- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group… more
- Humana (Trenton, NJ)
- …documentation + Recommend and present medical coding related education for medical record documentation guidelines + Review and respond to results from ... business results. Duties will include: + Help ensure accurate review of medical records for Medicare and...+ Provide support for establishment and monitoring of Humana's medical coding communication efforts to promote accurate… more
- Datavant (Trenton, NJ)
- …role is an opportunity to make a significant impact in the field of medical coding . You will provide essential consulting services and educational support, ... guiding healthcare professionals on improved coding practices. Collaborating closely with key stakeholders such as...strongly encouraged to apply **What You Will Do:** + Review medical records and assign precise codes… more
- RWJBarnabas Health (Oceanport, NJ)
- …a Bachelor s degree. + Extensive knowledge of ICD-10-CM/PCS and CPT coding , medical terminology, human anatomy and physiology, clinical indicators associated ... and Compliance Guidelines. + Critically analyzes each Medicare inpatient medical record to apply appropriate coding , DRG...goals are met for all RWJBarnabas facilities. + May review ICD-10-CM/PCS coding associated with RAC audits… more
- RWJBarnabas Health (Oceanport, NJ)
- …a Bachelor s degree. + Extensive knowledge of ICD-10-CM/PCS and CPT coding , medical terminology, human anatomy and physiology, clinical indicators associated ... and State Regulations and Compliance Guidelines. + Critically analyzes each inpatient medical record to apply appropriate coding , DRG judgements, SOI, ROM… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for the review and coding of inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding ... mix and health care statistical reporting. **Qualifications** **Education Requirements** Coding certificate, CCA. CCS (inpatient) or CCS-P (outpatient) certification… more
- Humana (Trenton, NJ)
- …In** The Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for ... healthcare? Do you have a solid background in medical auditing, coding ** **,** **and medical record review ?** **If** **you answered** YES **to one or… more
- Mount Sinai Health System (New York, NY)
- …EPIC EMR system + Strong clinical and analytical skills to evaluate appropriate Medical Record Coding + Currently credentialed as CPC and/or CCS certifications ... findings with Director and staff for performance improvement. + Review accounts in various WQs to identify coding...maintain on-going coding educational sessions that address coding edits from various depts., medical necessity… more
- St. George Tanaq Corporation (Trenton, NJ)
- …Experience and Skills** + One (1) year of Medicare appeals, medical review , clinical, healthcare regulatory interpretation/application, healthcare compliance or ... Dispute Resolution Reviewer I Fully Remote*GA Job Type Full-time Description...healthcare or related discipline Additional experience in Medicare appeals, medical review , clinical, or other related experience… more
- Mount Sinai Health System (New York, NY)
- …We seek an experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and optimization ... and experience + 5+ years of experience in hospital chargemaster maintenance and medical coding . + Certified Professional Coder (CPC) or equivalent credential… more
- St. George Tanaq Corporation (Trenton, NJ)
- …+ 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
- Elevance Health (Woodbridge, NJ)
- …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
- Datavant (Trenton, NJ)
- …ICD-9/10 and HCC coding + At least 2 years of hands-on coding experience + Familiarity with medical terminology, abbreviations, pharmacology, and disease ... realize our bold vision for healthcare. As a **Supervisor, Coding Operations** , you'll play a critical leadership role...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
- Weill Cornell Medical College (New York, NY)
- …and coding denials prevention. **Job Responsibilities** + Performs retrospective coding and documentation review of denied charges for physician services. ... status and billing guidelines to substantiate corrected claim submissions, written appeals, coding and medical necessity reviews. + Researches and interprets… more
- Intermountain Health (Trenton, NJ)
- …**Required** + Current certification through AAPC, AHIMA or HFMA, or other specialty medical coding group. + Demonstrated experience in revenue cycle and ... community connects, EPMO projects, Enterprise and system initiatives. + Performs annual review of chargemaster with clinical operations and revenue practice teams to… more
- NJM Insurance (Trenton, NJ)
- …+ Audit and process medical bills within statutory timeframes, by following medical coding guidelines and department policies and procedures + Verify correct ... compensability. + Apply state fee schedules when appropriate + Review and respond to MCS QC (Quality Control) issues...a timely manner Required Qualifications and Experience + A medical background with billing/ coding experience or education… more
- Datavant (Trenton, NJ)
- …related field + Knowledge of healthcare industry, payment models, risk adjustment, medical coding , physician workflow, and/or electronic health record systems + ... resources working closely with all internal teams including: data integrations, coding management, engineering, sales, and executive teams. + Ensure smooth… more
- Mount Sinai Health System (New York, NY)
- …documentation issues, develop targeted provider education, and create best practices for medical record review and diagnosis code abstraction. The incumbent will ... to determine, analyze and solve escalated issues related to medical record documentation and coding deficiencies required....evaluates documentation and query tools with CDQI staff and medical care teams. Conducts annual review of… more
- Weill Cornell Medical College (New York, NY)
- …range for this role when Hired for NYC Offices **Position Summary** Performs coding activities and is responsible for reviewing medical records for ... to ensure claims are being coded appropriately. + Performs coding and documentation review prior to charge... prior to charge entry for physician services. Reviews medical record and super-bill documentation for completeness and accuracy… more
- Datavant (Trenton, NJ)
- …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