- Monster (Alhambra, CA)
- …year in a managerial position Must have at least 5 years of applicable healthcare claims adjudication experience within a managed care industry Must be familiar ... Claims Supervisor will be responsible for assisting Claims ...with ICD-10, HCPCS, CPT coding , APC, ASC, and DRG pricing. Must be familiar with facility… more
- Monster (Garden City Park, NY)
- … healthcare management and business administration, Bachelors degree and Medical Coding Certification. Responsibilities: Evaluates the impact of innovations ... Participates in the reviews of claim denials and rejections pertaining to coding and/or support of medical necessity, when necessary, implements corrective… more
- Monster (New Paltz, NY)
- …required (preferably in healthcare ) A minimum of 3 years of medical billing experience required Proficiency in EPIC claims processing workflows preferred ... Microsoft Word, Excel, Outlook and PowerPoint Knowledge of CPT and ICD-10 Diagnosis coding Proficiency in EPIC claims processing workflows preferred Ability to… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible ... Degree **Required Experience (must have):** + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+...Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding … more
- Molina Healthcare (Grand Island, NE)
- …required, + Experience with Medicare, Medicaid and Marketplace is required. + Medical coding experience is highly preferred. **JOB QUALIFICATIONS** **Required ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- HCA Healthcare (Nashville, TN)
- …Resource Management Profee Coding Manager? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible ... are appropriately educated + Reviews all official data quality standards, coding guidelines, company policies and procedures, and clinical/ medical resources… more
- HCA Healthcare (Caldwell, ID)
- …bachelors) degree in HIM/HIT or related degree required Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding ... Monday-Friday flexible schedule. This position requires acute care/facility based Inpatient Coding experience. Are you passionate about the patient experience? At… more
- HCA Healthcare (Brentwood, TN)
- **Description** **Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family… more
- Guidehouse (San Marcos, CA)
- …or customer service. + Working knowledge can be of the following: insurance claims , billing, coding , follow-up, finance, accounting or customer service related ... Required** **:** None **What You Will Do** **:** The ** Medical Biller** is expected to perform all areas of...billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the… more
- Hartford HealthCare (Farmington, CT)
- …appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPT coding , by reviewing the medical record, facility protocol, and other ... every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in...and resolve specific billing edits and denials that require coding and billing expertise with some clinical knowledge that… more
- Ideal Home Care (Hauppauge, NY)
- …with healthcare regulations. Key Responsibilities: + Curriculum Delivery: Teach medical billing and coding courses, including healthcare terminology, ... ICD-10, CPT, HCPCS coding systems, insurance claims , reimbursement processes, and regulatory compliance. + Instructional Methods:...+ Minimum of 2 years of professional experience in medical billing, coding , or healthcare … more
- Elevance Health (Richmond, VA)
- …spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- University of Rochester (Albany, NY)
- …Preferred: Demonstrated working knowledge of the professional billing software applications. Active medical coding credential with AHIMA as RHIT, RHIA, CCS, ... charging and receivables. These activities include, but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions,… 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
- OhioHealth (Columbus, OH)
- …Position also responsible for supporting Central Billing Office as necessary regarding Claims Processing issues as it relates to coding . This position ... failed claims team who works internal failed claims and also works with departments regarding medical...compliance with Revenue Cycle targets for resolution of failed claims . 15% 3. Coordinates billing/ coding activities with… more
- CGI Technologies and Solutions, Inc. (Knoxville, TN)
- … Auditor is a member of the CGI Healthcare Compliance, Outpatient Coding Team, with responsibility for reviewing medical records to determine the accuracy ... **OP Coding Auditor** **Category:** Analytics and Emerging Digital Technologies...management program. **Your future duties and responsibilities:** 1. Reviews medical records to identify recovery opportunities on claims… more
- Robert Half Accountemps (Canton, OH)
- …approach to ensure accuracy in coding and documentation. * Additional certifications in medical coding or billing are a plus. Robert Half is the world's ... Description Contract Medical Billing/ Claims /Collections Specialist Location: Remote, Northeast...guidelines while adhering to relevant industry standards. + Educate healthcare providers on coding specificity and quality… more
- Covenant Health Inc. (Knoxville, TN)
- …of the Coding Manager, directs the day-to-day activities in the centralized medical coding operation to service the various business entities of Covenant ... prevent delays that affect the hospital's financial performance: all unbilled accounts receivable claims for all coding deficiencies including those claims … more
- Henry Ford Health System (Detroit, MI)
- …issues. The CBO Coding Senior Specialist confirms the accuracy and completeness of coding to ensure compliant claims are sent to payers. The CBO Coding ... + Minimum of two (2) years of revenue cycle experience in a large healthcare system required. Additional specialty coding certification or 10 years coding… more
- Providence (OR)
- …and create Coding Policies and associated edit configurations within the PHP claims editing system. In addition, the Coding Policy Analyst will be ... Excel, Word, and Access. **Preferred Qualifications:** + Bachelor's Degree or experience in a Healthcare or Health Plan setting coding and auditing will also be… more
