- Stanford Health Care (Palo Alto, CA)
- …as well as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, ... Denial Analysis: Conduct thorough analyses of denials, evaluating the appropriateness of medical services and procedures. Ensure accurate coding with ICD, HCPCS,… more
- Elevance Health (Indianapolis, IN)
- …based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective ... and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. +… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …will be considered. * 3 years of relevant health plan or provider office medical coding /claims and/or Business Analyst experience in a healthcare setting ... Cross and Blue Shield of Minnesota Position Title: Healthcare Coding Analyst Location: Hybrid | Eagan, Minnesota... appeals assuring that federally and state mandated coding rules are followed and that the medical… more
- Beth Israel Lahey Health (Charlestown, MA)
- …job, you're making a difference in people's lives.** The Revenue Cycle Denial Analyst is charged with coordinating the analysis and effective resolution of denied ... down to the line item detail, identifying payer and coding trends, risks, and opportunities, to implement operational or...be appealed. Responsible for writing timely, comprehensive and compelling appeals to third party payers in order to get… more
- Prime Healthcare (Chicago, IL)
- …direction of the Regional VP of Medical Groups and Director of Finance - Medical Groups, the Corporate Finance Analyst will work on various Medical Group ... Operations and Financial Operations in driving meaningful year-over-year growth for Prime's Medical Group Operations. The analyst will work with stakeholders… more
- Molina Healthcare (UT)
- …for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested ... and contractual guidelines. + Partner with provider relations, Health plans and appeals teams to address recurring dispute trends and recommend systemic solutions. +… more
- Guthrie (Sayre, PA)
- …school diploma or equivalency required. + CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Minimum 3 ... staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain...to the team environment. Must maintain a knowledge of medical terminology, CPT and IC D‐10 Coding … more
- Guthrie (Towanda, PA)
- …High school diploma or equivalency required. CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Minimum ... staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain...to the team environment. Must maintain a knowledge of medical terminology, CPT and IC D‐10 Coding … more
- State of Colorado (Colorado Springs, CO)
- …position is eligible for overtime compensation. Department Contact Information HR Analyst Name: Brenda Valdez at ###@state.co.us or ### Primary Physical Work ... Officers" and are eligible for increased PERA benefits; + Medical and dental health plans; + Short and long...Suite, Adobe Creative Cloud, Google Workshop, and basic HTML coding for web design; + Experience or knowledge of… more
