- Wood County Hospital (Bowling Green, OH)
- …and assignment and abstracting reflective of clinical documentation. Ability to successfully perform coding quality review to validate correct coding and ... The Coding Auditor/Denial Analyst accurately and efficiently audits and analyzes medical records, charge sheets and reports to ensure in the coordination of… more
- St. Luke's University Health Network (Allentown, PA)
- …a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and ... ASCs across the network. Utilizes provider documentation and queries, coding software tools and Insurance carrier medical ...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- The Cigna Group (Baltimore, MD)
- …occur be before/after normal business hours) + Perform the minimum number of coding quality reviews consistent with established departmental goals. + Maintain ... along the engagement continuum within an assigned market. Lead Analyst will be primary contact for provider groups on...audit departments regarding compliance, coding , and inappropriate coding . + Provides second level medical record… more
- The Cigna Group (Bloomfield, CT)
- …occur be before/after normal business hours) + Perform the minimum number of coding quality reviews consistent with established departmental goals. + Maintain ... audit departments regarding compliance, coding , and inappropriate coding . + Attend risk adjustment and quality ...two (2) years' of hospital inpatient / outpatient or medical office coding experience, preferably two (2)… more
- Intermountain Health (Columbus, OH)
- …to Intermountain departments including Intermountain Physician Advisor Services and Quality . _Minimum Qualifications_ Professional coding certificate through ... delivery improvement and accurate data for patient populations. It provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million ... members through our high- quality health, life, disability, dental, vision and indemnity plans....Supporting the underwriting system, the Specialty Group Underwriting Systems Analyst collaborates with other system developers and liaisons to… more
- Covenant Health Inc. (Knoxville, TN)
- …and makes necessary corrections to ensure accuracy and timely billing. + Participates in quality coding and audit reviews for each provider. + Assists provider ... with correct coding initiatives. Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting. Assists… more
- Commonwealth Care Alliance (Boston, MA)
- …This Role is Important to Us:** Under the guidance of the Manager of Billing, Coding , & Provider Documentation the Revenue Cycle Analyst will enhance our FFS & ... coding , and charge capture. In addition to the coding and billing responsibilities, the Revenue Cycle Analyst...accredited program + Minimum of 2 years' experience in medical billing and/or coding in an outpatient… more
- CVS Health (Topeka, KS)
- …related to National Committee for Quality Assurance (NCQA) HEDIS measures, medical record documentation, and coding . They will function as a liaison ... + Charlottesville, VA + San Antonio, TX + Southern, IL Position Summary This Senior Analyst , Healthcare Quality Management will be a Quality Practice Liaison… more
- University of Washington (Seattle, WA)
- …in related rules, regulations and coding changes; makes recommendations to maintain coding compliance, quality and mitigate risk + Performs regular coding ... Medicine Enterprise Records and Health Information has an outstanding opportunity for an **INPATIENT ANALYST ** . **WORK SCHEDULE** + 8:00 am - 5:00 pm + Mondays -… more
- UPMC (Pittsburgh, PA)
- **UPMC Health Plan is looking for an Intermediate Clinical Auditor/ Analyst to join the Quality Assurance team!** The Intermediate Clinical Auditor/ Analyst is ... revises better best practice within the department. The Intermediate Clinical Auditor Analyst reviews medical records, creates, maintains, and analyzes auditing… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Coder Analyst Inpatient Acute Care Coding Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee's ... appropriate DRG assignment. Communicates with physicians for clarification of documentation for coding . Abstracts and enters data from the medical records in… more
- Covenant Health Inc. (Knoxville, TN)
- …appropriate DRG assignment. Communicates with physicians for clarification of documentation for coding . Abstracts and enters data from the medical records in ... Overview Coder Analyst , Fort Sanders Perinatal Full Time, 80 Hours...follow-up on any record requiring re-review. + Participates in coding and abstracting quality reviews as required.… more
- CVS Health (Topeka, KS)
- …related to National Committee for Quality Assurance (NCQA) HEDIS measures, medical record documentation, and coding . They will function as a liaison ... + Lexington, KY + Southern Region, IL Position SummaryThis Analyst Healthcare Quality Management will be a...Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding , Medicaid risk adjustment methodology, and common billing and… more
- Trinity Health (Niskayuna, NY)
- **Employment Type:** Part time **Shift:** Day Shift **Description:** ** Medical Billing Analyst - Cardiology Associates of Schenectady - Niskayuna, NY - Per ... to the efficient and service oriented operation of a medical practice. The Billing Analyst will perform...Identify any problematic charges for further review to correct coding /billing issues + Adhere to productivity/ quality guidelines… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Product Analyst II? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...a difference. We are looking for a dedicated Product Analyst II like you to be a part of… more
- Banner Health (AZ)
- …knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area and have a good ... days and cash flow while collaborating with many areas such as Billing, Coding , CDM Services Expected reimbursement. Our Ambulatory Revenue Integrity Team is a small… more
- Atrius Health (Chelmsford, MA)
- …Bachelor's degree (or equivalent education, training or experience) required. o Certification in medical coding is preferred including CCS, CCS-P, CPC or other ... or claim data analysis required. o Plus if candidate has specific experience in medical policy/chart reviews for claim coding corrections and writing medical … more
- Iowa Department of Administrative Services (Des Moines, IA)
- Statistical Research Analyst 3 Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4535905) Apply Statistical Research Analyst 3 Salary $57,636.80 ... Join the Iowa Workforce Development team as aStatistical Research Analyst 3in our Labor Market Information Division, Research &...to SOII and CFOI + Ensure staff productivity and quality with federal and state requirements. + Review work… more
- Trinity Health (Columbus, OH)
- …manage multiple projects/priorities and adhere to aggressive timelines. + Knowledge of medical terminology including various coding universes (ICD10, HCPCs, CPT, ... the model of the ANCC Magnet Recognition Program(R). + Works directly with Quality Department, Medical Management and Information Systems to develop and request… more