• Hierarchical Condition Category (HCC)…

    Highmark Health (Dover, DE)
    …**Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing / coding , health insurance, healthcare or related field ... including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology...preferred. **EXPERIENCE** **Required** + 3 years HCC coding and/or coding and billing more
    Highmark Health (04/25/24)
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  • Senior Hierarchical Condition Category (HCC)…

    Highmark Health (Dover, DE)
    …+ Other duties as assigned. **EDUCATION** **Required** + Associate's degree in medical billing / coding , health insurance, healthcare or related field, ... (MA) and Affordable Care Act (ACA) through Hierarchical Condition Category (HCC) coding , medical coding , clinical terminology and anatomy/physiology, Centers… more
    Highmark Health (05/31/24)
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  • Medical Billing /AR Specialist…

    Sutherland Global Services (Dover, DE)
    …analytical, detail-oriented individuals with strong communication skills to join us as Medical Billing /AR Specialists! In this position, you will be responsible ... and types of coverage + Reviewing contracts and identifying billing or coding issues and requesting re-bills,...billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high… more
    Sutherland Global Services (05/30/24)
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  • Senior Clinical Quality Management Analyst…

    Highmark Health (Dover, DE)
    …field **Substitutions** + 6 years of combined experience with RN/LPN, Risk Adjustment HCC Coding , medical coding / billing , HEDIS, and/or health related ... **Required** + 5-10 years of combined experience with RN/LPN, Risk Adjustment HCC Coding , medical coding / billing , HEDIS, and/or health related… more
    Highmark Health (05/24/24)
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  • ICD-10 - Certified Coder - On-Site

    Universal Health Services (Dover, DE)
    …with the Business Office and Utilization Review and provide information regarding the medical records and educate staff regarding coding changes and issues + ... nationally certified medical records coder + One year work experience coding ICD-10 Preferred: + Associates Degree preferred Benefits: + Tuition Assistance +… more
    Universal Health Services (05/31/24)
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  • Investigations Consultant

    Highmark Health (Dover, DE)
    …Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical ... specific to professional, hospital, ambulatory surgical center, home health and durable medical equipment to identify key areas of risk exposure and develop plans… more
    Highmark Health (05/07/24)
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