• Facility Coding Inpatient DRG…

    Banner Health (CO)
    …with different focuses (Facility vs Profee)._ In this ** Inpatient Facility-based HIMS Coding Quality Associate ** position, you bring your **5 years of ... Coding experience.** This position is task-production-oriented ensuring quality in the Inpatient Facility Coding department. If you have experience… more
    Banner Health (06/15/25)
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  • Inpatient DRG Quality Auditor

    Humana (Denver, CO)
    …looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider ... put health first** In this role, you will conduct quality reviews of coding processes within the...and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG) **So,** **do you**… more
    Humana (06/17/25)
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  • Coding Auditor Educator

    Highmark Health (Denver, CO)
    …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG/APC structure according to regulatory requirements. Reports findings both verbally… more
    Highmark Health (05/09/25)
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  • Facility Coding Outpatient Complex Coder

    Banner Health (CO)
    …assignment of disease and procedure codes, and any pertinent abstract elements. 3. Provides quality coding by ensuring compliance with coding rules and ... and accurate coding in accordance to department specific productivity and quality standards. Codes ICD CM/PCS and CPT4 for accurate APC assignment. Addresses… more
    Banner Health (05/31/25)
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  • Medical Director-Payment Integrity

    Humana (Denver, CO)
    …level of care, and/or requested site of service should be authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is ... decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post-acute care environments. The possibility exists of doing… more
    Humana (06/06/25)
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  • Medical Director - National Medicare

    Humana (Denver, CO)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
    Humana (06/25/25)
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  • Medical Director - Mid West Region

    Humana (Denver, CO)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
    Humana (05/14/25)
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  • Medical Director - Care Plus - Florida

    Humana (Denver, CO)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
    Humana (04/24/25)
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  • Chief Medical Officer - Banner Sterling Regional…

    Banner Health (Sterling, CO)
    …equipment in Imaging, Laboratory, Operating Suites, Emergency Department, and Inpatient Units. The hospital continues to invest facility upgrades and ... and modeling a service-oriented culture focused on employee engagement, quality , patient safety, service excellence, fiscal responsibility, and the overall… more
    Banner Health (06/03/25)
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