- Humana (Madison, WI)
- **Become a part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a ... or data requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate… more
- Aston Carter (Salem, OR)
- Job Title: Medical Coding Analyst Job Description As a Medical Coding Analyst, you will serve as a subject matter expert on medical coding ... You will be responsible for developing and leading the coding quality review process, including error analysis,...role requires ensuring ongoing compliance with federal and state medical coding and billing regulations. Responsibilities +… more
- Albany Medical Center (Albany, NY)
- …Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Outpatient Senior Medical Coding Specialist (Emergency Department) will be ... reviews, projects assigned by management, and special requests to review coding for external departments such as...also be responsible for assisting in onboarding new staff.The Senior Medical Coding Specialist will… more
- CODAMETRIX (Boston, MA)
- …healthcare providers away from the keyboard and back to clinical care. Overview Reporting to the Senior Manager, Medical Coding & Audit, as a Medical ... alongside an unwavering commitment to continuous learning, quality, and innovation in medical coding practices. Key Responsibilities + Customer & Workflow… more
- Elevance Health (St. Louis, MO)
- …on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. Partners ... of clinical domains, including radiology, cardiology and oncology._ **Nurse Reviewer I** **Location:** This is a virtual position open...meets medical necessity criteria or requires additional medical necessity review . + Conducts initial … more
- Elevance Health (Los Angeles, CA)
- …on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + ... **Nurse Reviewer I** **Location:** Virtual: This role enables associates...meets medical necessity criteria or requires additional medical necessity review . + Conducts initial … more
- St. George Tanaq Corporation (Phoenix, AZ)
- …+ Must have 2-3 years of medical dispute resolution or Medicare appeals, medical review , clinical, or related experience in a healthcare setting + Must have ... Dispute Resolution Reviewer III Fully Remote*GA Job Type Full-time Description...review + Makes sound, independent decisions based on medical evidence in accordance with statutes, regulations, rulings, and… more
- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist- Senior will be responsible for reviewing coding ... and audit tips across the team. The Clinical & Coding Specialist- Senior will support the leadership in...+ Responsible for all reconsideration clinical appeals to include review of records, consultation with Medical Director,… more
- AdventHealth (Orlando, FL)
- …equally respectful to all. The Senior Coder demonstrates experience and expertise, so coding quality review is not required before billing. The Senior ... AND EXPERIENCE REQUIRED:** . High school diploma and two years of coding education ( medical coding certificate program or 2-year HIM program), including … 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 ... identifying potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding… more
- Datavant (Providence, RI)
- …life experiences to realize our bold vision for healthcare. As a Sr. Client Coding Project Manager, you will plan, forecast, and manage client-facing coding ... will work directly with Customer Success Managers to ensure successful implementation, coding , and result delivery of client projects. Additionally, you will oversee… more
- Stony Brook University (Commack, NY)
- Medical Records Coding Specialist **Position Summary** At Stony Brook Medicine, the ** Coding ** **Specialist** will be responsible for coordinating the daily ... Responsible for running daily DNFB reports and distributing to Senior Staff + Review multiple and various...+ Demonstrated knowledge of medical terminology + Medical billing and/or coding experience **Special Notes**… more
- Geisinger (Danville, PA)
- …physicians, non-physician practitioners, leadership, and administrative staff on documentation and coding requirements. Determines the adequacy of medical record ... Job Duties + Performs compliance audits to determine the adequacy of medical record documentation, billing, and coding , utilizing policies, procedures, Federal… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Inpatient Coding Auditor? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 ... offer eligible colleagues an attractive benefit package that includes medical , wellbeing, dental and vision benefits along with some...a difference. We are looking for a dedicated Inpatient Coding Audit Manager like you to be a part… more
- Stony Brook University (Commack, NY)
- …new and existing staff based on results of each coders performance + Perform coding audits and validation by reviewing medical records for correct ICD-10-CM and ... software. + Provide education to the CDI staff on coding guidance on an ongoing basis. + Review...line. **Job Number:** 2500556 **Official Job Title:** : TH Medical Records Senior Specialist **Job Field** :… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …to ensure compliance with federal/state laws and regulations and UTRGV policies. To review and analyze medical records, claims, and workflow processes to ensure ... of Duties + Performs monitoring and compliance reviews of medical billing and coding compliance activities, associated...charges. + Performs reviews of electronic and manual documentation, coding , and billing systems. . + Review ,… more
- Houston Methodist (Houston, TX)
- …Houston Methodist facilities. The Director manages personnel performing inpatient and outpatient medical record coding , DRG and APC assignment, abstracting, and ... data entry functions; ensures accuracy and quality of coded and abstracted medical record data. This position coordinates coding and abstracting activities;… more
- Houston Methodist (Houston, TX)
- … documentation, and claims information into a concise appeal letter, including appropriate medical records submission. + Performs timely review of medical ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for...and findings to both front line team members and senior executives. + Communicates to partners, revenue cycle staff,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- … coding , and documentation requirements, Federal and State regulations, medical necessity, clinical best practices, and hospital/clinical billing issues. + ... and executes audit, monitoring, and education for inpatient hospital billing, coding and documentation programs that ensure compliance with regulatory standards.… more
- UHS (Binghamton, NY)
- Position OverviewPerform internal coding and documentation audits. Research, analyze, and respond to inquiries regarding coding and documentation compliance in ... coding guidelines and Medicare/Medicaid regulations. Assist with coding , documentation, and billing questions to ensure compliant ...recognition, and initiatives like Walk in my Shoes for senior leaders are just a few ways we foster… more