuals and/or reports. Acts as a point of contact/ subject matter expert for charge application process and maintains a strong ... (CDM) file in the Epic EHR system to ensure compliance with CPT/HCPC coding , National Uniform Billing Committee (NUBC), revenue code, billing, payor, and regulatory… more
- J&J Family of Companies (Cincinnati, OH)
- …such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Serve as subject matter expert regarding education and insights on access and affordability ... authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers,… more
- Oracle (Salem, OR)
- …Utilization Review, case management, and healthcare quality preferred Responsibilities Act as subject matter expert (SME): Provide expertise for Claim denial ... clinical and reimbursement tasks such as charting, documentation, and coding by applying power of generative AI. Our diverse...on experience preparing appeals for claim denials in the hospital and ambulatory setting 3+ years hands on experience… more
- Medtronic (Minneapolis, MN)
- …and implements reimbursement strategies and programs to obtain coverage, coding and payment from payer/providers. Provides reimbursement-related advice to product ... programs to sales force, physicians, home care agencies, case managers, hospital CFO's, medical directors, billing personnel, and pharmacists in clinics and… more
- Molina Healthcare (Grand Rapids, MI)
- …solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance ... a managed care or payer environment. In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. Strong understanding… more
- OneMain Financial (Charlotte, NC)
- …own testing. Automate feature testing and contribute UI testing framework Become a subject matter expert for our mobile applications backend and middleware ... plus. Experience with Apache Cordova framework Demonstrable knowledge of native coding background in iOS, Android Experience developing and deploying applications… more
- Mount Sinai Health System (New York, NY)
- … coding accuracy, productivity, and compliance. - Serve as the subject matter expert for PB and HB coding across specialties. Operational Oversight - ... and operational leader responsible for overseeing all aspects of professional and hospital coding across the health system. This role ensures coding … more
- Fairview Health Services (St. Paul, MN)
- …their application of such requirements in work completed. Director serves as a subject matter expert / technical competence and accountable leader for enterprise ... edits and changes that result in compliant and clean claim processes. Provides subject matter expertise on technical and compliance areas that impact claims… more
- Stanford Health Care (Palo Alto, CA)
- …Medical Association (AMA) CPT Assistant. The SPC Coding Specialist II serves as a subject matter expert in hospital and professional coding , and ... Coding Initiative (NCCI) and payer specific edits related to hospital and professional coding . The Single Path Coder processes codes for surgical encounters… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …coding processes, regulatory changes, and commercial contracts. Act as consultant and subject matter expert to support leadership and clinical departments on ... operational activities of assigned divisions for both physician and hospital coding within the Medical Coding...in the medical record. + Serve as a consultant, subject matter expert and liaison to TTUHSC… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …coding terminology. . Demonstrated leadership skills. . Demonstrated ability as a subject matter expert or consultant to other departments. . Demonstrated ... in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for hospital or other acute facility setting. . Three (3) years of working… more
- Seattle Children's (Seattle, WA)
- …and trends relating to coding accuracy opportunities for providers. Serve as a subject matter expert on professional coding and payment methodologies as ... experience. Minimum of five years of experience in professional coding in an acute care hospital setting...in professional coding in an acute care hospital setting or clinic setting appropriate equivalent. Proficient knowledge… more
