- Elevance Health (Denver, CO)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates working in person...a number of legitimate, non-discriminatory factors set by the Company . The Company is fully committed to… more
- Datavant (Denver, CO)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... productivity and quality assurance expectations. + Responsible for following all company policies and procedures as posted or communicated by management. +… more
- CVS Health (Denver, CO)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... and every day. **Position Summary** The Certified Professional Coder ( CPC ) will perform medical claim reviews to ensure compliance... must also ensure that the state, federal and company requirements are met and recognize any concerning billing… more
- State of Colorado (Denver, CO)
- …in healthcare billing and medical coding (hospital, facility, clinic, healthcare insurance company , etc.) OR Option 2: Education and Experience: A four year college ... billing and medical coding (hospital, facility, clinic, healthcare insurance company , etc.) Appropriate education will substitute for the required experience… more
- CVS Health (Denver, CO)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... heart, each and every day. The Certified Professional Coder ( CPC ) Manager will oversee a team of medical coders...requires a strong focus on meeting state, federal, and company requirements while identifying concerning billing patterns or trends.… more
- CVS Health (Denver, CO)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... medical record documentation review, diagnosis coding, and/or auditing. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician)… more
- Peak Vista (Colorado Springs, CO)
- …Summary of Benefits: + Medical, Dental, Vision, Life, STD, LTD + 403(b) Retirement with Company Match + Paid Time Off + Tuition Assistance + Perks Rewards + Employee ... education required. Work Experience: Relevant healthcare experience preferred. Certificates and Licenses: CPC , CPC -A, CPC -P, CCS-P, RHIA or RHIT… more
- Datavant (Denver, CO)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC, CRC) + Extensive knowledge of ICD -9/10 + 2… more
- HCA Healthcare (Denver, CO)
- …the time the application is released from the Credentials Processing Center ( CPC ). File review includes reviewing the following elements and completing any necessary ... . Updates insurance grid . Transmit documents to the CPC , Alchemy, and HealthONE based on policy and procedures....HealthONE based on policy and procedures. . Comply with company and department policies/procedures. . Practice and adhere to… more
- Datavant (Denver, CO)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... GED equivalent required + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or CRC) + A strong knowledge base of… more