- Insmed Incorporated (San Diego, CA)
- …all issues identified which may affect the quality and integrity of clinical studies. Medical monitoring, coding , and data cleaning in collaboration with Clinical ... Workplaces for Millennials™, and Best Medium Workplaces™ lists.OverviewThe Executive Medical Director of Ophthalmology, Clinical Development holds the responsibility… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …any time during the conduct of the study to provide medical input- Provides medical guidance for coding of AEs, medical history, and medications when ... Addresses medical questions directly from sites/ Institutional Review Boards (IRBs), and other site personnel as needed-... medical questions from sites/ IRBs- May provide medical guidance for coding of AEs, … more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …Review PlanAccountable for the assessment of protocol deviationsDiscusses medical eligibility questions and answers safety questions (dose modifications, ... time during the conduct of the study to provide medical inputProvides medical guidance for coding...AEs, medical history, and medications when neededAddresses medical questions directly from sites/ Institutional Review … more
- MultiPlan (Atlanta, GA)
- …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 correct billing practices. In this role, incumbent will… more
- Careers Integrated Resources Inc (Atlanta, GA)
- …Can understand and translate CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction. Review medical records for completeness, accuracy and compliance with applicable ... required to maintain a minimum of 95% accuracy on coding quality audits. Responsibilities: Compile chart review ...American Health Information Management (AHIMA) Requires 5+ years of Medical Coding experience Requires a minimum of… more
- Careers Integrated Resources Inc (Atlanta, GA)
- …abstraction. Review may include inpatient, outpatient treatment and/or professional medical services, according to ICD-9/ICD-10 CM coding guidelines and risk ... Can understand and translate CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction. Review medical records for completeness, accuracy and compliance with applicable… more
- Careers Integrated Resources Inc (Atlanta, GA)
- …. 2 years clinical practice experience . 1 year experience in clinical auditing or medical review preferred . Knowledge of clinical data auditing or HHS risk ... Job Title: Risk Adjustment Clinical Reviewer Location: 100% Remote Duration: 2 Months (Possible...databases . Work Experience: Experience performing chart audits and review preferred. Coding experience is a plus.… more
- Careerbuilder-US (Hulmeville, PA)
- …organized, and detail-driven. The ideal candidate will have 1-2 years of experience in medical billing and coding . If you have experience or education in ... medical billing and coding , we'd love to meet you. Shift: 8:00am -...Key Responsibilities: Accurately submit billing and ensure timely payments. Review and reconcile billing reports to identify and fix… more
- MultiPlan (Atlanta, GA)
- … and pricing errors using accurate HCPCS, ICD-10, and CPT codes. 4. Lookup and review medical claims in payer system to determine methods of payment and validate ... people come to shine! JOB SUMMARY: This role reviews medical paid claims against provider contracts and policies to...meet both individual and team goals. 6. Utilize official coding guidelines and resources as required, including CMS directives… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …broad training in fields such as business administration, accounting, computer sciences, medical billing and coding , customer service or similar vocations ... and caregivers. Services could include but not limited: Billing and coding support. Claims assistance, tracking and submission. Prior authorization assistance and… more
- Pacer Staffing (Atlanta, GA)
- …requests, develops determination letters, and supports both non-clinical and clinical staff on coding and retrospective medical claims review processes. Key ... To Hir e) Shift: 5x8 Hour Shifts, Monday-Friday Job Summary Conducts retrospective medical claim reviews and adjudication for coding determinations. Provides … more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …Cross, United Health Care, Medicaid, commercial insurance and HMO carriersKnowledge of medical terminology and ICD-9/CPT coding . Demonstrate competency in ... Diploma or GEDMinimum Experience: Two (2) years of experience in Medical Physician billing, collections and/or reimbursement to include authorizations, charge entry,… more
- US Tech Solutions, Inc. (Columbia, SC)
- …Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices. . May provide ... any of the following in support of medical claims review and utilization .... Educates internal/external staff regarding medical reviews, medical terminology, coverage determinations, coding procedures, etc.… more
- University Medical Center of El Paso (El Paso, TX)
- Job Summary: The Second Level Reviewer Registered Nurse plays a pivotal role in conducting critical, high-risk and intricate secondary case reviews that are ... Texas Registered Nurse license required. CCDS or CDIP certification preferred. Coding certification (CCS, CIC, or CPC) preferred. Education and Training: Bachelor's… more
- University Medical Center of El Paso (El Paso, TX)
- …other issues related to bill accounts. Accurately codes, sequences and abstracts outpatient medical records according to ICD-9-CM and CPT coding guidelines to ... to determine reasons for accounts in unbilled status. Resolves coding issues that do not allow accounts to be...issues that do not allow accounts to be billed. Review daily reports. Responds to inquiries from internal departments… more
- Cambia Health Solutions, Inc (Portland, OR)
- …claims in prepayment, post payment or audit capacity to ensure appropriate clinical review , reimbursement of claims and accuracy of coding . Applies resources, ... including but not limited to, internal medical and reimbursement policies and correct coding ... guidelines based on national standards to support claim review and determination. - all in service of making… more
- The Staff Pad (Helena, MT)
- …master QualificationsKNOWLEDGE/EXPERIENCE: Three to five years' experience in hospital charge capture review , medical record review , and claims auditing, and ... informationDeveloping, maintaining and enhancing charge master. Specifically, the Coordinator will: Review the charge structure of revenue generating departments to… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …changes. Takes the lead for the organization's Accounts Receivable review and analysis Minimum Job QualificationsLicensure or other certifications: Educational ... and Unique Knowledge, Skills and AbilitiesAbility to research complex coding , reimbursement and regulatory requirementsKnowledge of clinical settings such as… more
- GHR Healthcare (Atlanta, GA)
- … coding changes and clarifications to ancillary departments and Medical Staff members. Physician Queries: Accurately complete physician queries following AHIMA ... Remote Inpatient Opportunity: Join Our Team as a Medical Coder! Summary: The Medical Coder...concurrent reviews before releasing inpatient accounts for billing. Specialized Coding : Review injection, infusion, OPS, and ER… more
- Prestige Staffing (Knoxville, TN)
- …3-6 months Pa $16 - $18/hr. pending Exp. Key Responsibilities: Claim Preparation: Review patient medical records, encounter forms, and other documentation to ... Job Title: Medical Biller Overview: As a Medical ...accurately code diagnoses, procedures, and services rendered. Utilize appropriate coding systems (eg, ICD-10, CPT, HCPCS) to assign codes… more
