- Emory Healthcare/Emory University (Atlanta, GA)
- **Overview** + Ability to analyze medical record notes to ensure correct coding , billing compliance and complete charge capture. + Ability to research ... + Five years of experience in CPT and ICD-10 CM coding . + Certified as a coding specialist (CCS), coding specialist physician (CCSP), procedural coder… more
- UT Health (Houston, TX)
- Remote Senior Compliance Coding Analyst - Emergency Medicine **Location:** Texas Medical Center-Houston, Texas **Hot** **Category:** Legal McGovern ... issue resolution; may provide guidance for daily activities of coding analyst staff. 3. Reviews documentation to establish compliance with teaching physician… more
- Milford Regional Medical Center (Milford, MA)
- …Supervisor and the direction of the Director of Health Information Management the Coding Analyst codes hospital records for the purpose of reimbursement, ... (es), operation(s), and procedure(s) using ICD-10-CM & CPT classification systems. The Coding Analyst ensures accuracy and timely statistics while supporting the… more
- Wood County Hospital (Bowling Green, OH)
- The Coding Auditor/Denial Analyst accurately and efficiently audits and analyzes medical records, charge sheets and reports to ensure in the coordination of ... payor policies to confirm appropriate coding and documentation needs. Analyze coding issues and questions from both a compliance and reimbursement… 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 ... MSO, and ASCs across the network. Utilizes provider documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies… more
- The Cigna Group (Baltimore, MD)
- …and external audit departments regarding compliance , coding , and inappropriate coding . + Provides second level medical record review of external requests ... CPT coding principles and guidelines. + Excellent understanding of medical terminology, disease process, anatomy, and physiology. + Working knowledge of… more
- CVS Health (Jefferson City, MO)
- …+ Thorough knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity. + In depth knowledge ... codes required. + Minimum of 5 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + Experience with… more
- The Cigna Group (Bloomfield, CT)
- …and response to inquiries from all internal and external audit departments regarding compliance , coding , and inappropriate coding . + Attend risk adjustment ... use of current ICD-10 CM, CPT, HCPCS + Assure compliance by delivering quality services and meeting all contractual,...two (2) years' of hospital inpatient / outpatient or medical office coding experience, preferably two (2)… more
- SUNY Upstate Medical University (Syracuse, NY)
- …and aberrations. + Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding , and billing guidelines. ... Job Summary: Under the direction of the Compliance Officer the main duties for this position...main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or… more
- SUNY Upstate Medical University (Syracuse, NY)
- …trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding , and billing guidelines. ... Job Summary: Position Summary: Under the direction of the Compliance Officer the main duties for this position include:...main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or… more
- University of Michigan (Ann Arbor, MI)
- HEALTH INFORMATION MANAGEMENT ANALYST II - COMPLIANCE AND AUDITING Apply Now **Summary** Utilize the EPIC Release Module to locate, analyze, and produce ... medical records required to substantiate Hospital and Professional Billing...**Job Opening ID** 250238 **Working Title** HEALTH INFORMATION MANAGEMENT ANALYST II - COMPLIANCE AND AUDITING **Job… more
- Rush University Medical Center (Chicago, IL)
- …* Able to learn and apply technical knowledge in the areas of clinical research, medical coding and revenue cycle in a consultative manner. * Excellent verbal ... guidance and their effect on research billing processes. The analyst will provide high-level professional support in the growing...within the CTMs and conduct financial activities within the medical billing and coding software (ie OnCore,… more
- University of Rochester (Rochester, NY)
- … compliance with applicable policies and procedures. Conducts in-depth reviews of medical record chart documentation to ensure compliance with CMS Guidelines. ... for appropriate follow-up. Assists in formulating, reviewing, and updating Medical Center Compliance policies. + Responds to...and Medicaid requirements. Acts as a resource on billing, coding and complex reimbursement issues to Medical … more
- Rush University Medical Center (Chicago, IL)
- …* Able to learn and apply technical knowledge in the areas of clinical research, medical coding and revenue cycle in a consultative manner. * Excellent verbal ... guidance and their effect on research billing processes. The analyst will provide high-level professional support in the growing...within one year of hire with experience in research medical billing and coding . Certifications may include… more
- BlueCross BlueShield of North Carolina (NC)
- … expertise to analyze medical records and charts in relation to provider coding . The Coding Analyst identifies physician practices with complex coding ... Services (CMS). **What You'll Do** + Analyzes necessary documentation, including medical records/charts, and applies clinical coding expertise to evaluate… more
- Scripps Health (San Diego, CA)
- …concerning CDM maintenance. * Knowledge of HCPCS coding and revenue coding required. * Demonstrated knowledge of medical terminology. * Personal ... have been with Scripps Health for over 10 years. The Chargemaster Senior Analyst provides assistance and analysis to all levels of clinical management at Scripps… more
- Covenant Health Inc. (Knoxville, TN)
- …with correct coding initiatives. Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting. Assists ... medical record to determine ICD-10 CM and CPT-4 coding that is needed to comply with billing and...to determine the most appropriate codes used for billing compliance and refers coding questions to the… more
- University of Washington (Seattle, WA)
- …in related rules, regulations and coding changes; makes recommendations to maintain coding compliance , quality and mitigate risk + Performs regular coding ... Health Information has an outstanding opportunity for an **INPATIENT ANALYST ** . **WORK SCHEDULE** + 8:00 am - 5:00...Master Operations and Patient Financial Services on matters involving coding and/or billing compliance related issues +… more
- Nuvance Health (Carmel, NY)
- …+ Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance . + Fulfills all ... Certified Coder/ Analyst Location: Carmel, NY, United States Requisition ID:...+ Minimum Experience of 5 years + Training in medical terminology, ICD-10-CM, CPT procedure and E/M coding… more
- Motion Recruitment Partners (Durham, NC)
- Medical Review Analyst Durham, NC **100% Remote**...FACETS experience is a plus but not required + Coding experience is a plus. **What You Will Be Doing** ... health insurance vertical, has a contract opening for a Medical Review Analyst . They have over 4...of reviews. + Maintains confidentiality of all PHI in compliance with state and federal laws. + Recognizes, documents,… more