- Optum (San Juan, PR)
- …a production environment. Primary Responsibilities: Clinical Case Reviews -75% Perform clinical review of professional (or facility) claims vs. medical records ... Certified Inpatient Coder (CIC) Certified Outpatient Auditor (COC) Certified Professional Medical Auditor (CPMA) Certified Coding Specialist (CCS) Experience in… more
- Monster (Findlay, OH)
- …codes. One (1)+ year of coding experience or completed education in medical coding /billing program. CPC or CCS Certification or obtained within the first ... denials. This role serves as a subject matter expert and resource in coding , billing, and denial management for both clinical and administrative staff at Armes… more
- Health eCareers (Philadelphia, PA)
- … rules and regulations along with keeping current on issues regarding medical coding , compliance and reimbursement under outpatient grouping systems.* Integrate ... coding certificate EXPERIENCE REQUIREMENTS:Must have at least two years medical coding experience (member's with an apprentice designation are not… more
- UnitedHealth Group (Maitland, FL)
- …assist Providers in assuring complete and accurate documentation and coding , medication reconciliation, nursing rounds, assessment, and patient documentation. Assist ... homes, PCPs, families, interdisciplinary care teams and any other identified stakeholders Review the chart and enter HEDIS / Quality information into the Electronic… more
- Randstad (Atlanta, GA)
- …and efficiency in claims processing. Supervise and train billing staff on medical coding , insurance verification, and claims submission , providing guidance ... Are you an experienced medical billing professional ready for a new challenge?...and support to optimize team performance. Review and verify patient invoices and insurance claims ,… more
- ORTHOCINCY (Fort Mitchell, KY)
- …Knowledge of insurance filing and payment posting techniques. Knowledge of basic medical coding and third-party operating procedures and practices. Knowledge of ... Requirements Education/Experience: High School Diploma or equivalent. Associate's Degree in Coding /Billing or minimum of two years medical billing experience… more
- Krista Care LLC (Arcadia, CA)
- …The ideal candidate will be responsible for managing the billing process for medical services, ensuring accuracy in coding and compliance with regulations. This ... such as ICD-10 and ICD-9 to ensure accurate representation of diagnoses and procedures. Review and verify patient medical records to confirm the accuracy of… more
- TrackFive (San Diego, CA)
- …Company* Long Term Acute Care/Rehab/Skilled Nursing* Case Management/Utilization Review Admission Criteria Benefits Eligibility Care coordination Data Abstraction* ... Determine Medical Necessity per Evidence-Based Guidelines* Disability case management* Discharge...for Medicare and Medicaid Services CPT (Current Procedural Terminology) coding and billing* Department of Health* DRG (Diagnosis Related… more
- Esse Health (St. Louis, MO)
- …an accredited Medical Assistant program, CPR Certification, PC/Windows proficiency, medical coding proficiency, willingness to assign high priority to ... not just a profession. It's a team of extraordinary medical professionals with the latest ideas for keeping patients...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department… more
- JobSparx (Charlotte, NC)
- …Attend coordination meetings as required and provide necessary information Receive and review weekly job assignments Complete a detailed list of all required ... assist the Project Manager and workforce in the proper coding of time cards as required Be available to...years Company Matching 401K Full Comprehensive Health Coverage Plans: Medical , Dental and Vision for you and your family… more
- Community Health Systems (Franklin, TN)
- …contract compliance issues and enhance payer relations. Maintains knowledge of medical coding systems, reimbursement structures, and regulatory changes to ... skills for working with internal teams and external payer representatives. Knowledge of medical coding systems (ICD-10, CPT, HCPCS, DRG, etc.) and how they… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... handles project. This position prepares trainings, supports CAPA investigations, case review , documentation reviews in collaboration with the ICSR management and… more
- UTMB Health (Galveston, TX)
- …equivalent and four years related experience. Preferred Qualifications: Medical Practice/ Medical Office Management Medical coding experience; OB/Gyn ... outpatient and inpatient preferred Revenue Cycle Charge Capture Knowledge of coding guidelines Experience with EPIC Job Description: To assist the Department… more
- Paramedic Billing Services (Elmhurst, IL)
- …Qualifications of the EMS Revenue Supervisor College preferred but not required; Medical Billing or Coding Certified preferred but not required. Minimum ... and streamline business processes. Provides continuing education monthly to staff to review issues that are occurring and refreshers on policies. Communicates with… more
- Cataract & Laser Institute (Plainfield, IN)
- …graduate, or equivalent Previous medical office experience and knowledge in medical coding /billing is preferred PHYSICAL DEMANDS AND WORK ENVIRONMENT (per ... all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. more
- Sunbound (New York, NY)
- …to detail, time management, and communication skills. Bonus Qualifications Certification in medical billing/ coding (eg, CPC, CCA) is a plus. Experience with ... shape the direction of the Claims team and processes. Responsibilities Clean, review , and submit claims for senior living health providers (specifically assisted… more
- grabjobs (Boston, MA)
- …multi-specialty AI-platform that translates clinical information into accurate sets of medical codes. CodaMetrix's autonomous coding supports improved patient ... ability to work independentlyBeneficial Experience:Previous exposure to healthcare data, medical terminology, or regulatory frameworks (eg, HIPAA)Experience working with… more
- Trinity Health (Chelsea, MI)
- …desired. Working knowledge of medical terminology, anatomy and physiology, and medical record coding (ICD-10, CPT, HCPCS) is preferred. Our Commitment to ... record for claims processing and maintenance of an accurate electronic medical record. Registers and checks-in patients and determines preliminary patient and… more
- University Home Care (Westland, MI)
- …experience working as a Medical social worker (Preferred) Knowledge of medical coding , research, and documentation practices Undergraduate Degree Licensed in ... and maintain accurate records Supervise and document limited license medical social workers during counseling sessions Review ...license medical social workers during counseling sessions Review and meet with LMSW to discuss their progress… more
- MIMEDX (Houston, TX)
- …experience in insurance verification, billing/claims processing, data processing Good knowledge of medical coding including ICD10, CPT and HCPCS codes Good ... utilizing human placental tissue to provide breakthrough therapies addressing the unmet medical needs for patients across multiple areas of healthcare. Possessing a… more
