- Commonwealth Care Alliance (Boston, MA)
- …the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing ... public health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance , Payment Integrity and Analytics +… more
- LifePoint Health (Denver, CO)
- …job field* **Organization:** **Pacific Medical Data Solutions* **Title:** *Quality Analyst - Medical Coding REMOTE WORK* **Location:** *Colorado-Denver* ... your next opportunity. We are currently seeking a Quality Analyst - Coding . TheQuality Analystwill spend the...reviews as well as other projects related to physician coding compliance . Demonstrates a thorough understanding of… more
- Rush University Medical Center (Chicago, IL)
- …and training to clinicians and revenue cycle employees for charge capture functionality, coding , and EHR documentation. The Senior Business Analyst will work ... veteran status, and other legally protected characteristics.** **Position** Sr Business Analyst - Revenue Cycle and Coding **Location** US:IL:Chicago **Req… more
- Providence (Everett, WA)
- **Description** The Coding Analyst is responsible for detailed diagnostic coding associated with Risk Adjustment and HCC coding . This impacts revenue and ... impacts operations, programmatic and information systems, as well as contracted providers. Coding analyst will have a comprehensive understanding of ICD-9,… more
- St. Luke's University Health Network (Allentown, PA)
- …a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and ... MSO, and ASCs across the network. Utilizes provider documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies… more
- University of Washington (Seattle, WA)
- …UW Medicine Enterprise Records and Health Information has an outstanding opportunity for a ** CODING EDUCATION ANALYST ** **WORK SCHEDULE** + 100% FTE + Mondays - ... training of one or more content areas ERHI has coding oversight for + Serve as an expert in...Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical… more
- Healthfirst (NJ)
- …accepted payment policy requires + Collaborates with other departments to improve compliance with coding conventions and clinical practice guidelines + Leads ... current payment policy configuration to resolve the provider payment discrepancies + Reviews medical records to ensure coding is consistent with the services… more
- Essentia Health (Fargo, ND)
- **Job Description** **Job Description:** Will conduct documentation and coding reviews to ensure compliance with published coding standards, federal and ... ICD-10-CM, HCPCS, CPT and Evaluation and Management codes to determine overall coding accuracy and identify documentation and educational gaps. This position is also… more
- SUNY Upstate Medical University (Syracuse, NY)
- …trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding , and billing guidelines. ... Job Summary: Position Summary: Under the direction of the Compliance Officer the main duties for this position include:...main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or… more
- UNC Health Care (Morrisville, 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
- Rush University Medical Center (Chicago, IL)
- …* Able to learn and apply technical knowledge in the areas of clinical research, medical coding and revenue cycle in a consultative manner. * Excellent verbal ... guidance and their effect on research billing processes. The analyst will provide high-level professional support in the growing...within the CTMs and conduct financial activities within the medical billing and coding software (ie OnCore,… more
- Alaka'ina Foundation Family of Companies (Washington, DC)
- Software Compliance Analyst Location DC - Washington Job Code 12221 # of openings 1 Apply Now ... The Alaka`ina Foundation Family of Companies (FOCs) is looking for a Software Compliance Analyst to support our government customer located in Washington, DC.… more
- Rush University Medical Center (Chicago, IL)
- …* Able to learn and apply technical knowledge in the areas of clinical research, medical coding and revenue cycle in a consultative manner. * Excellent verbal ... guidance and their effect on research billing processes. The analyst will provide high-level professional support in the growing...within one year of hire with experience in research medical billing and coding . Certifications may include… more
- Netflix (UT)
- …anytime, anywhere, and can change their plans at any time. The Role Senior QA Analyst , Compliance - Games Operations Netflix is looking for an experienced test ... games to a worldwide audience. As a Senior QA Analyst for the Compliance - CCQA Team,...Certifications: PMP, Scrum Master and/or Product Owner, ISTQB + Coding Knowledge: XML/HTML, JavaScript, Python, Java, C/C++/ C#, SQL… more
- T. Rowe Price (Baltimore, MD)
- …available data elements to determine how restrictions can be captured in the compliance systems + Provides creative coding solutions and alternatives to capture ... opportunity to join us and grow your career with us. Role Summary Investment Compliance is a global function responsible for ensuring compliance with regulatory,… more
- Veterans Affairs, Veterans Health Administration (Kansas City, MO)
- …and the Medical staff by providing answers to difficult questions regarding coding , billing, and compliance to resolve discrepancies. Work Schedule: Monday - ... Friday 8:00am - 4:30pm Position Description/PD#: Program Analyst (Integrity & Compliance Auditor)/PD102360 Requirements Conditions of Employment You must be a US… more
- University of Rochester (Rochester, NY)
- … compliance with applicable policies and procedures. Conducts in-depth reviews of medical record chart documentation to ensure compliance with CMS Guidelines. ... for appropriate follow-up. Assists in formulating, reviewing, and updating Medical Center Compliance policies. + Responds to...and Medicaid requirements. Acts as a resource on billing, coding and complex reimbursement issues to Medical … more
- NCR Atleos (Frisco, TX)
- …self-service availability for financial institutions and retailers across the globe. ** Compliance Analyst / Information Security Engineer II** **Location:** ... Minimum of 2 years of IT experience in Cybersecurity Compliance . + Beginner level Python coding . +...the job. **Full time employee benefits include** : + Medical Insurance + Dental Insurance + Life Insurance +… more
- Covenant Health Inc. (Knoxville, TN)
- …with correct coding initiatives. Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting. Assists ... medical record to determine ICD-10 CM and CPT-4 coding that is needed to comply with billing and...to determine the most appropriate codes used for billing compliance and refers coding questions to the… more
- Commonwealth Care Alliance (Boston, MA)
- …public health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance , Payment Integrity and Analytics + ... direction of the Sr. Director, TPA Management and Claims Compliance , the Payment Integrity (PI) Recovery Analyst ... Association (AMA) guidelines, etc.) + Advanced experience of medical terminology and medical coding … more