- Lyric (Newtown Square, PA)
- …certification or American Health Information Management Association (AHIMA) Certified Coding Specialist -Physician (CCS-P) + Working knowledge of pre-payment ... immigration support are not available for this position. The Senior Manager, Clinical Content Maintenance will serve as a...combine their deep knowledge of CPT, HCPCS, and ICD10CM coding guidelines with strong leadership skills to guide their… more
- Children's Mercy Kansas City (Kansas City, MO)
- …lives of children beyond the walls of our hospital. Overview The Senior Coding & Reimbursement Specialist position is filled by a professionally ... policies, procedures, and compliance plans. The Senior Coding and Reimbursement Specialist position...Other software products as needed for data collection The Sr . Coding & Reimbursement Specialist… more
- University of Virginia (Charlottesville, VA)
- …CPT-4 codes to obtain accurate DRG or APC assignment for proper reimbursement and data collection. + Assigns all pertinent ICD-10-CM/PCS diagnosis and ... ICD-10-CM/PCS/CPT-4 procedure codes based on official inpatient and outpatient coding guidelines. + Abstracts diagnosis and procedure codes as well as other required… more
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- …of your professional journey. We invite you to apply today. SUMMARY OF JOB The Sr . A/R Specialist - is responsible for the claim submission and collection of ... System departments to achieve the key performance metric targets established by Senior Leadership. CONNECTING TO MISSION: All individuals, within the scope of their… more
- University of Southern California (Alhambra, CA)
- …1 - 2 years Lead Experience. Required Licenses/Certifications: + Req AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; ... coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate,...and encoding/code-finder systems [e.g., 3M 360 Encompass/CAC & 3M Coding & Reimbursement System (CRS)]. + Req… more
- MD Anderson Cancer Center (Houston, TX)
- **SUMMARY** The primary purpose of the Senior Clinical Coding Specialist position is to analyze medical records and abstracts clinical data by assigning ... Technician American Health Information Management Association (AHIMA). * CCS-Certified Coding Specialist American Health Information Management Association… more
- CareFirst (Baltimore, MD)
- …application, and integration of medical codes across policies and platforms. The Senior Coding Analyst partners with medical policy analysts, configuration ... tracking and data collection tools. **Licenses/Certifications Upon Hire Required:** + CCS-Certified Coding Specialist + Certified Coder (CCS or CPC)-AHIMA or… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …true colors to blue. Reporting to the Director of Professional Reimbursement Strategy, the Payment Integrity Consultant uses industry knowledge, research skills, ... of identified opportunities to improve the effectiveness of the Professional reimbursement strategy, + Assist managing provider reimbursement strategic planning… more
- AdventHealth (Orlando, FL)
- …(RHIA) + Registered Health Information Technician (RHIT) - Cert + Certified Coding Specialist (CCS) + Infection Control Certification (CIC) This facility ... responsibility for maintaining relationships that are equally respectful to all. The Senior Coder demonstrates experience and expertise, so coding quality review… more
- AdventHealth (Orlando, FL)
- …responsibility for maintaining relationships that are equally respectful to all. The Senior Coder demonstrates experience and expertise, so coding quality review ... is not required before billing. The Senior Coder utilizes years of experience and expertise to...with appropriate physicians and clinical personnel to ensure optimal coding and reimbursement , querying physicians for the… more
- Omaha Children's Hospital (Omaha, NE)
- …the accuracy of all billed charges and of all new patient reimbursement files including complete patient, responsible party and insurance information billing edit ... the tasks assigned. * Recognize, summarize, and communicate potential reimbursement issues with the Billing Supervisor. * Mail all...and + Experience working with ICD-10, CPT and HCPC coding Preferred and + Experience with universal billing forms… more
- UCHealth (Colorado Springs, CO)
- …records to validate proper resolution of funds. Researches, analyzes, and reconciles reimbursement policies and procedures to ensure proper reimbursement from ... amounts owed, verifying generated internal refund requests, computing discounts, properly coding refunds, and preparing vouchers for refund in accordance with… more
- Erickson Living (Baltimore, MD)
- Location: Erickson Senior Living The Home Care Coding Specialist independently reviews OASIS and provides ICD 10- CM coding support to the agencies. This ... the OASIS submitted by the agencies and provides appropriate ICD 10 - CM coding . + Update information per accepted coverage guidelines and mandated state and federal… more
- Henry Ford Health System (Troy, MI)
- … senior Revenue Integrity leaders, the Revenue Integrity (RI) Specialist is responsible for multiple Revenue Integrity initiatives involving multiple clinical ... departments and practices focusing on revenue cycle integrity. The RI Specialist understands hospital payor contracts and reimbursement methodologies. Works… more
- CVS Health (Madison, WI)
- …of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but a willingness to learn is ... to improve the quality and efficiency of health care services. ◾Apply clinical coding and reimbursement expertise to ensure alignment and correct application of… more
- UTMB Health (Galveston, TX)
- …Coding Associate American Health Information Management (AHIMA) Or CCS - Cert-Cert Coding Specialist American Health Information Management (AHIMA) Or CCS-P - ... Senior Coder - RCO Coding **Galveston,...for multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers. **Job Duties:** * Reviews… more
- Medtronic (Lafayette, CO)
- …product vision, gathering needs, refining requirements, project planning, system design, coding , testing, release, deployment, and support. * Utilize experience and ... of software lifecycle activities as determined by program needs. **TECHNICAL SPECIALIST CAREER STREAM:** An individual contributor with responsibility in our… more
- Centene Corporation (Jefferson City, MO)
- …+ LVN, LPN or RN required and + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required + NP or PAN preferred + Certified Risk ... proper extraction of medical diagnoses and ensure accurate and complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and… more
- University of Southern California (Alhambra, CA)
- …and conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with ... the billing system and CDM management tools . The Senior RI Specialist shall ensure that the...ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided.… more
- Stony Brook University (Commack, NY)
- …bottom line. **Job Number:** 2500556 **Official Job Title:** : TH Medical Records Senior Specialist **Job Field** : Finance **Primary Location** : US-NY-Commack ... of and hold extensive knowledge of government regulations related to coding and applicable reimbursement laws and regulations required. + Ensure the Coding … more
