- Blue Cross and Blue Shield of Minnesota (St. Paul, MN)
- …and procedures to determine clinical appropriateness. Completes review of both medical documentation and claims data to assure appropriate resource utilization, ... managed care experience (eg case management, utilization management and/or auditing experience). Bachelors degree in nursing. Certification in utilization management… more
- Upstate University Hospital (Syracuse, NY)
- …Billing Manager , the Ambulatory biller/coder is responsible for monitoring, auditing , and identifying negative trends in hospital billing. Provides support to ... Service staff to ensure claims are billed and/or resubmitted with appropriate coding . Responsible to assist ambulatory departments with coding issues and/or… more
- The Woodlands Specialty Hospital (Spring, TX)
- …knowledge of revenue and cash management processes including billing, collections, coding , medical records, accounts receivable, accounts payable, financial ... provide full support Responsible for yearend journals required for auditing purpose Miscellaneous adhoc reporting of P&L, reclassification of...Two to five years of experience as an account manager , product manager or project leader in… more
- HCA Healthcare (Nashville, TN)
- …and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a ... health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability… more
- Elevance Health (Hanover, MD)
- **Carelon Medical Coding / Auditing Manager - Behavioral Health** **Supports Payment Integrity & Behavioral Health** **Location: Must be located in ... depression, and insightful analytics to improve the delivery of care. The ** Medical ** ** Coding / Auditing ** ** Manager ** is responsible for ensuring the… more
- HCA Healthcare (Nashville, TN)
- …and you have the opportunity to make a difference. We are looking for a dedicated Inpatient Coding Audit Manager like you to be a part of our team. Job Summary ... Improvement (CDI) audits, and special project reviews. The IP Coding Audit Manager position will work on...(including MS-DRGs, ICD-10-CM, ICD-10-PCS, CPT, E&M, Modifiers), discusses complex coding , CDI, and auditing issues with engagement… more
- Abbott (Livermore, CA)
- …position works out of our Livermore, CA location in the Heart Failure Division. The Manager of Medical Billing & Coding will lead the strategy, operations, ... and compliance of Acelis Connected Health's medical billing and coding functions. This role...updates and status reports to management. + Participates in coding / auditing discussions to ensure that the best… more
- Catholic Health (Cheektowaga, NY)
- …will have supervisory responsibilities over manager coding and chart auditing services, professional medical coders, auditors and coding vendors. ... and overseeing professional outpatient coding and chart auditing services as well as facilitating medical ...required + Minimum 3 years professional experience as a coding and auditing manager in… more
- Choctaw Nation of Oklahoma (Talihina, OK)
- …filing loose reports, scanning/importing, PCC data entry, transcription, medical coding , clinical documentation integrity, and peer auditing . Ensure that all ... **Job Purpose or Objective(s):** As the Health Information Management Manager , you will manage the activities of the Health...conducts routine audits on core associate functions. 2. Oversee medical coding staff workflow and timeframes by… more
- Insight Global (Jacksonville, FL)
- Job Description The Health Information Management (HIM) Coding Manager is responsible for our client's Rehabilitation coding operations. As the HIM Coding ... team. You will participate in cross coverage and auditing of coding these care settings, apply...tiering comorbidities impacting reimbursement is required. As the HIM Coding Manager you will work collaboratively with… more
- Mohawk Valley Health System (Utica, NY)
- Manager Coding - Full Time -...experience. + 5 years of hospital-based inpatient and outpatient coding / auditing /chart review experience, with a focus on ... Days Department: CODING Job Summary The Manager Coding will manage and oversee a...and pediatrics. + Strong knowledge of anatomy, disease processes, medical terminology, pharmacology, and surgical procedures. + Proficient use… more
- Datavant (Austin, TX)
- …will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining ... to auditing functions as assigned. The individual will provide superior...assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of… more
- LifePoint Health (Denver, CO)
- …all relevant regulations, standards, and laws. *Qualifications and Skills* * 5 years medical abstract coding / auditing Pro-Fee experience required * Minimum 3 ... or local law. **Job:** **Please select a valid job field* **Organization:** **Pacific Medical Data Solutions* **Title:** * Medical Coding Quality Analyst -… more
- Elevance Health (Grand Prairie, TX)
- …to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records ... and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's...knowledge to substantiate conclusions. + Utilizes audit tools and auditing workflow systems and reference information to make audit… more
- MedKoder (Mandeville, LA)
- About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding ... systems, providers, and payers. Founded and led by a medical coding veteran, the company offers services... Auditor is expected to adhere to MedKoder's internal coding / auditing policies and expectations set forth by… more
- Covenant Health Inc. (Knoxville, TN)
- …a Best Employer. Position Summary: Performs or reviews complex level internal coding auditing work for Inpatient/Outpatient and/or physician office accounts. ... for initiative and independent judgment. Reports to the Corporate Coding Manager or CFO of CMG as...+ Identifies and evaluates company risk areas and provides coding auditing procedures related to documentation and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …compliance auditing and monitoring activities for professional billing and coding , including periodic reviews of the individual department auditing and ... mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and education for… more
- Highmark Health (Harrisburg, PA)
- …performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to...Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing , as well as, education… more
- R1 RCM (Jenkintown, PA)
- …Reviewer provides expert coding advice to coding staff and relays needed coding educational topics to the Regional Manager , IP Coding Quality. This ... role will report to the Regional Manager of Inpatient Coding Quality. In this...and a high accuracy rate in accordance with established auditing standards. Serves as an inpatient coding … more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and ... the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation… more
