- Humana (Trenton, NJ)
- …us put health first** The Senior Provider Reimbursement Professional - Certified Medical Coder performs research, analysis, documentation, and ... programs for an organization that provides health insurance. The Senior Provider Reimbursement Professional works assignments involve moderately complex to… more
- Centene Corporation (New York, NY)
- …outlier payment review. + Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide ... pricing guidance. + Ensure medical coding rules and regulations including compliance requirements are...requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. + Provide… more
- Mount Sinai Health System (New York, NY)
- …education and experience + 5+ years of experience in hospital chargemaster maintenance and medical coding. + Certified Professional Coder (CPC) or equivalent ... **Job Description** ** Senior Financial Analyst/CDM Chargemaster -Corporate-Full-Time Days (REMOTE)** We...Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and… more
- Mount Sinai Health System (New York, NY)
- …Technologist and related professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), ... organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to...billing and reimbursement. This position will report to the Senior Director. This role will serve as a crucial… more
- CVS Health (Trenton, NJ)
- …travel approximately 10% of time for business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE + Knowledge of CVS/Aetna's ... in the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU),… more