- SR International, Inc. (Phoenix, AZ)
- …nursing processes including assessment, planning, intervention, and evaluation *InterQual Criteria *CCI * Coding : CPT, HCPCS, ICD-9 * Medical Claims Review ... program *Good written and communication skills *Computer skills *Utilization Review skills * Medical Claims Review skills *Producing work products with limited… more
- Express Employment (Evansville, IN)
- …experience in a medical office setting Working knowledge of medical coding and billing procedures Familiarity with insurance claims , EOBs, and ... Process and post patient payments, insurance payments, and account adjustments Handle medical billing, coding , and claims submissions in accordance… more
- PharmaCord (Lexington, KY)
- …patented technology, Lynk). This role requires a strong understanding of pharmacy and medical billing and coding , excellent communication skills, and the ability ... healthcare or social science (Certified Case Manager). Strong understanding of medical terminology, coding systems (ICD-10, CPT, HCPCS), and insurance… more
- Aftermath Billing (Port Saint Lucie, FL)
- …Collector is responsible for managing accounts receivable for behavioral health claims , including follow-up with insurance payers and patients. This role plays ... applicable regulations. Key Responsibilities: Monitor and manage outstanding behavioral health claims . Follow up with insurance companies to ensure timely payment.… more
- PharmaCord (Jeffersonville, IN)
- …systems developed internally by our team of engineers, system architects, coding professionals and data scientists. We are PharmaCord, a purpose-driven organization ... providing access to emotional and logistical support, and collaborating with healthcare professionals to ensure comprehensive patient care. A typical day in… more
- PharmaCord (Jeffersonville, IN)
- …systems developed internally by our team of engineers, system architects, coding professionals and data scientists. We are PharmaCord, a purpose-driven organization ... by communicating clearly, focusing on the accuracy of the details of their medical records and your mastery of the program requirements, and ensuring their… more
- PharmaCord (Jeffersonville, IN)
- …systems developed in house by our team of engineers, system architects, coding professionals and data scientists. We are PharmaCord, a purpose-driven organization on ... A positive attitude! Requirements: 5+ years of experience in the healthcare industry is required Bachelor's degree is strongly preferred; Master's degree… 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 (El Segundo, 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
- Geisinger (Danville, PA)
- …staffing, directing and controlling the activities and personnel for professional coding service initiatives. Directly manages and implements programs to ensure ... efficient operations of the professional coding program in order to generate sufficient revenue and...operations. + Reviews account detail and compare to the medical records for accurate selection of diagnoses and procedure… more
