- UnitedHealth Group (Minnetonka, MN)
- … audits, including but not limited to regulatory agencies, Quality metrics, and coding compliance . The Auditor will monitor changes to laws and regulations ... to ensure compliance with State and Federal laws, regulations and mandates....challenges. Primary Responsibilities: Maintain and demonstrate expert knowledge of coding , coding operations, coding review… more
- FoundCare, Inc. (West Palm Beach, FL)
- …assigning diagnosis and procedure codes (ICD-10 and CPT) based on established coding guidelines, ensuring compliance with federal and state regulations, and ... and procedure codes (ICD-10 and CPT) based on established coding guidelines, ensuring compliance with federal and state regulations, and contributing to the… more
- Formation Bio (New York, NY)
- …Manage the accounts payable process end-to-end within Zip, including ensuring coding accuracy, proper PO matching, and compliance with internal ... reporting or streamline operations Maintain and improve financial data hygiene and coding consistency About You 1-3 years of accounting experience (public or… more
- Vidant Health (Greenville, NC)
- …working knowledge of the UB-04/837 claim form loop and segments. Understands charging, coding processes along with compliance issues. Has the ability to provide ... research. Position Summary This role is responsible for analyzing coding denials by insurance carriers, CPT code(s), and specialty...CPT code(s), and specialty area, review and submission of coding appeals related to denials to include coding… more
- Movn Health (Los Angeles, CA)
- …or payer delays, and escalate with recommendations for resolution Ensure documentation and coding compliance with CMS and payer guidelines (ICD-10, CPT, HCPCS) ... adjudication Proficiency with multiple EHRs Strong command of medical coding (ICD-10, CPT, HCPCS) and healthcare compliance ...medical coding (ICD-10, CPT, HCPCS) and healthcare compliance (HIPAA, CMS) Proven success in reducing A/R and… more
- Texas Health Resources (Arlington, TX)
- …utilized technology. *Assigns/sequences ICD-10-CM and PCS codes to selected medical records per Coding Guidelines, THR Coding Compliance Policies, CMS and ... education units (CEUs) as required for any credentials/certifications held and/or THR coding compliance requirements. Additional perks of being a Texas Heath… more
- Merck & Co. (Rahway, NJ)
- …Python, Pipeline Pilot) and data analytics (eg Spotfire) and democratizing coding and workflowsPassion for mentoring and coaching scientific peers Preferred ... consider qualified applicants with arrest and conviction records for employment in compliance with the San Francisco Fair Chance Ordinance Los Angeles Residents… more
- St. Luke's University Health Network (Allentown, PA)
- …knowledge of HIM field helpful, with focus on MS-DRG reimbursement, AHA coding guidelines, and compliance or direct Clinical Documentation Improvement ... Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure properly assigned… more
- Twist BioScience (South San Francisco, CA)
- …technical excellence, robust software development practices, and regulatory compliance .Software Development & Implementation: Oversee the full Software Development ... our custom MES, including detailed requirements gathering, system design, coding standards, development, rigorous testing, validation, deployment, and post-go-live… more
- Orlando Health (Orlando, FL)
- …audits of pharmacy billing and documentation practices to identify revenue leakage, coding errors, or compliance issues, and implements corrective actions. ... education to pharmacy staff on revenue cycle processes, documentation requirements, coding guidelines, and compliance standards. *Stays updated on regulations,… more
- UHS (King Of Prussia, PA)
- …- Independence Physician Management - UHS . POSITION OVERVIEW The Supervisor, Coding and Charge Entry is responsible for driving consistency across the region, ... adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies. Contributes to the development of medical coding and… more
- University of Utah (Salt Lake City, UT)
- …Review Date (Note - Posting may close at any time) Job Summary Provides compliance related coding reviews and auditing of faculty and physician documentation. ... Details Open Date 05/13/2025 Requisition Number PRN41889B Job Title Compliance Specialist Working Title Compliance Specialist Job...The position will utilize coding knowledge to abstract, record and audit data from… more
- Zenex Partners (San Francisco, CA)
- …payers identified by the organization in a manner consistent with all pertinent coding and compliance regulations. Case review prioritization is based on the ... in the medical record. This includes MS-DRG classification according to regulatory compliance set forth by Centers for Medicare and Medicaid Services (CMS). This… more
- Altera Digital Health Inc. United States (Chicago, IL)
- …cycle operations, including patient access, scheduling, charge capture, billing, coding , reimbursement, and compliance . Demonstrate an in-depth understanding ... experience in revenue cycle operations, including patient access, scheduling, billing, coding , and reimbursement processes. They will also understand how clinical… more
- Restore First Health (Cranbury, NJ)
- …documentation. Assist in gathering clinical data needed for the billing and coding departments. Compliance & Quality Assurance: Ensure all patient intake ... information in the Electronic Medical Record (Athena EMR), ensuring accuracy and compliance with HIPAA standards. Monitor patient records for completeness and follow… more
- Advocate Aurora Health (Milwaukee, WI)
- …of charges/codes to ensure that claims are submitted to payers in compliance with coding regulations and organizational guidelines. Performs human resources ... Department: 10395 Enterprise Revenue Cycle - Coding & HIM Clinician Support Status: Full time...implementation, maintenance and continuous process improvement efforts of production coding for coding staff. Identifies trends and… more
- SKLD (Bloomfield Hills, MI)
- …requirements. *Participate in QAPI processes in centers that relate to accurate coding , clinical reimbursement, and compliance . Assure that established infection ... resident and provide the necessary documentation to support MDS coding and plan of care. *Assign primary ICD-10 code...meet Medical necessity per Medicare guidelines. Review Medicaid LOCD compliance during UR meeting and discuss with IDT any… more
- Sparrow Health System (Lansing, MI)
- …resource and educator to hospital and medical staff regarding documentation, compliance , coding and reimbursement, and performance improvement opportunities. ... Monitors and reports PPS related outcomes, trends, opportunities. Communicates with coding staff/HIM to provide information and guidance to achieve consistently… more
- The CSI Companies (Jacksonville, FL)
- CSI Companies is actively seeking a Senior Clinical Coding Consultant, Registered Nurse to join our growing Medical Coding and CDI Practice. The Senior Coding ... client and internal audiences and assure that there is contract compliance and profitability on assigned engagements Drive Risk Adjustment improvement initiatives… more
- OSF HealthCare (Ottawa, IL)
- …one-up leaders. Communicates and enforces accountability to policies regarding corporate compliance , coding , documentation and timely completion of records. ... reports on organizational initiatives, local performance, clinical issues, quality metrics, coding information, and the like, as well as continually recognizing… more
