- MultiPlan (Atlanta, GA)
- …and we are where bright people come to shine! JOB SUMMARY: The Medical Coding Specialist is responsible for providing billing analysis of claims and applying ... bill and chart reviews in identifying any variation from quality of billing as well as monitor patient bills...which affect the department. Monitor, research, and summarize trends, coding practices, and regulatory changes. Research and review… more
- Blanchard Valley Hospital (Findlay, OH)
- …internal quality audits of the PCISS, in coordination with the Coding Claims Resolution Specialist . Provide feedback and documented education to the ... PURPOSE OF THIS POSITION The primary purpose of the Professional Coding Integrity Supervisor is to maintain the daily operations of the Professional Coding … more
- Cambia Health Solutions, Inc (Tacoma, WA)
- … quality and consumer centric focus.Required Licenses, Certifications, Registration, Etc.: Coding Certification preferred for Specialist I and II. Work ... Appeals Specialist IRemote within WA, ID, OR, and UTPrimary...each appeal. Document information in appropriate system.Appeal Analysis - Review claim coding and claim processing history,… more
- CIOX Health (Alpharetta, GA)
- … Specialist will respond to consulting and education needs related to coding quality , compliance assessments, external payer reviews, coding education, ... Remote - Inpatient Audit Specialist - Facility Job Locations US-Remote Requisition ID...calm, reflective work practices. Work cooperatively with the Data Quality & Coding Compliance leadership and scheduling… more
- Creative Financial Staffing (Grand Rapids, MI)
- …Responsibilities: Accounts Payable Management: Process supplier invoices accurately and efficiently. Review invoices for proper coding , approvals, and payment ... Job Title: Accounts Payable/Accounts Receivable Specialist Location: Grand Rapids, MI Company Overview: Join...distribution company in Grand Rapids, MI, committed to delivering quality products and services to our customers. We are… more
- ProKatchers (Bowling Green, NY)
- …a final reviewer of HEDIS and QARR records. Other duties as assigned by Quality Review Lead or QM Operations Director. Professional Competencies: Integrity and ... Position: HEDIS Quality Reviewer/ Clinical Quality Reviewer Duration:...to the support and training of physicians on proper coding and medical record documentation practices to support improvement… more
- ChristianaCare (Wilmington, DE)
- …Certified Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD ... of 5+ years' experience in provider auditing, claims auditing, compliance auditing, quality assurance, and/or recovery auditing Coding Certification (at least… more
- Dexian - DISYS (Bothell, WA)
- The MES Recipe Engineer and Validation Specialist role will deliver electronic batch record (EBR) configuration and validation in the Emerson Syncade Manufacturing ... in different functions and organizations. Preferred Qualifications: Experience with SQL and XML coding in a MES construct.MS Windows Server and SQL server also a… more
- On-Board Companies (Bothell, WA)
- …SCOPE OF POSITION (Position Summary):The MES Recipe Engineer and Validation Specialist role will deliver electronic batch record (EBR) configuration and validation ... in different functions and organizations.Preferred Qualifications:* Experience with SQL and XML coding in a MES construct. MS Windows Server and SQL server also… more
- Mid Michigan Health (Midland, MI)
- …, in the medical record as appropriate and per policy. Participate in annual review for quality and completeness as necessary. Provides for the age specific ... patients. This position is responsible for coordinating care to assure high quality , compassionate patient care is provided. They will maintain and oversee patients… more
- LifePoint Health (Brentwood, TN)
- * Review Specialist , Coding Quality and Education * *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued ... environments where employees find purpose and fulfillment. *What you'll do:* As a** Review Specialist , Coding Quality and Education**youwill review … more
- Penn Medicine (Radnor, PA)
- …Requirement: Certified Professional Coder - CPC (AAPC) Summary: + The Coding Quality Specialist will review coded medical records for coding ... coding or documentation variances. Research, review and respond to coding and coding quality issues and questions from various internal and external… more
- HCA Healthcare (Brentwood, TN)
- …Do you want to join an organization that invests in you as a Clinical Denials Coding Review Specialist ? At Work from Home, you come first. HCA Healthcare ... difference. We are looking for a dedicated Clinical Denials Coding Review Specialist like you...and maintain established departmental performance metrics for production and quality + Maintain working knowledge of workflow, systems, and… more
- HCA Healthcare (Brentwood, TN)
- …Do you want to join an organization that invests in you as a Denial Coding Review Specialist ? At Parallon, you come first. HCA Healthcare has ... a difference. We are looking for a dedicated Denial Coding Review Specialist like you...and maintain established departmental performance metrics for production and quality What qualifications you will need: + High school… more
- Avispa Technology (Dallas, TX)
- Coding Quality Specialist 31414347 A leading children's medical institution is seeking a Coding Quality Specialist . The successful candidate will ... ie AAPC, AHIMA (must provide proof of PPE/internship hours) Coding Quality Specialist Pay and...* Determine appropriate principal diagnosis and procedure sequence. May review claim edits and denials and revise coding… more
- St. Luke's Health System (Boise, ID)
- …Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist ), CPC (Certified Professional Coder), COC ... a great place to work. Under limited supervision, the Coding Qualiting Specialist is responsible for reviewing...expect from this role:** + Demonstrates advanced competency with coding and review of medical record documentation… more
- UNC Health Care (Chapel Hill, NC)
- …that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity ... statistics from the reviews and maintains accurate records of review activities to document cost/benefits and ROI. 12. Assists...Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: HIM Coding & CDI Quality Work Type: Full… more
- Johns Hopkins University (Middle River, MD)
- … quality assurance and compliance with Federal payer documentation guidelines. The Coding Specialist II will work closely with departmental management and ... or demonstrated appropriate knowledge. + Understanding of third-party payer issues. Classified Title: Coding Specialist II Job Posting Title (Working Title): CO … more
- Johns Hopkins University (Middle River, MD)
- …lieu of second certification at the discretion of department management.) Classified Title: Coding Specialist III Job Posting Title (Working Title): Coding ... III_** will be responsible for all aspects of coding , quality assurance and compliance with Federal...and coordinates with Clinical Practice Association, Office of Billing Quality Assurance to include review of documentation.… more
- The Cigna Group (Philadelphia, PA)
- …the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) Certified Coding ... Job Description: Coding Education Specialist (AHIMA or AAPC... coding + Perform the minimum number of coding quality reviews consistent with established departmental… more
