- Geisinger (Danville, PA)
- …management, physicians, clinical and non-clinical personnel utilizing the national correct coding standards, approaches, and industry standard coding rules to ... Biller through AAPC + Applies expanded knowledge of CPT, ICD-10 and HCPCS coding skills toward the maintenance and development of prospective claim edits and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …3 years of relevant health plan or provider office medical coding / claims and/or Business Analyst experience in a healthcare setting applicable to ... In this role, you will be responsible for ensuring healthcare medical coding and reimbursement...claims adjudication. This includes analysis of changes to medical code sets to determine impacts to and necessary… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …3 years of relevant health plan or provider office medical coding / claims and/or Business Analyst experience in a healthcare setting applicable to ... In this role, you will be responsible for ensuring healthcare medical coding and reimbursement...claims adjudication. This includes analysis of changes to medical code sets to determine impacts to and necessary… more
- American Medical Association (Chicago, IL)
- Senior Healthcare Coding Analyst Chicago, IL (Hybrid) The American Medical Association (AMA) is the nation's largest professional Association of physicians ... you. We have an opportunity at our corporate offices in Chicago for a Senior Healthcare Coding Analyston our Health Solutions team. This is a hybrid position… more
- HCA Healthcare (Ocala, FL)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an ... which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** Parallon offers...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Nashville, TN)
- …experience required + RHIA, RHIT and/or CCS preferred Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding ... in Company and HSC policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures and clinical/ medical resources to… more
- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career ... individual is recognized. Submit your application for the opportunity below: Outpatient Coding Resolution Specialist Parallon **This is a work from home position!**… more
- Genesis Healthcare (PA)
- …Care Organization (ACO) team. This is a remote position. **Current certification in medical coding from an accredited institution (such as AAPC or AHIMA) ... assisting with the LTC ACO HCC program ensuring that claims are coded and documented accurately and completely, helping...medical documentation and the ensuing billing documentation and coding ; + Work with team to develop comprehensive ICD-10… more
- HCA Healthcare (Richmond, VA)
- …in Company and HSC policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures and clinical/ medical resources to ... Do you want to join an organization that invests in you as a Coding Account Resolution Specialist-Inpatient? At Parallon, you come first. HCA Healthcare has… more
- Sharp HealthCare (San Diego, CA)
- …Auditor will analyze and assess Sharp's potential risks using SHC's billing and coding claims data, risk assessment data, MDAudit risk analyzer software, OIG ... Sharp HealthCare 's (SHC) compliance audit function and maintaining Sharp HealthCare 's view of coding , billing and reimbursement compliance audits. **Required… more
- Humana (Jackson, MS)
- …part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records ... guidelines/procedures. **Where you Come In** The Medical Coding Auditor reviews medical claims ...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- HCA Healthcare (Nashville, TN)
- …and tests new and updated provider contracts and pricing models to ensure correct claims payments according to negotiated terms. + Coding and logic setup: ... Ensures the system correctly processes claims based on standard coding systems, including...practices and 170+ urgent care centers. We are HCA Healthcare 's graduate medical education leader. We provide… more
- University of Southern California (Los Angeles, CA)
- …Coding Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding -related ' claims denials' and ' claims rejections,' specific to ... services provided to covered patients. Manages the denial management process for coding -related denials, triage denied claims to distinguish coding -related… more
- HCA Healthcare (Nashville, TN)
- …more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare 's graduate medical education leader. We provide direction for over 260 ... Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with...We care like family! Jump-start your career as a Claims Operations Lead today with Work from Home. **Benefits**… more
- Humana (Pierre, SD)
- …part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records ... ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied... coding /auditing multispecialty surgical procedures. + Experience with coding /auditing Professional Inpatient Claims + Experience in… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …data. Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, ... of medical claims billing/payment systems, provider billing guidelines, medical necessity criteria, and coding terminology. . Coding Certification… more
- Prime Healthcare (Ontario, CA)
- …to all levels using Microsoft Office applications. + Strong knowledge of medical coding (ICD-10, HCPCs/CPT, etc.) Preferred qualifications: + Certified ... to improve the quality and minimize process cost of Claims for all Prime Healthcare 's self-insured Employee...Professional Coding Certification, AIC, ARM, or equivalent. + Familiarity with… more
- Humana (Columbus, OH)
- …of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle ... community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from...one of these qualifications for 4 years) * MS-DRG coding /auditing experience * Experience reading and interpreting claims… more
- Elevance Health (Chicago, IL)
- …spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) ... audits claims by integrating advanced or convoluted medical chart coding principles (found in the...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Houston Methodist (Bellaire, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims ... At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate...Information Technician (AHIMA) **or** + CHRC - Certified in Healthcare Research Compliance (HCCA) **or** + CCS-P - Certified… more