- Bon Secours Mercy Health (Cincinnati, OH)
- …**Essential Job Functions** + Assists in the review of Bon Secours Mercy Health coding , billing and claims processing policies and procedures for the development ... four years of in-depth experience within healthcare operations, healthcare auditing, or coding / billing either from a consulting perspective or as an… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records, and assign ... technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper… more
- Dartmouth Health (Lebanon, NH)
- …to audit and monitor completeness, accuracy and timeliness of documentation, coding , billing , reimbursement, efficiency and effectiveness of operations and ... objectives. Performs complex professional and facility (DRG or APC) coding and billing audits across all clinical specialties. Responsibilities * Plans and… more
- Molina Healthcare (Iowa City, IA)
- …standard principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and ... and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules… more
- Trinity Health (Ann Arbor, MI)
- …preferred. Knowledge of insurance and governmental programs, regulations, and billing processes (eg, Medicare, Medicaid, Social Security Disability, Champus, ... is required. Working knowledge of medical terminology, and medical record coding experience (ICD-9, CPT, HCPCS) are highly desirable. Customer service background… more
- Texas Health Resources (Arlington, TX)
- … Compliance Manager oversees and manages auditing and monitoring activities related to billing and coding compliance. This role is responsible for developing ... resource, this position provides guidance to providers, HIMS, the Central Billing Office, and other departments regarding coding compliance, documentation… more
- HCA Healthcare (Falls Church, VA)
- …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you come first. HCA Healthcare has committed up… more
- St. Luke's University Health Network (Allentown, PA)
- …the Professional Coding (PC) staff to determine data quality and accuracy of coding , billing , and documentation related to DRG's, CPT, APC's, and HCPCS Level ... a patient's ability to pay for health care. The Coding Audit & Education Coordinator will be responsible for...Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD… more
- Houston Methodist (Houston, TX)
- …+ Where applicable assists with pre-billed claim edits to ensure complaint coding , charting and billing . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Designs, ... At Houston Methodist, the Coding Educator position is responsible for developing ...Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND… more
- Hackensack Meridian Health (Edison, NJ)
- …serve as a leader of positive change. Under the general direction of the **Physician Billing (PB) Director of Coding and Manager of Education and Audit** , this ... position supervises the Coding Education and Audit team and conducts audits for...experience. **Licenses and Certifications Required:** + Certified Professional Medical Auditor within 1 years of entering position. + Registered… more