- Crawford & Company (Phoenix, AZ)
- …In Everything We Touch Position Summary Plans, designs, organizes and conducts training programs in corporate service lines for field and home office personnel ... in conjunction with business partners and subject matter experts using proven training methods and techniques. + Facilitates and leads training instruction… more
- Loretto Management Corporation (Syracuse, NY)
- …of outpatient and inpatient (hospital setting) preferred. + Certified Coding Specialist ( CCS / CCS -P), Certified Procedural Coder (CPC/CPC-H) certification, ... supervision of the Health Information Director/Designee, the Compliance Reimbursement Specialist is responsible for analyzing documented clinical data to identify… more
- St. Luke's University Health Network (Allentown, PA)
- …a patient's ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment in accordance with ... coding conventions, UHDDS guidelines and CMS directives. Researchs failed claims , identifies discrepancies and communicates resolution to appropriate departments.… more
- Beth Israel Lahey Health (Burlington, MA)
- …through AAPC), CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS -P (Certified Coding Specialist Physician Based through AHIMA) Experience: ... provider documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands on coding, documentation review and… more
- Burrell Behavioral Health (Springfield, MO)
- …to deliver exceptional healthcare services with integrity. As a Compliance Audit Specialist , you will play a vital role in ensuring our organization's adherence ... while pursuing a rewarding career with our organization. The Compliance Audit Specialist position offers + All-Inclusive Employee Benefits Package - A robust… more
- Atrius Health (Newton, MA)
- …for optimal health risk scores. Reviews clinical data from EpicCare and outside claims to ensure that all chronic disease (HCC or other risk model) diagnoses ... as a mentor and role model to Risk Adjustment Specialist RNs assuring that they are practicing in accordance...for Physician Assistants (PA). Certification as professional coder (CPC, CCS -P, CCS , CPC-H, CRC-risk, AAPC) preferred with… more
- Fairview Health Services (St. Paul, MN)
- …policies **License/Certification/Registration** One of the following: + Certified Coding Specialist -Professional ( CCS -P) + Certified Professional Coder (CPC) + ... **Overview** The Physician Coding Denials Specialist performs appropriate efforts to ensure receipt of...including preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ensure collection of… more
- Trinity Health (Farmington Hills, MI)
- …Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist ( CCS ) or Certified Professional Coder (CPC). Must have experience ... ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims , or other coding reasons and processing charge corrections based on medical… more
- Trinity Health (Athens, GA)
- …within the Region. EPIC A PLUS Licensure / Certification: RHIA, RHIT, CCS , CPC/COC or other coding credentials strongly preferred. CDC (Healthcare Compliance ... **Very strong Billing / Acute background** **Exp. with Denials** **Exp. with Hosptial Claims a must!** + Must possess a demonstrated knowledge of clinical processes,… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve medically necessary referrals… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically necessary referrals… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **37378BR** **Extended Job Title:** Coding Specialist (Medical Coding/Alberta) **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Review ... ability to professionally interact and exchange information, education and training to clinic personnel, physicians, administration, providers, and co-workers.… more
- Robert Half Accountemps (Princeton, NJ)
- …Preferred Skills: Certified detail oriented Biller (CPB) or Certified Coding Specialist ( CCS ) certification. Experience with Medicare, Medicaid, and private ... claim denials and rejections. Work with insurance companies to resolve denied claims . Develop strategies to reduce future claim denials. Support for Billing and… more
- Trinity Health (Hartford, CT)
- …Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist ( CCS ) is required. + Two (2) years of current ... Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denials and appeals issues affecting reimbursement + Exhibits awareness of… more
- Houston Methodist (Katy, TX)
- …Apprentice (AAPC) **OR** + CPCA - Certified Professional Coder Associate (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty ... Classification (APC) Coordinator position is responsible for reviewing and correcting all claims edits related to the APC grouper, National Correct Coding Initiative… more
- Banner Health (AZ)
- …physiology, or the equivalent training and education. Requires Certified Coding Specialist ( CCS ) or Certified Professional Coder (CPC) or Certified Coding ... submission acceptance for the state; coding accuracy; % clean claims ; staff stats; etc. Participates in the improvement of...Specialist -Physician ( CCS -P) or Registered Health Information Technologist… more
- University of Utah Health (Salt Lake City, UT)
- …Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist ( CCS ), Certified Coding Specialist - ... + Researches and resolves high volume accounts, complex or escalated suspended claims , and compliance issues using appropriate databases and shares this information… more
- Cleveland Clinic (Cleveland, OH)
- …terminology. **Certifications:** + Certified Professional Coder (CPC), Certified Coding Specialist Physician ( CCS -P), Registered Health Information Technologist ... continuity of care. + Responsible for working professional held claims in CCF claims processing system. Work...School Diploma / GED or equivalent required. + Specific training related to CPT procedural coding and ICD9 CM… more
- University of Florida (Gainesville, FL)
- …Coder (CPC)/ American Academy of Professional Coders (AAPC) or Certified Coding Specialist ( CCS -P) required. Preferred Qualifications: + Familiar with electronic ... chart's narrative, capturing all rendered services with accurate codes, timely submission of claims , and follow-up on denied claims . The ideal candidate will… more
- University of Rochester (Rochester, NY)
- …including but not limited to: coding abstraction, pre-bill coding edits, claims resolution functions, provides recommendations to improve coding acuity, quality and ... In addition, the Assistant Manager will be responsible for ensuring appropriate training and oversight of assigned staff members, ensuring that URMFG best practice… more