- Sentara Health (Norfolk, VA)
- …for the investigation and documentation of member appeals and grievances in compliance with State law, applicable rules and regulations and provider and group ... agreements. Works closely with the Plan's Medical Directors who are responsible for all decision regarding...all decision regarding clinical appeals/ grievances and the Appeals Manager who is responsible for non-clinical appeals and grievances.… more
- Unknown (Pensacola, FL)
- …with a focus on quality improvement, utilization and cost management, coding and documentation improvement, regulatory compliance , and patient experience ... other clinical and administrative leaders to ensure the effectiveness of care, coding , credentialing, and compliance across the primary care network. Candidates… more
- Unknown (Buffalo, NY)
- …a healthcare environment, particularly with a deep understanding of Epic electronic medical record systems and their integration with revenue cycle workflows. The ... revenue cycle sections, including patient access, health information management, coding , clinical documentation integrity, charge masters, revenue integrity, and all… more
- Texas Health Resources (Arlington, TX)
- Manager Compliance Coding _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates ... work hours: Monday - Friday; 8:00a-5:00p; Position Summary The Coding Compliance Manager oversees and...HCPCS coding , modifiers, NCCI edits, and official coding guidelines. Strong understanding of medical terminology,… more
- Northwell Health (Lake Success, NY)
- **Req Number** 177401 FlexStaff - Anesthesia Head Coding Manager & Compliance Auditor Are you a seasoned coding professional with a passion for accuracy, ... and procedural coding efforts! The Anesthesia Head Coding Manager & Compliance Auditor...leadership Qualifications: + Proven supervisory and leadership experience in medical coding and auditing + 2-5 years… more
- Brockton Hospital (West Bridgewater, MA)
- …Revenue Cycle, provides managerial oversight and technical support for ambulatory coding and charge capture functions. Responsible for insuring accurate diagnosis ... and procedure coding as well as providing documentation and ...and interpersonal skills required to interact effectively with the medical staff. Demonstrated leadership skills required. Ability to converse… more
- Carle Health (Champaign, IL)
- …literature, rules, regulations and coding policies, both internal and external. The coding manager oversees the activities and onboarding of the global ... Overview The Manager over Coding Education and Quality...achieve goals and reviews and implements policies to assure compliance with recommended coding quality levels. As… more
- HCA Healthcare (Nashville, TN)
- …We want your knowledge and expertise! **Job Summary** As a Senior Manager - Coding and Billing on the Regulatory Compliance team, you will be instrumental in ... Do you have the career opportunities as a Senior Manager - Coding and Billing you want...and/or lead special projects, offering expert insights from a coding and billing compliance perspective. + Serve… more
- Huron Consulting Group (Chicago, IL)
- …and create your future. Manages and oversees the system-wide physician billing and coding compliance program for Munson Healthcare, one of Huron's Managed ... Huron's Managed Services framework. + Manage and coordinate diagnostic and procedural coding processes to ensure compliance with federal/state regulations and… more
- Actalent (Shelton, CT)
- Description Role Overview An Inpatient Coding Manager is responsible for overseeing the coding operations for hospital inpatient services, ensuring accuracy, ... support inpatient coding staff, providing training, guidance, and performance evaluations. Coding Accuracy & Compliance : Ensure all coding follows… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Ongoing mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and ... and audit findings in MDAudit and communicates with the Manager , Compliance Audit and Analysis if audit...continuing education opportunities to remain current with billing and coding compliance best practices (ie, conferences, workshops,… more
- University of Southern California (Los Angeles, CA)
- …professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding ... In accordance with current federal coding compliance regulations and guidelines, the...fashion. 5. Performs other duties as requested/assigned by Director, Manager , Supervisor, or designee. + TIMELINESS OF AUDITING/ CODING… more
- Sharp HealthCare (San Diego, CA)
- …employer business practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp ... certification within specified timeframe. **Essential Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor… more
- Cedars-Sinai (Los Angeles, CA)
- …and auditing claims, medical records, and charges to ensure compliance with applicable documentation, coding , and billing requirements. Works closely ... coding and documentation guidelines. Collaboration with the Manager of Audit and Compliance and others... compliance audits and group audits by analyzing medical record documentation and coding services to… more
- OhioHealth (Columbus, OH)
- …new payment methodology impacting any area of the department and/or reimbursement. The Manager of Coding encompasses participation in implementation of new or ... upgraded coding software and hardware systems. Manager is...and/or fires any direct reporting positions. 7% Works with Medical Record Services management team on department and enterprise-wide… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other ... required by current CMS regulations. Work directly with the Medical Coding Auditor Manager to...years of relevant audit experience in physician or facility medical coding , auditing, or compliance … more
- University of Rochester (Rochester, NY)
- …payer rules, compliance , and regulatory requirements. The Assistant Coding Manager must exhibit exceptional communication, interpersonal, and problem-solving ... the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Assistant Coding Manager serves as a key support leader within the… more
- Tidelands Health (WV)
- …Maintains and expands knowledge of coding and sequencing guidelines to ensure coding compliance and accuracy. Responsible for resolving coding edits, ... and help people live better lives through better health!** ** Medical Coder/ Coding Specialist II** Are you passionate...claim denial review for appeal. + Collaborate with the Compliance /Quality Team when alerted to coding quality… more
- Grace Hospital (Morganton, NC)
- …my patients and their families ." THE POSITION Join our dynamic healthcare team as a Coding and Charge Entry Manager , where you will lead a dedicated group of ... Blue Ridge HealthCare Hospitals - Morganton Medical Records THE ORGANIZATION At UNC Health Blue...professionals in managing and optimizing coding and billing processes. Your expertise will ensure accuracy… more
- CenterWell (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Director, Medical Coding extracts clinical information from a variety of medical records ... codes (eg, ICD-10-CM, CPT) to patient records. The Director, Medical Coding requires an in-depth understanding of...coding staff to ensure continuous skill development and compliance with coding standards. + Partner with… more
