- Lyric (Newtown Square, PA)
- …certification or American Health Information Management Association (AHIMA) Certified Coding Specialist -Physician (CCS-P) + Working knowledge of pre-payment ... immigration support are not available for this position. The Senior Manager, Clinical Content Maintenance will serve as a...combine their deep knowledge of CPT, HCPCS, and ICD10CM coding guidelines with strong leadership skills to guide their… more
- Children's Mercy Kansas City (Kansas City, MO)
- …lives of children beyond the walls of our hospital. Overview The Senior Coding & Reimbursement Specialist position is filled by a professionally ... departmental policies, procedures, and compliance plans. The Senior Coding and Reimbursement Specialist position is a telecommuting position with… more
- Children's Mercy Kansas City (Kansas City, MO)
- …lives of children beyond the walls of our hospital. Overview The Senior Coding & Reimbursement Specialist position is filled by a professionally ... policies, procedures, and compliance plans. The Senior Coding and Reimbursement Specialist position...Other software products as needed for data collection The Sr . Coding & Reimbursement Specialist… more
- University of Virginia (Charlottesville, VA)
- …CPT-4 codes to obtain accurate DRG or APC assignment for proper reimbursement and data collection. + Assigns all pertinent ICD-10-CM/PCS diagnosis and ... ICD-10-CM/PCS/CPT-4 procedure codes based on official inpatient and outpatient coding guidelines. + Abstracts diagnosis and procedure codes as well as other required… more
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- …of your professional journey. We invite you to apply today. SUMMARY OF JOB The Sr . A/R Specialist - is responsible for the claim submission and collection of ... System departments to achieve the key performance metric targets established by Senior Leadership. CONNECTING TO MISSION: All individuals, within the scope of their… more
- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist - Senior will be responsible for reviewing coding ... and audit tips across the team. The Clinical & Coding Specialist - Senior will support the...inpatient setting preferred. + Knowledge of ICD-10-CM and ICD-10-PCS coding systems, as well as respective reimbursement … more
- University of Southern California (Alhambra, CA)
- …1 - 2 years Lead Experience. Required Licenses/Certifications: + Req AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; ... coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate,...and encoding/code-finder systems [e.g., 3M 360 Encompass/CAC & 3M Coding & Reimbursement System (CRS)]. + Req… more
- MD Anderson Cancer Center (Houston, TX)
- **SUMMARY** The primary purpose of the Senior Clinical Coding Specialist position is to analyze medical records and abstracts clinical data by assigning ... Technician American Health Information Management Association (AHIMA). * CCS-Certified Coding Specialist American Health Information Management Association… more
- CareFirst (Baltimore, MD)
- …application, and integration of medical codes across policies and platforms. The Senior Coding Analyst partners with medical policy analysts, configuration ... tracking and data collection tools. **Licenses/Certifications Upon Hire Required:** + CCS-Certified Coding Specialist + Certified Coder (CCS or CPC)-AHIMA or… more
- AdventHealth (Orlando, FL)
- …(RHIA) + Registered Health Information Technician (RHIT) - Cert + Certified Coding Specialist (CCS) + Infection Control Certification (CIC) This facility ... responsibility for maintaining relationships that are equally respectful to all. The Senior Coder demonstrates experience and expertise, so coding quality review… more
- AdventHealth (Orlando, FL)
- …responsibility for maintaining relationships that are equally respectful to all. The Senior Coder demonstrates experience and expertise, so coding quality review ... is not required before billing. The Senior Coder utilizes years of experience and expertise to...with appropriate physicians and clinical personnel to ensure optimal coding and reimbursement , querying physicians for the… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …true colors to blue. Reporting to the Director of Professional Reimbursement Strategy, the Payment Integrity Consultant uses industry knowledge, research skills, ... of identified opportunities to improve the effectiveness of the Professional reimbursement strategy, + Assist managing provider reimbursement strategic planning… more
- Omaha Children's Hospital (Omaha, NE)
- …the accuracy of all billed charges and of all new patient reimbursement files including complete patient, responsible party and insurance information billing edit ... the tasks assigned. * Recognize, summarize, and communicate potential reimbursement issues with the Billing Supervisor. * Mail all...and + Experience working with ICD-10, CPT and HCPC coding Preferred and + Experience with universal billing forms… more
- UCHealth (Colorado Springs, CO)
- …records to validate proper resolution of funds. Researches, analyzes, and reconciles reimbursement policies and procedures to ensure proper reimbursement from ... amounts owed, verifying generated internal refund requests, computing discounts, properly coding refunds, and preparing vouchers for refund in accordance with… more
- Erickson Living (Baltimore, MD)
- Location: Erickson Senior Living The Home Care Coding Specialist independently reviews OASIS and provides ICD 10- CM coding support to the agencies. This ... the OASIS submitted by the agencies and provides appropriate ICD 10 - CM coding . + Update information per accepted coverage guidelines and mandated state and federal… more
- Henry Ford Health System (Troy, MI)
- … senior Revenue Integrity leaders, the Revenue Integrity (RI) Specialist is responsible for multiple Revenue Integrity initiatives involving multiple clinical ... departments and practices focusing on revenue cycle integrity. The RI Specialist understands hospital payor contracts and reimbursement methodologies. Works… more
- CVS Health (Madison, WI)
- …of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but a willingness to learn is ... to improve the quality and efficiency of health care services. ◾Apply clinical coding and reimbursement expertise to ensure alignment and correct application of… more
- Centene Corporation (Jefferson City, MO)
- …+ LVN, LPN or RN required and + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required + NP or PAN preferred + Certified Risk ... proper extraction of medical diagnoses and ensure accurate and complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and… more
- University of Southern California (Los Angeles, CA)
- …and conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with ... in the billing system and CDM management tools. The Senior RI Specialist shall ensure that the...ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided.… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …, auditing, or compliance roles + Current CPC (Certified Profressional Coder), CCS (Certified Coding Specialist ), or CBCS (Certified Billing and Coding ... **42934BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv...to resolve identified issues + Ensure abstracted data impacting reimbursement for all clinical locations is accurate: discharge disposition,indicators,… more
