- Blanchard Valley Hospital (Findlay, OH)
- PURPOSE OF THIS POSITION The primary purpose of the Professional Coding Integrity Specialist (PCIS) is to review, enter and/or modify charges as appropriate, ... entered by the Revenue Integrity Validation team; collaborate with clinical areas, coding , PFS, etc. to support resolution of edits; trend, identify opportunities,… more
- MultiPlan (Atlanta, GA)
- …We are MultiPlan and we are where bright people come to shine! The Senior Medical Coding Specialist provides analysis of the highest dollar and most ... complex claims by applying research, coding standards, industry knowledge and federal regulations to ensure...as well as to monitor bills for accuracy and compliance . JOB ROLES AND RESPONSIBILITIES: Review and analyze complex… more
- MultiPlan (Atlanta, GA)
- …are MultiPlan and we are where bright people come to shine! JOB SUMMARY: The Medical Coding Specialist is responsible for providing billing analysis of ... claims and applying coding standards and federal regulations to ensure correct billing...as well as monitor patient bills for accuracy and compliance . JOB ROLES AND RESPONSIBILITIES: Review and analyze inpatient,… more
- Blanchard Valley Hospital (Findlay, OH)
- …response to investigational or potential compliance risks. Duty 7: Work with Coding Claims Resolution Specialist (CCRS) to review denial trends, whether ... results and areas of opportunity for improvement. Duty 6: Work with the Compliance Department, in coordination with the Professional Coding Integrity Manager to… more
- Cambia Health Solutions, Inc (Tacoma, WA)
- …each appeal. Document information in appropriate system.Appeal Analysis - Review claim coding and claim processing history, medical policy and reimbursement ... (eg Microsoft Word, Excel, Outlook) and experience with Regence systems.Knowledge of medical terminology, anatomy and coding (CPT, DX, HCPCs).Knowledge of… more
- Blanchard Valley Health System (Findlay, OH)
- …Accounting/previous billing experience required High School graduate or GED equivalent Medical Terminology required ICD-9/ICD-10, HCPCS and CPT coding knowledge ... PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the timely review and...and implement trend reporting to resolve issues and ensure compliance with third party negotiated rates and communicates inconsistency… more
- Blanchard Valley Health System (Findlay, OH)
- …care needed as described in the area's policies and procedures PREFERRED QUALIFICATIONS Medical terminology ICD-9/ICD-10 and/or CPT Coding knowledge 2 years of ... all HIPAA related privacy, security and transaction & code set regulations in compliance with the Federal guidelines Duty 3: Performs primary and secondary billing… more
- Creative Financial Staffing (Pittsburgh, PA)
- …(Healthcare Common Procedure Coding System), ICD-10 regulations, and guidelines, ensuring compliance and accuracy in billing as a Medical Billing ... MEDICAL BILLING SPECIALIST ABOUT THE COMPANY: Are you seeking a fulfilling career opportunity as a Medical Billing Specialist that not only allows you to… more
- Creative Financial Staffing (Aurora, CO)
- Join a Dynamic Team as an Accounts Payable Specialist ! Why choose this company? When you join their team, you'll gain access to an array of excellent benefits, ... including: Medical & Dental plans, Vision, Group Life Insurance, and...unit organization and is seeking a talented Accounts Payable Specialist to join their dynamic finance team. As an… more
- Lendmark Financial Services, LLC (Covington, GA)
- …offers a comprehensive benefits package for employees and dependents that includes medical , dental, vision benefits, paid time off, paid holidays, 401(k), life ... as well as other ancillary insurance options.SUMMARY: The Bankruptcy Specialist I is responsible for ensuring all bankrupt accounts...coded and processed to ensure the company is in compliance with both federal bankruptcy laws and company policy… more
- Staffing Now (Kenneth City, FL)
- …- Process medical authorizations for procedures and services. - Utilize medical terminology and coding knowledge to accurately review and verify ... Verify insurance coverage and handle insurance authorization processes. - Maintain compliance with HIPAA regulations while handling sensitive patient information. -… more
- ProKatchers (Bowling Green, NY)
- …The primary function of the Clinical Quality Reviewer is to assess and audit medical charts for compliance with a focus on HEDIS, QARR, Medicare Advantage ... to the support and training of physicians on proper coding and medical record documentation practices to...and requirements. Perform clinical audits via EMR, in-house paper medical records, on-site provider visits to measure compliance… more
- Northeast Georgia Health System, Inc (GA)
- … in meetings. Minimum Job QualificationsLicensure or other certifications: Certified Coding Specialist (CCS)Educational Requirements: High School Diploma or GED. ... outpatient procedure codes (ED Only).Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical … more
- Fingerlakes Center For Living (Auburn, NY)
- …functions as needed.QUALIFICATIONS:- Bachelors Degree: Preferred- Certified Coding Specialist : Preferred- Microsoft Excel Required- Medical billing in LTC: ... Term Care facility**$5,000 sign on bonus*This position requires experience with Medical Billing. Long term Care billing experience preferred.*JOB DUTIES: *-… more
- Atrium Health (Charlotte, NC)
- …outcomes. This clinical position uses clinical/nursing knowledge and understanding of national coding guidelines and standards of compliance to improve overall ... is warranted per escalation guideline. Works with other departments such as coding , corporate compliance , quality, and finance to support Corporate Goals.… more
- Serco (TX)
- …is located in San Antonio, Texas. **In this role you will:** + Collaborates with the Lead Medical Coding Compliance Specialist and Lead Medical ... **Position Description** The DHA Medical Coding Compliance /Auditing Project Management Specialist provides technical and managerial assistance on all… more
- Hackensack Meridian Health (Hackensack, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Coding Compliance Specialist ** performs reviews by validating accuracy of the ... coding billed in relation to the medical documentation across Hackensack Meridian Health (HMH) network. Determines...Editor.** **Responsibilities** A day in the life of a ** Coding Compliance Specialist ** at Hackensack… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- Medical Billing and Coding Specialist ...proper coding when necessary and working with coding and compliance as needed + Create relationships ... Location: Dearborn, MI START YOUR APPLICATION (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=2484711&source=2484711-CJB-0) Job Title: Medical Billing and Coding Specialist … more
- Tidelands Health (Murrells Inlet, SC)
- …and expands knowledge of coding and sequencing guidelines to ensure coding compliance and accuracy. Responses to audits, provides consultation on projects, ... Technician (RHIT) + Registered Health Information Administrator (RHIA) + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC)… more
- Children's Hospital Boston (Boston, MA)
- …other departments to ensure we accurately capture the severity of patients. The Inpatient Medical Records Coding Specialist will be responsible to: + Follow ... American Health Information Management Association (AHIMA) as either a (1) Certified Coding Specialist (CCS), (2) Registered Health Information Technician (RHIT)… more
