- 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
- DocGo (Philadelphia, PA)
- …services, DocGo is bridging the gap between physical and virtual care. Responsibilities: Medical Coding : Assign appropriate ICD-10, CPT, and HCPCS codes to ... diagnoses, procedures, and services rendered by healthcare providers. Review medical records and documentation to accurately...certification required. Minimum of 2 years of experience in medical coding , with a focus on ICD-10,… more
- Ascension (Wichita, KS)
- …complex cases. Assist departmental staff with issues related to coding , medical records/documentation, precertification, reimbursement and claim denials/appeals. ... complex cases. Assist departmental staff with issues related to coding , medical records/documentation, precertification, reimbursement and claim denials/appeals.… more
- UnitedHealth Group (Minneapolis, MN)
- …requirements used to successfully substantiate code assignments Perform clinical coding review to ensure accuracy of medical coding and utilizes ... , you will apply your expert knowledge of the MS-DRG and APR-DRG coding /reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding… more
- Abbott and Associates Professional Placement, Inc. (Portland, OR)
- … Billing Specialist will be account follow up. The ideal candidate will either have medical billing/ medical coding experience or have at least completed a ... A highly reputable and respected radiology group is looking for a Medical Billing Specialist to join their small but mighty team! The primary focus of the Medical… more
- Esse Health (Wentzville, MO)
- …Certification (required) Comfortable with Windows/PC systems and EMR documentation Experience with medical coding is a plus Excellent communication skills and a ... Now Hiring: Full-Time Medical Assistant - Join the Esse Health Team!...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department… more
- Weill Cornell Medical College (New York, NY)
- …improvement and coding denials prevention. Job Responsibilities Performs retrospective coding and documentation review of denied charges for physician ... status and billing guidelines to substantiate corrected claim submissions, written appeals, coding and medical necessity reviews. Researches and interprets payer… 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
- Neighborhood Healthcare (Escondido, CA)
- …training and team meetings Qualifications Education/Experience High school diploma/GED required Medical billing or coding Certification from an accredited school ... private, non-profit 501(C) (3) community health organization, we serve over 500,000 medical , dental, and behavioral health visits from more than 100,000 people… more
- University of Southern California (Los Angeles, CA)
- …Bachelor's Degree In related field Req 1 year Experience in healthcare billing, coding , reimbursement, transplant financials, medical auditing, HIM coding or ... related field/clinical application(s). Pref 3 years Experience in healthcare billing, coding , reimbursement, transplant financials, medical auditing, HIM … more
- TGH Urgent Care powered by Fast Track (Punta Gorda, FL)
- …Experience and working knowledge in Epic EMR, preferred Basic understanding of medical coding and billing. Knowledge of computerized information systems used ... appropriate reimbursement. Monitor level of patient care using statistical models and chart review . Provide unsolicited medical judgment on quality of care and… more
- The Ohio State University (Dublin, OH)
- …Excel, and Intranet/internet navigation tools as well as system content. Medical terminology, coding , and third-party reimbursement experience. Ability to ... contact ###@osu.edu. If you have questions while submitting an application, please review these frequently asked questions. Current Employees and Students: If you… more
- US Physical Therapy (Houston, TX)
- …years of experience in medical billing and collections Knowledge of medical billing and coding , insurance regulations, and healthcare reimbursement policies ... and resolve discrepancies in patient accounts. Process payments and refunds. Review and update patient insurance information. Communicate with insurance companies to… more
- Transitions Mental Health Association (San Luis Obispo, CA)
- …the team. The Client Care Coordinator is a multi-faceted role that combines medical billing and coding expertise with client care coordination, case management, ... work environment that values diversity and individual contributions. Responsibilities and Duties: Medical Billing & Coding Prepare and submit clean claims to… more
- PHS Bio-Medical Services (Evanston, IL)
- …roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding , project management and more. We provide services to ... delays. Works with suppliers to expedite and improve delivery performance. Review inventory order patterns and quantities. Maintain open communication and effective… more
- Staffosaurus (Irvine, CA)
- …accounts. Medical Records & Documentation: Access and review medical records to ensure proper coding and billing compliance. Denials Management: ... About the job Medical Biller About Us: We are a high-complexity...to hear from you. Key Responsibilities: Claims Processing: Prepare, review , and submit insurance claims with a focus on… more
- Blue Shield of California (Oakland, CA)
- …health and substance use authorization requests at various levels of care for medical necessity, coding accuracy, medical policy compliance and contract ... members needs and acuity; prepare and present cases to Medical Director (MD) for medical director oversight...present cases to Medical Director (MD) for medical director oversight and necessity determination Provide information to… more
- The Lake Erie College of Osteopathic Medicine (Jacksonville, FL)
- …to the AOA code of ethics, according to your profession; Knowledge of general medical coding and related information in the field; Compliance with State and ... trainer and offering lecture presentations to first and second year osteopathic medical students. CHARACTERISTIC JOB TASKS AND RESPONSIBILITIES: The following are a… more
- Beth Israel Lahey Health (Burlington, MA)
- …workflows to ensure best practices are followed in patient care, documentation, coding , and medical record maintenance. 4. Collaborate with clinical teams ... Lexington, and additional off-site locations. In conjunction with the Medical Leadership, responsible for implementing and maintaining quality and performance… more
- Balance Health (Fair Oaks, CA)
- …- PA certification with specialization in orthopedics preferred - Proficiency in medical coding and documentation for accurate billing and insurance claims ... replacements, arthroscopy, and fracture repairs - Conduct thorough patient evaluations, including medical history review and physical examinations - Order and… more
