- 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
- HCA Healthcare (Portsmouth, NH)
- …+ Provides general/focus education for facility leaders on (but not limited to) compliance , medical necessity, charge practices, coding requirement etc. + ... join an organization that invests in you as a Medical Necessity Compliance Coordinator? At Parallon, you...substitute education requirements. + Minimum 3 years of hospital coding experience preferred + Minimum 5 years healthcare experience… more
- St. Mary's Healthcare (Amsterdam, NY)
- …release of such information according to regulations. + Identifies, implements, and maintains medical coding quality and compliance within regulatory and ... and residential healthcare facility. Responsibilities: + Ensure timely and accurate coding for all healthcare services perform at the organization to include… more
- Datavant (Columbus, OH)
- …teams across engineering, data science, operations, and design to build a world-class medical coding solution. + Ensure compliance and regulatory alignment ... product leader to define and execute the strategy for an AI-powered medical coding solution that will streamline workflows, improve accuracy, and drive business… more
- Trinity Health (Syracuse, NY)
- … & Audit to develop and implement provider documentation improvement plans. Ensures medical documentation and coding compliance with Federal, State and ... claim is submitted to payers. . Demonstrate a solid understanding of ICD-10-CM coding and medical terminology, Hierarchical Condition Category (HCC), and MEAT… more
- Rush University Medical Center (Chicago, IL)
- …and Rush University Medical Group (RUMG) to analyze and resolve any coding or compliance related issues so as to minimize organizational risk. The ... improvement projects. + Serve as the internal liaison for Rush University Medical Center for coding and compliance questions and concerns. + Facilitate … more
- WellSpan Health (Chambersburg, PA)
- …analyzes coding /billing procedures. + Presents training and feedback concerning medical coding , compliance , and reimbursement to physicians/providers. + ... reimbursement improvement activities with staff and providers. + Meets WellSpan Coding Compliance Guidelines. Common Expectations: + Maintains job specific… more
- Trinity Health (Albany, NY)
- … are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State and Private payer ... operations. + Licensure / Certification: RHIA, RHIT, CCS, CPC/COC or other coding credentials is preferred. CHC (Healthcare Compliance Certification) preferred.… 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
- 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
- UPMC (Pittsburgh, PA)
- …technical school diploma is required. + 4 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
- Community Health Systems (Franklin, TN)
- …and HCPCS codes for diagnoses, procedures, and services based on documentation in the medical record. + Ensures coding compliance with federal regulations, ... revenue cycle teams, providers, and compliance staff to clarify documentation and coding -related issues. + Uses electronic medical records (EMR), coding … more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- …to insurance companies, government payers, and other third-party entities. + Ensure accurate medical coding in compliance with relevant standards (eg, ... compliance standards for patient confidentiality. Preferred Skills: + Certification in Medical Billing and Coding (eg, CPC, CBCS) or Revenue Cycle Management… 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
- Trinity Health (Ann Arbor, MI)
- … are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State and Private payer ... operations. + Licensure / Certification: RHIA, RHIT, CCS, CPC/COC or other coding credentials is required. CHC (Healthcare Compliance Certification) preferred.… more
- Trinity Health (Syracuse, NY)
- … are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State and Private payer ... operations. Licensure / Certification: RHIA, RHIT, CCS, CPC/COC or other coding credentials is required. CHC (Healthcare Compliance Certification) preferred.… more
- Henry Ford Health System (Grand Blanc, MI)
- …+ Bachelors degree (Business Administration or Healthcare related field) or 5 years medical billing, coding , auditing, compliance , CDI, revenue integrity, ... have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. Additional specialty… more
- SSM Health (IL)
- …+ Or + Home Care Coding Specialist - Diagnosis (HCS-D) - Board of Medical Specialty Coding and Compliance + Or + Registered Health Information ... following established policies and procedures, is responsible for daily coding activities. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES +… more
- BJC HealthCare (St. Louis, MO)
- …Operations, and other departments) as appropriate to ensure the integrity of the medical record and coding compliance . **Minimum Requirements** **Education** ... to all regulatory guidelines. This position demonstrates knowledge of complex medical and coding concepts. **Responsibilities** + Accurately abstracts data… more
- BJC HealthCare (St. Louis, MO)
- …leadership, providers and practice staff as appropriate to ensure the integrity of the medical record and coding compliance . + Using critical thinking ... candidates with at least 2 years of ortho procedural/surgical coding and E/M coding experience At least...care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In… more
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