- UnitedHealth Group (Minnetonka, MN)
- …AAPC (CPC, CCS-P, RHIA, RHIT) to be maintained annually 3+ years of Physician medical coding (ICD-10, CPT, HCPCS II) experience in a multi-specialty physician ... tough challenges. Primary Responsibilities Assesses and interprets needs of the Ambulatory Coding Team by prioritizing work to meet deadlines Identifies solutions to… more
- Molina Healthcare (Grand Rapids, MI)
- …Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). Medical Coding certification. To all current Molina employees: If you are ... and contractual guidelines. Partner with provider relations, Health plans and appeals teams to address recurring dispute trends and recommend systemic solutions.… more
- Elevance Health (Tampa, FL)
- …based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective ... and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. +… more
- Ochsner Health (New Orleans, LA)
- …and regulatory requirements to ensure compliance. + Collaborate with clinical staff and coding teams to obtain necessary documentation for appeals + Track and ... make a difference at Ochsner Health and discover your future today!** The Appeals Specialist is responsible for managing and resolving insurance claim denials and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …will be considered. * 3 years of relevant health plan or provider office medical coding /claims and/or Business Analyst experience in a healthcare setting ... Cross and Blue Shield of Minnesota Position Title: Healthcare Coding Analyst Location: Hybrid | Eagan, Minnesota... appeals assuring that federally and state mandated coding rules are followed and that the medical… more
- Providence (OR)
- **Description** ** Coding Policy Analyst ** **_Remote_** The Coding Policy Analyst is responsible for the coordination of technically detailed work that ... within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for...appeals and providing appropriate CPT, CMS, specialty society, Coding Policy, and/or other official documented rationale for … more
- Huron Consulting Group (Chicago, IL)
- …Representative will report to the Huron Managed Services Domestic Coding team. The Medical Coding Analyst will report to the Domestic Business Office ... responsible for executing a variety of activities involving the coding of medical records, resolving coding...appeals . + 2+ years of experience as a coding auditor with proven accuracy and compliance. + Required… more
- Beth Israel Lahey Health (Charlestown, MA)
- …job, you're making a difference in people's lives.** The Revenue Cycle Denial Analyst is charged with coordinating the analysis and effective resolution of denied ... down to the line item detail, identifying payer and coding trends, risks, and opportunities, to implement operational or...be appealed. Responsible for writing timely, comprehensive and compelling appeals to third party payers in order to get… more
- Community Health Systems (Franklin, TN)
- …contract compliance issues and enhance payer relations. + Maintains knowledge of medical coding systems, reimbursement structures, and regulatory changes to ... skills for working with internal teams and external payer representatives. + Knowledge of medical coding systems (ICD-10, CPT, HCPCS, DRG, etc.) and how they… more
- Prime Healthcare (Ontario, CA)
- …+ Working knowledge of government & non-governmental payor reimbursement methodologies, coding practices, and denials & appeals protocols preferred. + ... Director of Ambulatory Surgery Centers (ASC's), the Corporate Finance Analyst will work on various ASC projects for the... will work on various ASC projects for the medical groups team. This role supports Clinical Operations and… more
- Molina Healthcare (UT)
- …for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested ... and contractual guidelines. + Partner with provider relations, Health plans and appeals teams to address recurring dispute trends and recommend systemic solutions. +… more
- Guthrie (Sayre, PA)
- …High school diploma or equivalency required. CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Minimum ... staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain...to the team environment. Must maintain a knowledge of medical terminology, CPT and IC D‐10 Coding … more
- Huron Consulting Group (Chicago, IL)
- …knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural coding and MS-DRG, APR DRG assignment. * Must be proficient in identifying ... internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and… more
- City and County of San Francisco (San Francisco, CA)
- …of mental health and substance use treatment services. Under general supervision, 2112 Medical Records Technician assists in analyzing, coding , and compiling all ... patients' records by diagnosis and procedures performed. + Processes medical records of patients by assembling, analyzing, coding...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- State of Colorado (Denver, CO)
- …stewardship strategic plan. + Work closely with the HAI Surveillance Data Analyst and the NHSN Data Unit. Minimum Qualifications, Substitutions, Conditions of ... data, and administrative datasets such as Medicare data. + Proficiency with statistical coding using R and R Studio. + Experience with best practices of data… more
