- Pacific Medical Centers (Seattle, WA)
- …know that to inspire and retain the best people, we must empower them. The Coding Analyst requires coding and auditing of E&M services, provider/physician ... . Provides feedback to clinic personnel to prevent future occurrences of inappropriate coding . + Performs medical record audits to ensure compliance with all… more
- Wood County Hospital (Bowling Green, OH)
- …and assignment and abstracting reflective of clinical documentation. Ability to successfully perform coding quality review to validate correct coding and ... The Coding Auditor/Denial Analyst accurately and efficiently audits and analyzes medical records, charge sheets and reports to ensure in the coordination of… 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 ... ASCs across the network. Utilizes provider documentation and queries, coding software tools and Insurance carrier medical ...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- Essentia Health (Fargo, ND)
- …the department. Education Qualifications: Successful completion or currently enrolled in a medical coding program which includes completed course work in ... and support the outpatient visit. Ensures that data complies with regulatory and coding guidelines. Reviews medical information, such as diseases or symptoms and… more
- Centene Corporation (Tallahassee, FL)
- …area of compliance; in particular HIPAA, and state regulations. **Preferred Skills:** Medical Billing and Coding Appeals experience Working with claims editing, ... on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives. **Education/Experience:** Bachelor's degree in related field… more
- Corewell Health (Caledonia, MI)
- …vague or unclear patient record documentation. Reviews and evaluates the work of Coding Quality Analyst (s) and Training and Development Specialist(s), and; ... coding , charging, Reports to the Manager of Coding Quality . Supervises coordinates or facilitates all...for Coding and Reporting, American Hospital Association Coding Clinic, American Medical Association CPT Assistant,… more
- Providence (Renton, WA)
- …outpatient coding , E/M, auditing and related work + 5+ years experience conducting medical coding provider audits and quality performance measures + 5+ ... and retain the best people, we must empower them._** **Providence is calling a Lead Coding Quality Auditor who will:** + Assist with the day-to-day operations of… more
- Providence (OR)
- **Description** **Associate Coding Quality Auditor - Remote, Most States Eligible.** Revenue Cycle is the name adopted to reflect the Providence employees who ... from American Academy of Professional Coders upon hire. Or + National Certified Coding Associate - American Health Information Management Association upon hire. Or +… more
- Medical Mutual of Ohio (OH)
- …a minimum of (1) day per month in-office in Brooklyn, Ohio._** Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based ... provide peace of mind to more than 1.2 million members through our high- quality health, life, disability, dental, vision and indemnity plans. We offer fully insured… more
- Providence (AK)
- …who will:** + Be responsible for the management and supervision of all Coding Policy development, quality , implementation, publication, and interim or routine ... Manage certified Coding Policy Analysts and all coding -related reviews, work queues, and analyst metrics...process improvements which result in team growth, savings, and quality + Be responsible for setting Coding … more
- Highmark Health (Dover, DE)
- …product lines. Recommends and implements process improvements related to the potential of quality medical care and service to members and to improve ... **Substitutions** + 6 years of combined experience with RN/LPN, Risk Adjustment HCC Coding , medical coding /billing, HEDIS, and/or health related field in… more
- Rush University Medical Center (Chicago, IL)
- …**Work Schedule:** 8 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** The Revenue Integrity Analyst uses advanced knowledge of coding , CDM, charge capture, and auditing ... **Job Description** **Location:** Chicago, IL **Hospital:** RUSH University Medical Center **Department:** Revenue Cycle Revenue Integrit **Work Type:** Full Time… more
- Covenant Health Inc. (Knoxville, TN)
- …and makes necessary corrections to ensure accuracy and timely billing. + Participates in quality coding and audit reviews for each provider. + Assists provider ... with correct coding initiatives. Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting. Assists… more
- CVS Health (Irving, TX)
- …Client needs and requirements to internal CVS Health team such as Benefits Coding and Quality Analysis team. + Providing timely communications to provide ... health care more personal, convenient and affordable. Position Summary As a Senior Analyst , you will be part of Medicare Benefit Client Services Testing team that… more
- CVS Health (Topeka, KS)
- …related to National Committee for Quality Assurance (NCQA) HEDIS measures, medical record documentation, and coding . They will function as a liaison ... Antonio, TX + Southern IL Position Summary This Sr Analyst Healthcare QM will be a Quality ...preferably in a managed care environment. + Experience with Coding + 3+ years Provider facing activities/Valued Based Contracting/Network… more
- CVS Health (Topeka, KS)
- …related to National Committee for Quality Assurance (NCQA) HEDIS measures, medical record documentation, and coding . They will function as a liaison ... + Lexington, KY + Southern IL region Position SummaryThis Analyst Healthcare QM will be a Quality ...Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding , Medicaid risk adjustment methodology, and common billing and… more
- The Cigna Group (Chattanooga, TN)
- …occur be before/after normal business hours) + Perform the minimum number of coding quality reviews consistent with established departmental goals. + Maintain ... along the engagement continuum within an assigned market. Lead Analyst will be primary contact for provider groups on...audit departments regarding compliance, coding , and inappropriate coding . + Provides second level medical record… more
- Covenant Health Inc. (Knoxville, TN)
- …appropriate DRG assignment. Communicates with physicians for clarification of documentation for coding . Abstracts and enters data from the medical records in ... Overview Coder Analyst , Fort Sanders Perinatal Full Time, 80 Hours...follow-up on any record requiring re-review. + Participates in coding and abstracting quality reviews as required.… more
- Trinity Health (Niskayuna, NY)
- **Employment Type:** Part time **Shift:** Day Shift **Description:** ** Medical Billing Analyst - Cardiology Associates of Schenectady - Niskayuna, NY - Per ... to the efficient and service oriented operation of a medical practice. The Billing Analyst will perform...Identify any problematic charges for further review to correct coding /billing issues + Adhere to productivity/ quality guidelines… more
- Banner Health (AZ)
- …knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area and have a good ... flow while collaborating with many areas such as Billing, Coding , CDM Services Expected reimbursement As a Revenue Integrity..., CDM Services Expected reimbursement As a Revenue Integrity Analyst you will work with a variety of claims,… more