- Blanchard Valley Hospital (Findlay, OH)
- PURPOSE OF THIS POSITION The primary purpose of the Professional Coding Integrity Specialist (PCIS) is to review, enter and/or modify charges as appropriate, ... entered by the Revenue Integrity Validation team; collaborate with clinical areas, coding , PFS, etc. to support resolution of edits; trend, identify opportunities,… more
- Creative Financial Staffing (Houston, TX)
- …and maintain compliance with regulatory requirements. Key Responsibilities of the Medical Billing Specialist : Prepare and submit accurate medical claims ... regulations, coding changes, and payer policies to ensure compliance . Qualifications of the Medical Billing Specialist : Minimum of 2 years of experience… more
- Blanchard Valley Health System (Findlay, OH)
- …Accounting/previous billing experience required High School graduate or GED equivalent Medical Terminology required ICD-9/ICD-10, HCPCS and CPT coding knowledge ... PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the timely review and...and implement trend reporting to resolve issues and ensure compliance with third party negotiated rates and communicates inconsistency… more
- Blanchard Valley Health System (Findlay, OH)
- …QUALIFICATIONS Associate's degree, CPC certification or 2-3 years of experience in medical billing, coding or other revenue cycle functions preferred Conversant ... PURPOSE OF THIS POSITION This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through… more
- MultiPlan (Atlanta, GA)
- …in a relevant field is preferred. * Knowledge or experience with medical coding and regulations preferred.* Required licensures, professional certifications, ... providers via phone to discuss discrepancies in overpayments. 6. Ensure compliance with HIPAA regulations and requirements.7. Demonstrate Company's Core Competencies… more
- MultiPlan (Atlanta, GA)
- …leading technology, data, and innovation voice in healthcare. Onward and Upward The Senior Medical Coding Specialist provides analysis of the highest dollar ... and most complex claims by applying research, coding standards, industry knowledge and federal regulations to ensure...as well as to monitor bills for accuracy and compliance . JOB ROLES AND RESPONSIBILITIES: Review and analyze complex… more
- Northeast Georgia Health System, Inc (GA)
- … in meetings. Minimum Job QualificationsLicensure or other certifications: Certified Coding Specialist (CCS)Educational Requirements: High School Diploma or GED. ... outpatient procedure codes (ED Only).Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical … more
- Careers Integrated Resources Inc (Atlanta, GA)
- …HCC abstraction. Review medical records for completeness, accuracy and compliance with applicable coding guidelines and regulations. Maintains department ... the American Academy of Professional Coders or a Certified Coding Specialist , from the American Health...American Health Information Management (AHIMA) Requires 5+ years of Medical Coding experience Requires a minimum of… more
- American Honda Motor Co Inc (Chino, CA)
- …you to join our team to Bring the Future!Job PurposeThe Mediation Specialist reviews and assesses pre-litigation/buyback dispute cases for resolution consistent with ... guidelines, with high emphasis on negotiation and problem resolution. The Mediation Specialist must review each case on its merits, and apply decision-making skills… more
- Blanchard Valley Health System (Findlay, OH)
- …Broad knowledge of government assistance programs, guidelines, and application procedures. Medical Terminology ICD 10 coding knowledge PHYSICAL DEMANDS This ... paperwork, and documenting interviews with patients. Duty 4. Completes electronic medical records system processes for government programs and financial assistance… more
- VNS Health (Manhattan, NY)
- …management across client settings. Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful ... findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted. Collaborates with patients, families,… more
- R1 RCM (Chicago, IL)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Coding Audit Specialist , you will be responsible for performing ... retrospective and prospective compliance reviews of coding related to inpatient...client. **Here's what you will experience working as a Coding Audit Specialist :** + Responsible for auditing… more
- VNS Health (Manhattan, NY)
- …accuracy and compliance in the healthcare field? We are seeking a skilled Home Coding Specialist to review and audit claims, ensuring they meet all billing, ... medical practitioners to provide feedback and educational resources on best practices for medical coding and keeps current on new coding and billing… more
- Tidelands Health (Murrells Inlet, SC)
- …and expands knowledge of coding and sequencing guidelines to ensure coding compliance and accuracy. Responses to audits, provides consultation on projects, ... Technician (RHIT) + Registered Health Information Administrator (RHIA) + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC)… more
- Vanderbilt University Medical Center (Nashville, TN)
- …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** Certified Coding Specialist - American Health Information ... **KEY** **RESPONSIBILITIES** + Develop efficient workflows to organize and prioritize complex coding work to ensure compliance with regulatory requirements and… more
- CareFirst (Baltimore, MD)
- …Level:** High School Diploma or GED. **Licenses/Certifications Required Upon Hire:** + CCS-Certified Coding Specialist or + Certified Coder (CCS or CPC)-AHIMA or ... and proper use of CPT and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy, credentialing, and claim processing rules… more
- System One (Baltimore, MD)
- ALTA IT Services is staffing a contract opportunity for a Medical Coding Specialist to support a leading health insurance customer. The individual acts as an ... use of CPT and ICD 10 codes in claims submissions. Utilizes extensive coding knowledge, combined with medical policy, credentialing, and contracting rules… more
- LifePoint Health (Brentwood, TN)
- * Coding Specialist III* *Who we are:*...and National Coverage Decisions and other medical necessity/ compliance guidelines for billing and coding . . ... find purpose and fulfillment. *What you'll do:* As a Coding Specialist III, you will assign diagnosis... seminars, and participates in all formal and informal coding discussions. Complete all assigned compliance courses… more
- Lancaster General Health (Lancaster, PA)
- **Summary** **Job Description** **POSITION SUMMARY:** The Coding Specialist is responsible for supporting Penn Medicine Lancaster General Health Physicians ... practices for coding issues and education. The Coding Specialist helps to optimize revenue through...of Health Information Technology (HIT) or equivalent program **OR** Medical Coding Certification Program. + Experience with… more
- LifePoint Health (Denver, CO)
- …field* **Organization:** **Pacific Medical Data Solutions* **Title:** *Centralized Coding Specialist - Remote * **Location:** *Colorado-Denver* **Requisition ... care, we may have your next opportunity. We are currently seeking a Centralized Coding Specialist . This remote-based position willspend the bulk of their time… more
