- Premera Blue Cross (Mountlake Terrace, WA)
- …Policy Coding Administrator_** The **_Clinical Policy Coding Administrator_** is a senior member of the Medical Policy and Clinical Coding team whose ... Review , Healthcare Services, and other departments on coding edit decision-making related to medical policies...of the provider appeal process including assessment of appropriate coding , medical record review , and… more
- Lyric (Newtown Square, PA)
- …Clinical Managers and Medical Content Analysts. In this intricate role, the Senior Clinical Manager will combine their deep knowledge of CPT, HCPCS, and ICD10CM ... immigration support are not available for this position. The Senior Manager, Clinical Content Maintenance will serve as a...a payment, reimbursement or medical policy analyst, medical claims processor, chart auditor/ reviewer , or claims… more
- Parexel (Washington, DC)
- …medically relevant matters with particular attention to those relating to patient safety + Review coding of adverse events, medical history and concomitant ... Join our dynamic Patient Safety team as a ** Senior Physician** where you'll leverage your medical...Physicians to develop their skills and expertise **Case report medical review (as applicable)** + Performing … more
- ONE Gas (Overland Park, KS)
- …including: + Completion Reports and supporting documentation + Invoice FERC account coding and supporting documentation + Debit memos and journal entries for labor ... has great benefits! Here are just a few:** + Medical /Dental/Vision packages that fit your family's needs. + Paid...skills required for the job and is subject to review and change at any time, with or without… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is hiring a detail-oriented ** Senior Claims Examiner** to train and work from home! Join our team as a Senior Claims Examiner and play a ... of our organization while supporting quality patient care. The Senior Claims Examiner's primary function is to ensure the...coordination of benefit claims in line with policy + Review stop loss reports and identify members approaching reinsurance… more
- Stony Brook University (East Setauket, NY)
- …including experience in validating the configuration and build of contracts. + Medical Coding Certification through the American Academy of Professional Coders ... Senior Revenue Cycle Specialist **Position Summary:** At Stony...Joint Operating Calls (JOC) with insurance payers. + Monitors medical record request, correspondence distribution and scanning processes, volume,… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …? Every day, we live by our philosophy, True to Life, by advancing medical technologies and elevating the standard of patient care so people everywhere can fulfill ... at Olympus: https://www.olympusamerica.com/careers . **Job Description** As part of the Medical and Scientific Affairs group, an integral delivery unit within the… more
- Stanford Health Care (Palo Alto, CA)
- …of clinical criteria set (Milliman, Inferqual, Medicare, Health Plan) + Knowledge of medical terminology and medical coding , including but not limited ... at-risk patient populations, acute and skilled nursing facility concurrent review and complex and episodic case management, including the...care plan. + Complete health risk assessments for selected senior patients as needed. + Serves as a liaison… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …+ Proficiency with claims processing software and technology + Understanding of medical terminology, coding , and healthcare industry regulations + Ability to ... **Overview** BroadPath is hiring a work from home, detail-oriented medical **Claims Examiner** looking to make a significant impact...in accordance with company policies + Assist in the review of stop loss reports to identify members approaching… more
- Zscaler (San Jose, CA)
- …scale AI solutions that drive fundamental business transformation. Reporting directly to the Senior AI Product Manager, you will play a crucial role in contributing ... cryptography, common web application vulnerabilities (eg, OWASP Top 10), and secure coding practices. + Familiarity with Python for basic scripting and automation… more
- Battelle Memorial Institute (Fort Belvoir, VA)
- …file sizes, and high utility in operational contexts. **Responsibilities** + Review scientific literature to identify and implement appropriate research methods. + ... **Key Qualifications** + Experience/knowledge in photogrammetry and remote sensing. + Coding expertise (Python preferred), with a focus on open-source software. +… more
- Aston Carter (Salem, OR)
- Job Title: Medical Coding Analyst Job Description The Medical Coding Analyst plays a critical role in ensuring accurate medical coding and ... Prior experience in initiating and leading performance improvement projects within a medical coding environment. + Understanding of EHR, Claims Adjudication… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …assess adherence to government, payer, and institutional billing guidelines as well as national coding guidelines. The Senior Reviewer will assist in the ... organization. Metrics will be developed and reported quarterly. The Senior Reviewer will be expected to pursue...investigations as required, which may include audits designed to review the adequacy of medical record documentation… more
- Elevance Health (Los Angeles, CA)
- …on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + ... **Nurse Reviewer I** **Virtual:** This role enables associates to...meets medical necessity criteria or requires additional medical necessity review . + Conducts initial … more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Senior Manager - Coding and Billing you want with your current employer? We have an ... of colleagues. Do you want to work as a Senior Manager - Coding and Billing where...technical billing requirements. + Apply a comprehensive knowledge of medical terminology, disease processes, billing and coding … more
- Providence (Spokane, WA)
- …requirements & organization goals + Review relevant patient details from the medical record based on coding and documentation guidelines + Participate in ... **Description** ** Senior Coding Quality Educator** **_Remote -...+ Maintain relevant documentation and data as required + Review and update coding guidance annually or… more
- MD Anderson Cancer Center (Houston, TX)
- … coding guidelines, coding clinics, and departmental policies accurately. * Review medical records and assign ICD-10 CM, CPT/HCPCS, modifiers, and other ... world-class team dedicated to Making Cancer History(R). As a * Senior Clinical Coding Specialist* in our *Revenue...and Neck, and/or Urology. * A strong foundation in medical coding principles, including knowledge of ICD-10,… more
- University of Southern California (Alhambra, CA)
- …internal or external review of coding and/or department quality review (s). * Assist in ensuring that all medical records contain information necessary ... 95% accuracy rate as determined by an annual external review of coding . + ABSTRACTING AUDITING *...conventions. * Ability to improve APC/HCC assignments based on medical necessity documentation & coding of PDx,… more
- UTMB Health (Galveston, TX)
- Senior DRG Coder - RCO Coding **Galveston,...procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG ... of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations. **REQUIRED LICENSES, REGISTRATIONS, OR… more
- Trinity Health (Boise, ID)
- …SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE: 1. Minimum five years of experience in medical coding and billing. 2. High school graduate or GED equivalent. ... **Employment Type:** Part time **Shift:** Day Shift **Description:** The Coding Specialist Senior Specialty works in a...to work well as a team member. 11. Ensures medical documentation and coding compliance with Federal,… more
