- Novo Nordisk Inc. (Plainsboro, NJ)
- …position will also interact with external customers including healthcare professionals, third party/external vendors/consultants. Essential Functions Supports the ... aggregate, load, validate and interpret large data sets and coding ability (Snowflake, PowerBI, advanced Excel skills) required Must...for all our job applicants. We're not your typical healthcare company. In a modern world of quick fixes,… more
- Reveal Health Tech (New York, NY)
- …to join our team at the earliest and contribute to our mission of revolutionizing healthcare technology. Role Overview As a Business Analyst , you will have a ... and quality standards. Requirements Experience: 3-5 years of experience as a Business Analyst , preferably in the healthcare or health tech industry. Required… more
- UNC Health (Morrisville, NC)
- …- Stays current with changing regulations, policies, procedures, standards and coding guidelines. The individual effectively identifies and analyzes areas of ... not limited to regulations, policies, procedures, and other standards such as CPT coding guidelines and CMS policies. Assists in preparing annual audit and work… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Coding Analyst Location: Hybrid | Eagan, Minnesota ... The Impact You Will Have Blue Cross and Blue Shield of MN is hiring a Healthcare Coding Analyst in Eagan, MN. In this role, you will be responsible for… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Healthcare Coding Analyst Location: Hybrid | Eagan, Minnesota Career ... You Will Have Blue Cross and Blue Shield of Minnesota is hiring a Senior Healthcare Coding Analyst in Eagan, MN. In this role, you will collect and analyze… more
- University of Washington (Seattle, WA)
- …Practice Plan Services (FPPS)** has an outstanding opportunity for a full-time, remote ** Coding Business Analyst .** **WORK SCHEDULE** + 40 hours per week + ... Shift + This position is Remote **POSITION HIGHLIGHTS** The Coding Business Analyst is an operationally focused...+ Previous experience in and knowledge of the academic healthcare environment + Certification or experience in 1 or… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV8219 Working TitleCOMPLIANCE CODING AND BILLING ANALYST Number of Vacancies1 LocationMcAllen, Texas DepartmentOffice of ... of Job Responsible for performing compliance reviews of billing and coding compliance functions and activities, compliance risk assessments, developing policies and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical ... documentation, and/or inpatient coding and has a high level of understanding of...demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate… more
- Rush University Medical Center (Chicago, IL)
- …disability, veteran status, and other legally protected characteristics. **Position** Sr Compliance Coding Analyst **Location** US:IL:Chicago **Req ID** 19719 ... each case. **Summary:** This position is responsible for continuous monitoring of the coding quality performed by staff both within and external to the Health… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and ... potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to...Information Technician (AHIMA) **OR** + CHRC - Certified in Healthcare Research Compliance (HCCA) **OR** + CCS-P - Certified… more
- Elevance Health (San Juan, PR)
- …and business operations services for health plans._ **Signing Bonus:** $1,000.00 ** Coding Analyst ** **Location: Candidates are** **required** **to reside in ... time zones that the unit will be supporting. The ** Coding Analyst ** is responsible for reviewing, auditing,...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid** The Reimbursement Analyst ... insurance billing and collection procedures and CPT and ICD-9 coding **Preferred Experience:** . + 3 plus years of...education, and innovation as we work together to transform healthcare . We encourage all team members to actively participate… more
- Commonwealth Care Alliance (Boston, MA)
- …Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding ...Degree **Required Experience (must have):** + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+… more
- CVS Health (Indianapolis, IN)
- …to demonstrate proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Ability ... written or verbal forms including communication with clinical or coding staff, federal regulators and vendor coding ...for diagnoses as documented for physicians and other qualified healthcare providers in the office and/or facility setting. +… more
- Centene Corporation (Jefferson City, MO)
- …proper extraction of medical diagnoses and ensure accurate and complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and ... support the integrity and quality of risk adjustment data. Collaborates with coding teams to improve documentation practices and ensure compliance with regulatory… more
- Hunterdon Health Care System (Flemington, NJ)
- …medical necessity. Primary Position Responsibilities + Has strong knowledge of coding regulations and guidelines for all physician practice specialties, takes ... advantage of outside education to enhance specialty coding skills , shares and updates staff on ...productive, goal-oriented manner + Preferred: + Knowledge of managed healthcare plans, Medicare and Medicaid regulations. Knowledge of NextGen-… more
- Elevance Health (Indianapolis, IN)
- …adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence to providers regarding coding ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
- The Cigna Group (Bloomfield, CT)
- The Quality Review & Audit Senior Analyst exhibits expertise in evaluating complex medical documentation for diagnosis code accuracy and compliance in support of the ... (RA) program and Risk Adjustment Data Validation (RADV) audits. The Senior Analyst is responsible for all aspects of auditing medical documentation for diagnostic… more
- HCA Healthcare (Nashville, TN)
- …or healthcare license/certification required. + Minimum 1 year directly related Healthcare experience or coding experience required. + Knowledge of CPT/HCPCS ... and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY,… more
- The Cigna Group (Bloomfield, CT)
- …and compliantly execute daily RA program operations, as identified. Participates in coding reviews of medical documentation for RA programs, as needed. Responsible ... to ensure compliance and program excellence. Contributes to Cigna IFP Coding Guideline updates and policy determinations, and liaises with Matrix Partners,… more
