- Cambia Health Solutions, Inc (Renton, WA)
- …in ID, OR, UT or WAWHO WE NEEDThe Policy and Implementation Analyst uses Medical coding knowledge and experience and evaluates, recommends and implements ... be proficient in the competencies listed belowPolicy and Implementation Analyst would have a Bachelor's degree in Business Administration...oversees medical and reimbursement policy and related clinical edit and coding issues through the… more
- Blanchard Valley Hospital (Findlay, OH)
- …compliant and optimal professional charge capture which is supported by clinical documentation. Coordinate with the Professional Coding Integrity ... providers and the revenue integrity team for guidance relative to professional-related coding issues and/or clinical documentation practices. Provide research as… more
- UT Health (Houston, TX)
- Remote Senior Compliance Coding Analyst - Emergency Medicine **Location:** Texas Medical Center-Houston, Texas **Hot** **Category:** Legal McGovern Medical ... knowledge resource in issue resolution; may provide guidance for daily activities of coding analyst staff. 3. Reviews documentation to establish compliance with… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of 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 ... corrections will be made after review of supporting documentation, CCI/LCD, carrier policy and utilization of coding software applications. The appeals process… more
- Trinity Health (Syracuse, NY)
- …Participation. Additional knowledge of other third-party payer requirements for documentation, coding and billing preferred. Ability to review clinical ... communities. Vision: .To be world-renowned for passionate patient care and outstanding clinical outcomes. Core Values: .In the spirit of good _Stewardship,_ we heal… more
- Providence (Beaverton, OR)
- …that are routed by Provider Relations + Create customer service inquiries (CSI) for the Coding Policy Analyst (CPA) work queue (also called the FSA queue) ... both coding and administrative facilitation of all Coding Policy team initiatives. This work involves:...change request forms within the JAMA application + Review Clinical Edit Inquiries (CEI) from the provider fax queue… more
- Rush University Medical Center (Chicago, IL)
- …PM) **Summary:** This position will create coverage analyses in accordance with Medicare's Clinical Trial Policy (NCD 310.1) and assist research staff within the ... procedures. **Responsibilities:** * Maintain a detailed understanding of Medicare's Clinical Trial Policy (NCD 310.1) and related...learn and apply technical knowledge in the areas of clinical research, medical coding and revenue cycle… more
- Providence (AK)
- …and documented + Manage certified Coding Policy Analysts and all coding -related reviews, work queues, and analyst metrics + Ensure appropriate review and ... empower them._** **Providence Health Plan is calling a Manager Coding Policy who will:** + Be responsible...care or health care organization + 5+ years of Clinical Coding experience, preferable in a payer… more
- Rush University Medical Center (Chicago, IL)
- …Revenue Cycle, this position will create coverage analyses in accordance with Medicare's Clinical Trial Policy (NCD 310.1) and assist research staff within the ... procedures. **Responsibilities:** * Maintain a detailed understanding of Medicare's Clinical Trial Policy (NCD 310.1) and related...learn and apply technical knowledge in the areas of clinical research, medical coding and revenue cycle… more
- Highmark Health (Dover, DE)
- …in the areas of compliance, process improvement, medical record review and coding , and member and provider satisfaction for all product lines. Recommends and ... members and to improve documentation of these services for appropriate ICD 10-CM coding . Serves as a resource and educator regarding provider and office staff… more
- Medtronic (North Haven, CT)
- …Change Lives** **A Day in the Life** We are looking for a Principal Health Policy Analyst to join our Surgical Health Economics, Policy , and Reimbursement ... with Government Affairs Organizations to develop strategy to enact priority legislative and policy changes relating to coverage, coding , and payment of medical… more
- CareFirst (Baltimore, MD)
- …Qualifications** **PURPOSE:** In collaboration with the Medical Director, the Senior Medical Policy Analyst will research, analyze, evaluate, revise, and develop ... an accepted standard of medical practice. The Senior Medical Policy Analyst will work closely with organizational...Medical Director. + Lead the discussion during the Medical Policy Committee meetings by articulating the clinical … more
- CareFirst (Baltimore, MD)
- …& Qualifications** **PURPOSE:** In collaboration with the Medical Director, the Medical Policy Analyst will research, analyze, evaluate, and revise medical ... current peer-reviewed articles and other literature to determine its appropriateness of clinical guidance and mandated legislation in support of and inclusion in… more
- Banner Health (AZ)
- …department requested CDM charge additions and deletions as applicable. Partners with Coding , Cerner Clinical Informatics and Revenue Cycle teams to support ... , CDM Services Expected reimbursement As a Revenue Integrity Analyst you will work with a variety of claims,...of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical … more
- Banner Health (AZ)
- …to support the physician practice in achieving a healthy revenue stream. Partners with Coding , Cerner Clinical Informatics and Revenue Cycle teams to ensure an ... days and cash flow while collaborating with many areas such as Billing, Coding , CDM Services Expected reimbursement As an Acute Intermediate Revenue Integrity … more
- HCA Healthcare (Richmond, VA)
- …Do you want to join an organization that invests in you as a Charge Master Analyst ? At Parallon, you come first. HCA Healthcare has committed up to $300 million in ... difference. We are looking for a dedicated Charge Master Analyst like you to be a part of our...updated and maintained timely and that accurate charging and coding is reported with patient billing. **What you will… more
- UNC Health Care (Morrisville, NC)
- …action plans. **4. Professional Development** - Maintains current knowledge of CPT and ICD coding guidelines as well as CMS policy and regulations. Reads trade ... national coverage decisions and CMS rules and regulations. Intermediate knowledge of clinical documentation, coding and billing. Must be familiar with reference… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you have the career opportunities as a Senior Interface Analyst you want with your current employer? We have an exciting opportunity ... Do you want to work as a Senior Interface Analyst where your passion for creating positive patient interactions...EHRs (MEDITECH 5.6.7, MEDITECH EXPANSE, EPIC, CERNER) and 3M coding applications ( Coding & Reimbursement (CRS), 360… more
- The Cigna Group (UT)
- …both for historical and/or real time data. + Develop relationships with clinical providers/staff and communicate coding and documentation guidelines. + Conduct ... goals. + Maintain strictest confidentiality based on HIPAA privacy policy . + Maintain current knowledge of coding ...privacy policy . + Maintain current knowledge of coding guidelines and relevant federal regulations through the use… more
- Banner Health (CO)
- …to support the physician practice in achieving a healthy revenue stream. Partners with Coding , Cerner Clinical Informatics and Revenue Cycle teams to ensure an ... days and cash flow while collaborating with many areas such as Billing, Coding , CDM Services Expected reimbursement Our Ambulatory Revenue Integrity Team is a small… more
