- Pomona Valley Hospital Medical Center (Pomona, CA)
- …data elements for internal operation and reporting to regulatory agencies Provides coding expertise by reviewing and auditing work performed by other coders, ... At all time, work is performed adhering to Official Coding Guidelines, CMS guidelines and PVHMC compliance standards. May...High school diploma or equivalent. Completion of AHIMA accredited coding school. CCS.. At least two (2) years experience… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …with the medical billing team to improve the quality of clinical documentation for compliance, billing, coding , and reimbursement processes. + Reviews, ... Position Information Posting NumberSRGV8219 Working TitleCOMPLIANCE CODING AND BILLING ANALYST Number of...substituted with experience on a one-to-one basis Preferred Experience Coding , auditing or quality assurance review experience.… more
- University of Washington (Seattle, WA)
- …of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding , billing, release, and tracking to management of ... Enterprise Records and Health Information has an outstanding opportunity for both ** CODING EDUCATION ANALYSTS** **WORK SCHEDULE** + 100% FTE + Mondays - Fridays… more
- Healthfirst (NY)
- …insurance policies, and industry regulations + Support audits, compliance checks, and quality assurance initiatives to ensure coding accuracy + Provide ... codes (ICD-10) represent patient services, treatments, copays, and coinsurance + Verify coding accuracy to support compliant billing and prevent claim denials and… more
- BlueCross BlueShield of North Carolina (NC)
- … Coding experience + EMR analyst experience + Previous provider facing Clinical Quality Improvement experience **Salary Range** At Blue Cross NC, we take ... quality improvement plans based on departmental goals. Aligns clinical decision-making processes with regulatory requirements (eg, DOI/ERISA/NCQA). Keeps abreast… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Data Analyst (II) provides business intelligence support to various department leaders in ... support key initiatives. In addition to advanced analytics skills, the Data Analyst (II) role requires knowledge in integrating and preparing large complex datasets… more
- Banner Health (GA)
- …Refers inconsistent patient treatment information or documentation to coding support tech, coding quality analyst or coding manager for ... of coding guidelines prior to referral to senior manager, educator or Coding Quality Analyst . MINIMUM QUALIFICATIONS High school diploma/GED or… more
- Banner Health (TN)
- …Refers inconsistent patient treatment information or documentation to coding support tech, coding quality analyst or coding manager for ... of coding guidelines prior to referral to senior manager, educator or Coding Quality Analyst . MINIMUM QUALIFICATIONS High school diploma/GED or… more
- Highmark Health (Columbus, OH)
- …and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing ... of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and optimal member/patient and provider experiences with care… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, ... these major areas of the company on improving the quality of care delivered to our members. Extracts, analyzes,...CM process and outcome improvement opportunities + Work with clinical , finance, MedEcon teams and other personnel to bring… more
- Trinity Health (Columbus, OH)
- …technology, financial analysis, audit, provider relations and more. **Position Purpose:** Pharmacy/ Clinical Service Data Analyst is responsible for data ... specific to Plan's drug plan offering(s). . Responsible for oversight of clinical management programs such as Medication Adherence, Drug and Safety Monitoring,… more
- Covenant Health Inc. (Knoxville, TN)
- …and makes necessary corrections to ensure accuracy and timely billing. + Participates in quality coding and audit reviews for each provider. + Assists provider ... Overview Coder Analyst , Clinical Document Integrity Full Time,...with the provider to code services rendered with correct coding initiatives. Abstracts and enters data from the medical… more
- HCA Healthcare (Miami, FL)
- …Apply Today! **Job Summary and Qualifications** As a work from home Informatics Analyst , you will join the HIM, Coding , and Abstraction department. This ... to, Clinical Documentation Improvement (CDI), Regulatory Compliance (REGS), and Clinical , Quality , and Operational Corporate Departments, in the creation and… more
- AdventHealth (Burleson, TX)
- …low-cost of living. **The role you'll contribute:** The Quality Improvement Analyst obtains and analyzes clinical data to identify process improvement ... of hospital readmission metrics, especially CMS. . Working knowledge of ICD-10 coding , risk adjustment, and clinical documentation improvement. . Familiarity… more
- Mount Sinai Health System (New York, NY)
- …Contract Manager Analyst ** will play a critical role in testing, coding , modeling, and reporting on Hospital Billing (HB) and Professional Billing (PB) contracts ... largest US health systems with a strong reputation for quality of care and research. We have over 38,000...within Mount Sinai. The team includes 400+ employees with clinical , contracting, finance, IT, analytics, operations, and product development… more
- Rush University Medical Center (Chicago, IL)
- …depending on the circumstances of each case. **Summary:** The Senior Revenue Integrity Analyst uses advanced knowledge of coding , CDM, charge capture, and ... timely capture of all chargeable procedures. The Senior Revenue Integrity Analyst also provides proactive high-level professional support in working advanced… more
- RWJBarnabas Health (Oceanport, NJ)
- …(mostly remote) open to NJ, PA or NY only The primary purpose of the Billing and Coding Analyst is to review, adjust, and report on clinical trial charges ... Charge Capture Analyst -Patient Accounts, Remote for NJ, PA or...are collected and posted in accordance with Medicare s Clinical Trial Policy, federal regulations and pharmaceutical/third party contracts.… more
- Baptist Memorial (Memphis, TN)
- …Full Time Remote Revenue integrity professionals will create value for our clinical areas, principally in revenue recovery and claim acceleration. This role requires ... Outpatient Code Editor (I/OCE) associated with Healthcare Common Procedure Coding System (HCPCS), Ambulatory Payment Classification (APC), HCPCS Modifier, and… more
- Tidelands Health (Myrtle Beach, SC)
- …is correctly. 2.Provides guidance, communication and education on correct charge capture, coding and billing processes to clinical departments leaders and ... providers. 3.Analyzes business, clinical , and coding processes to identify possible inefficiencies and makes recommendations to improve procedures, prevent… more
- Cedars-Sinai (Los Angeles, CA)
- … coding , and systematic approaches to application integration. The Programmer/ Analyst works on new and existing applications, performs hands-on coding ... your career at Cedars-Sinai!** Data is vital to advance clinical knowledge across a spectrum of medical and surgical...medicine? **Dr. Piotr Slomka, PhD is looking for a Programmer/ Analyst to join a diverse team!** The Slomka Laboratory… more