- SSM Health (St. Louis, MO)
- …and Compliance - Board of Medical Specialty Coding and Compliance Or Home Care Coding Specialist - Diagnosis (HCS-D) - Board of Medical Specialty Coding ... and Compliance Or Home Care Coding Specialist - Hospice (HCS-H) - Board of Medical Specialty ...may apply) before payday. Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible… more
- Guidehouse (St. Paul, MN)
- Job Family : General Coding Travel Required : None Clearance Required : None What You Will Do : Under the direction of the Director of Revenue Integrity, the Revenue ... Integrity Coding Billing Specialistprovides revenue cycle support services through efficient review and timely resolution of assigned Medicare and third-party payer… more
- Fairview Health Services (St. Paul, MN)
- …Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) Outpatient or Professional Fee Coding ... Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or… more
- Elevance Health (Mason, OH)
- …RHIT certification as a Registered Health Information Technician, CCS as a Certified Coding Specialist , CIC as a Certified Inpatient Coder, or Certified Clinical ... DRG Coding Auditor Principal ** Virtual: _** _ ? This role...Documentation Specialist (CCDS). Requires minimum of 10 years experience working with ICD-9/10CM,… more
- Elevance Health (St. Louis, MO)
- …certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. Requires 5 ... DRG CODING AUDITOR Virtual **_: _** _ _ ?...environment preferred. Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria… more
- Highmark Health (Harrisburg, PA)
- …(Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) AAPC Credentials (Outpatient): Certified ... GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality… more
- UPMC (Pittsburgh, PA)
- …and diplomatic manner required. Licensure, Certifications, and Clearances: Certified Coding Specialist (CCS) OR Certified Registered Nurse Practitioner ... UPMC Corporate Revenue Cycle is hiring a Clinical Documentation Specialist to join our coding team. This...of documentation by the Medical Staff and healthcare team Provide daily clinical evaluation of the medical record including… more
- Lundbeck (Dallas, TX)
- …boundaries include: Texas (subject to change) SUMMARY: The Lundbeck Field Access Specialist is a field-based role focused on supporting providers as they navigate ... engage with customers (including infusion providers, HCPs and office staff) to: Provide education on the access and reimbursement support tools available from… more
- Centene Corporation (Lansing, MI)
- …data and chart reviews to provide consultation and education to providers and provider staff OR 2 years medical coding or other transferable experience and ... of the position. A license in one of the following is preferred: Certified Coding Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Master Social Work… more
- Fairview Health Services (St. Paul, MN)
- …Registered Health Info Tech or Registered Health Info Admin or CHRI, or Certified Coding Specialist or CPC Epic Certification in Resolute Professional Billing or ... (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
- UnitedHealth Group (Minneapolis, MN)
- …scale. Join us to start Caring. Connecting. Growing together . In this position as a Coding & Clinical Auditor / DRG Specialist RN , you will apply your expert ... knowledge of the MS-DRG and APR-DRG coding /reimbursement methodology systems, ICD-10 Official Coding Guidelines,...case review assignments, with a high emphasis on quality Provide clinical support and expertise to the other investigative… more
- PedIM Healthcare (Crystal River, FL)
- Description: About Us: PedIM Healthcare is a leading provider of high-quality healthcare services in Lecanto, Florida. We are currently seeking a detail-oriented and ... experienced Medical Billing Specialist to join our team. If you're passionate about...needed. Work with patients to address billing inquiries and provide assistance with understanding their medical bills. Stay up-to-date… more
- Cognizant (St. Paul, MN)
- Provider Appeals & Grievances Specialist (remote) This is a remote position open to any qualified applicant that lives in the United States. Summary: We are ... seeking a dedicated Provider Appeals & Grievance Specialist with1 to...appeals that will involve research of member benefits, eligibility, provider contracts, billing and coding , Utilization Management… more
- Trinity Health (Columbus, OH)
- …technology, financial analysis, audit, provider relations and more. About the job: Provider Service Specialist responds in a timely and accurate manner to ... provider inquiries made by phone, in person and in...various claim form formats, medical terminology, CPT and ICD9 coding Ministry/Facility Information: Mount Carmel, a member of Trinity… more
- Molina Healthcare (Phoenix, AZ)
- JOB DESCRIPTION Job Summary The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. ... of claims payments. Review of applicable policies, CPT guidelines, and provider contracts. Devise clinical summary post review. Communicate and participate in… more
- Commonwealth Care Alliance (Boston, MA)
- …results on edits implemented. Utilize data to examine large claims data sets to provide analysis and reports on existing provider billing patterns as compared to ... the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing… more
- Datavant (St. Paul, MN)
- …experiences to realize our bold vision for healthcare. As an ProFee Audit Specialist you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, ...Scrutinizes all HCPCS and CPT codes influencing APC assignment. Provide coder education through the auditing process. Prepare preliminary… more
- Globus Medical, Inc. (Collegeville, PA)
- …and maintain pain relief using each patient's response1.Nevro's unique support services provide every patient with an HFX Coach throughout their pain relief journey ... Reporting to the Supervisor, Patient Access, the Patient Access Specialist will focus on providing payer coverage support to...region to ensure quality service to all customer types. Provide necessary documentation and follow up in order to… more
- Christus Health (Longview, TX)
- Description Summary: The Trauma Registrar Senior will provide data entry support for the Trauma Registry. The Trauma Registrar Senior will be responsible for ... criteria. The ability to perform ICD-10 and Abbreviated Injury Scaling (AIS) coding . Updates and maintains all trauma registry records including essential elements… more
- Trinity Health (Livonia, MI)
- …Qualifications High school diploma or GED Minimum three (3) years of relevant coding and charge control work experience in a hospital and/or Physician Practice ... environment and experience in revenue cycle, billing, coding and/or patient financial services. Experience working with current clinical processes, charge master… more
