- Outlier AI (New Orleans, LA)
- …enrolled). Analytical and Problem-Solving Skills : Ability to develop complex, professional -level prompts and evaluate nuanced AI reasoning. Strong Writing : Clear, ... hours/week, up to 40 hours working from home Join a global community of Coding experts Join a global network of experts contributing to advanced AI tools Disclaimer:… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management ... of situations or data requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit… more
- Seattle Children's (Seattle, WA)
- … coding accuracy opportunities for providers. Serve as a subject matter expert on professional coding and payment methodologies as it relates to coded ... to educating billing providers ie, physicians, PhDs & APPs on complete and accurate professional coding and coding -related processes, in collaboration with … more
- LA Care Health Plan (Los Angeles, CA)
- …and individual provider coding practices. Responsible for training and mentoring Payment Integrity Nurse Coder, RN staff. Supports the creation and execution ... Payment Integrity Nurse Coder RN III...coding elements. Audits can include inpatient, outpatient, and professional claims. Serves cross functionally with Utilization Management, Medical… more
- Martin's Point Health Care (Portland, ME)
- …as a "Great Place to Work" since 2015. Position Summary The Manager of Payment Integrity is responsible for developing, implementing, and managing programs and ... manager partners closely with internal teams and external PI vendors to optimize payment integrity outcomes, compliance, regulatory impact, and cost savings. Job… more
- CommonSpirit Health (Prescott Valley, AZ)
- …and Responsibilities** The Coding Analyst & Education Specialist position champions coding accuracy and integrity across our facilities and provider teams. ... patient, medical record, department, and employee confidentiality at all times. Accurate Coding and Data Integrity : Accurately assigns and sequences CPT,… more
- Elevance Health (Norfolk, VA)
- **DRG CODING AUDITOR** **_Virtual_** **_: _** _ _ __...an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of ... the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary… more
- Elevance Health (Roanoke, VA)
- **DRG Coding Auditor Principal** **_Virtual: _** _ _ This...an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of ... the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary… more
- Rush University Medical Center (Chicago, IL)
- …for conducting reviews of EMR documentation of patient encounters to ensure coding accuracy and documentation adequacy. The professional will work ... **Other information:** **Required Job Qualifications:** * Bachelor's Degree * Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based… more
- Highmark Health (Little Rock, AR)
- …consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in ... The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment...coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the… more
- Stanford Health Care (Palo Alto, CA)
- … Coding Initiative (NCCI) and payer specific edits related to hospital and professional coding . The Single Path Coder processes codes for surgical encounters ... Coding Specialist II serves as a subject matter expert in hospital and professional coding , and interacts with other teams and departments across the… more
- Queen's Health System (Honolulu, HI)
- RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: * Follows-up on payment with insurance payers and patients on outstanding accounts. * Expedites larger dollar ... accounts to ensure prompt payment . Monitors to ensure all insurance are billed in...field and/or completion of a healthcare administration billing and coding program may be substituted for one (1) year… more
- University of Southern California (Alhambra, CA)
- …Coding Clinic, and CPT Assistant to maintain knowledge of the principles of coding . * Keep up-to-date and reviews other professional journals and newsletters ... In accordance with current federal & state coding compliance regulations and guidelines, the HIM ...rejection to honor Keck Medicine of USC request for payment for both IP & OP healthcare services provided… more
- HCA Healthcare (Ocala, FL)
- …accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and/or cash ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
- Stony Brook University (Commack, NY)
- Coding Educator **Position Summary** At Stony Brook Medicine, **the Coding Education professional ** will develop and provide educational programs as they ... Integrity (CDI) staff on a brief History of Coding . + Provide education to the CDI staff on...education to the CDI staff on the Inpatient Prospective Payment System. + Provide education to the CDI staff… more
- Ellis Medicine (Schenectady, NY)
- The Supervisor, Medical Coding - Outpatient is responsible for the oversight and development of the office coding department. This includes mentorship and direct ... management of the outpatient medical coding team. The Supervisor of Medical Coding ...EDUCATION AND EXPERIENCE REQUIREMENTS: + Bachelors Degree + Certified Professional Coder (CPC) + Knowledge of Anatomy and Physiology,… more
- Elevance Health (Hanover, MD)
- …be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of ... Manager of DRG Coding Audit-Program/Project Locations: _The selected candidate must reside...companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate… more
- Trinity Health (Albany, NY)
- … coding guidelines, payer regulations, compliance and reimbursement and the effects of coding in relation to risk adjustment payment models. . Identify ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION… more
- Rush University Medical Center (Chicago, IL)
- …may vary depending on the circumstances of each case. **Summary:** The Billing Coding Auditor uses advanced knowledge of billing, coding , auditing, documentation ... ensure accurate and timely capture of all chargeable procedures. The Billing Coding Auditor also monitors interfaces and ancillary software related to charging, and… more
- Elevance Health (Atlanta, GA)
- …member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary ... **Business Analyst III - Payment Intergrity Datamining** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and… more
