- UNC Health (Chapel Hill, NC)
- … Program requirements. Must be able to understand, demonstrate, and teach professional compliance , billing and coding compliance to others. Ability to ... results for one-on-one or group feedback. Performs billing audits and ensures correct coding and billing compliance . Documents audit work and findings in… more
- Aequor (Thousand Oaks, CA)
- …experience. Attention to detail. Competence in Argus safety systems and medical coding . Comprehensive English writing skills. Excellent phone conversations ... with patients and HCPs of individual case safety reports. Ensure vendor compliance with approved processes and training requirements. Oversee case quality of US… more
- Merck & Co. (Boston, MA)
- …Python, Pipeline Pilot) and data analytics (eg Spotfire) and democratizing coding and workflowsPassion for mentoring and coaching scientific peers Preferred ... applicable.We offer a comprehensive package of benefits.- Available benefits include medical , dental, vision healthcare and other insurance benefits (for employee… more
- HCA Healthcare (Salem, VA)
- …NH, NC, SC, TN, TX, UT, VA). Do you have the career opportunities as a Medical Necessity Coding Compliance Coordinator you want with your current employer? ... caring group of colleagues. Do you want to work as a Medical Necessity Coding Compliance Coordinator where your passion for creating positive patient… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other ... + 5 years of relevant experienceaudit experience in physician or facility medical coding , auditing, or compliance roles + Prior experience reviewing … more
- Evolent (Phoenix, AZ)
- …The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will ... claims via progress note clinical documentation review. + Ensure compliance and quality for all coding practices...or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder)… more
- UCHealth (Denver, CO)
- …experience. At UCHealth, We Improve Lives Summary: Manages the daily operations of medical coding , reimbursement, and compliance functions to ensure ... Description Manager, Inpatient Coding Location: UCHealth Admin Lowry, US:CO: Denver Department: UCHlth Inpatient Coding FTE: Full Time, 1.0, 80.00 hours per pay… more
- Rush University Medical Center (Chicago, IL)
- …on documentation improvement projects. 10. Serve as the internal liaison for Rush University Medical Center for coding and compliance questions and concerns. ... disability, veteran status, and other legally protected characteristics. **Position** Sr Compliance Coding Analyst **Location** US:IL:Chicago **Req ID** 19719 more
- Guthrie (Sayre, PA)
- …with The Guthrie Clinic's policies and procedures and accepted guidelines for medical coding . Works closely with the Compliance Officer and Compliance ... Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in...guidelines and TGC policies Experience: + Working knowledge of medical terminology, anatomy and physiology, and coding … more
- Commonwealth Care Alliance (Boston, MA)
- …public health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance , Payment Integrity and Analytics + ... under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for… more
- CareFirst (Baltimore, MD)
- … functions, by performing moderately complex medical record review and coding , ensuring compliance with all applicable Federal, State and/or County laws ... leadership and third-party vendors to negotiate agreement on complex medical record diagnoses and determine compliance with...on complex medical record diagnoses and determine compliance with coding guidelines which will be… more
- Insight Global (Jacksonville, FL)
- …of coding rules and regulations by staying current on issues regarding medical coding , compliance and reimbursement. Performance Criteria: - Assists in ... Rehab Facility Coding - strongly desired * Familiarity with IRF compliance and tiering comorbidities impacting reimbursement * Experience with coding for… more
- Robert Half Accountemps (Cincinnati, OH)
- …Contract-to-Permanent position, you will play a critical role in ensuring the accuracy and compliance of outpatient medical coding processes. This role is ... to perform detailed reviews of medical records to ensure compliance with coding and billing standards. * Excellent analytical and problem-solving skills to… more
- UPMC (Pittsburgh, PA)
- …degree or comparable technical school diploma is preferred. + 1 year of experience in medical coding , auditing, billing and compliance . + Knowledge of CMS ... Auditing:** Conduct UPMC-wide auditing and monitoring to ensure that coding /documentation combinations and medical record documentation adequately support… more
- AdventHealth (Altamonte Springs, FL)
- …a management level. . Experience in hospital compliance and/or physician practice/ medical group compliance , coding and/or operations and/or post-acute ... Altamonte Springs, FL **The role you will contribute:** The Primary Health Division Compliance Officer reports to and works in conjunction with the Senior Vice… more
- Albany Medical Center (Albany, NY)
- …reviews/audits for AMHS, including reviewing medical record documentation and coding to assess compliance with related rules and regulatory requirements, ... ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal...- Rarely Thank you for your interest in Albany Medical Center! Albany Medical is an equal… more
- Wipfli LLP (South Portland, ME)
- …of optimizing financial performance. Responsibilities: + Act as the SME for clients on medical coding standards, compliance , and best practices. + Assess ... (eg, ICD-10, CPT, HCPCS). + Ensure quality assurance and compliance with healthcare coding standards. + Support...of education. + Minimum of 3-5 years of hands-on medical coding experience across various specialties. +… more
- UPMC (Pittsburgh, PA)
- …technical school diploma is preferred. + 3 or more years of experience in medical coding , billing, auditing and compliance . + Extensive knowledge of ... CMS, and third-party payer coding , billing, and documentation compliance regulations required (MS-DRG, APR-DRG, APC, APG or ICD10-CM, HCPCS, CPT, Modifiers,… more
- Garnet Health (Middletown, NY)
- …and Garnet Health Medical Center - Catskills. Leads and assure coding compliance , coding integrity-related projects including validation, data analysis, ... us as a Coding Supervisor on our Coding team at/in Garnet Health Medical Center...on our Coding team at/in Garnet Health Medical Center Middletown. Responsibilities Responsible for coordinating and supervising… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …and provider billing investigation. This role requires a deep understanding of medical claims adjudication, coding compliance , and regulatory guidelines. ... the Special Investigation Unit and Payment Integrity Specialists. This role requires medical coding experience, analytical skills, solid written and oral… more
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