- Cleveland Clinic (Cleveland, OH)
- …you are responsible for policies and protocols related to coding and billing to ensure compliance. You will create, revise and maintain departmental documents ... + Ensure accountabilities for all services performed and compliance with billing and internal standards is maintained. + Identify opportunities and efficiencies… more
- Stanford Health Care (Palo Alto, CA)
- …management. Evaluate internal controls related to documentation, coding, charging, and billing practices to ensure compliance. + Government Audit and Appeals Program ... Management Department. Serve as a subject matter expert on billing and coding regulations and collaborate with team members...Specialist required within 180 Days or + Certified Outpatient Coder - COC required within 180 Days or +… more
- UPMC (Pittsburgh, PA)
- …medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements. + Code ... issues, including denials, in a timely manner and demonstrate proficiency on billing system. + Monitor billing performances to ensure optimal reimbursement… more
- Bozeman Health (Bozeman, MT)
- …role partners with departments across the organization to assess billing , coding, privacy/security, and operational practices; identifies vulnerabilities; and ... related field. + Intermediate knowledge and experience reviewing clinical documentation, billing , and coding for compliance. + Intermediate knowledge and experience… more
- CareFirst (Baltimore, MD)
- …the effective guides and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not ... recommendations and answer questions on more complex coding and billing issues whether systemic or one-off. + Develops and...Upon Hire Required:** + CCS-Certified Coding Specialist + Certified Coder (CCS or CPC)-AHIMA or AAPC Salary Range: $65,880… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …a critical role in identifying audit opportunities, complex analysis, and provider billing investigation. This role requires a deep understanding of medical claims ... responsible for conducting complex audits involving high-dollar claims, specialty provider billing , contractual compliance, as well as mentoring junior auditors, and… more
- Billings Clinic (Billings, MT)
- …providers in appropriate clinical documentation as it pertains to coding and billing . Provides feedback to providers and management by auditing as needed for ... and regulations and interprets them for Billings Clinic. Researches appropriate billing methodologies and implements them for new procedures or technologies. Works… more
- Elevance Health (Mendota Heights, MN)
- …recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or… more
- Fairview Health Services (St. Paul, MN)
- …governmental regulations, protocols and third-party payer requirements pertaining to billing , coding, and documentation. The Inpatient Coding Denials Specialist will ... timely and accurate actions including preparing and submitting appropriate appeals or re- billing of claims to resolve coding denials to ensure collection of expected… more
- CVS Health (Tallahassee, FL)
- …and claim trainings to improve provider claims issues. as well as billing practices, while collaborating with internal and/or external departments to identify claim ... educations, review claim trends, and ensure understanding of Aetna Medicaid claim and billing policies and procedures. This person is expected to spend 70% of their… more
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