- 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
- UNC Health Care (Chapel Hill, NC)
- …Analyzes audit findings and reports/tracks results for one-on-one or group feedback. Performs billing audits and ensures correct coding and billing ... such as coding , clinical documentation, charge capture, and EPIC. The auditor should be familiar with clinical documentation and charge capture methodologies. 2.… more
- University of Rochester (Rochester, NY)
- …risk. **There are two pathways for the Compliance Analyst II (1: Compliance Billing , Coding , and Education Analyst,** **or** **2: Compliance Specialist):** **1: ... Compliance Billing , Coding , and Education Analyst** Provides compliance...(CCEP), + Certified Fraud Examiner (CFE), + Certified Internal Auditor (CIA), + Or equivalent professional certification **Knowledge, Skills… more
- YMCA of Greater Seattle (Seattle, WA)
- …full revenue cycle for the YMCA of Greater Seattle, including accurate billing , disciplined collections, timely cash application, reliable cash forecasting, grant ... billing accuracy , and government grant compliance . Reporting...spend-downs, validate federal and state invoices for allowability and coding , and maintain the grants compliance and reporting calendar.… more
- Commonwealth Care Alliance (Boston, MA)
- …large claims data sets to provide analysis and reports on existing provider billing patterns as compared to industry standard coding regulations, and make ... the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Medical Records Clerk/Coder to assign procedure, and diagnosis codes for insurance billing , review claims data, research, and correspond with insurance companies to ... medical classification software to assign procedure and diagnosis codes for insurance billing . + Review claims data to ensure that assigned codes meet required… more
- Trinity Health (Livonia, MI)
- …in a hospital and/or Physician Practice environment and experience in revenue cycle, billing , coding and/or patient financial services. + Experience working with ... clinical coding guidelines, charging processes and audits, and clinical billing as normally obtained through a bachelor's or associate degree in Healthcare… more
- Albany Medical Center (Albany, NY)
- …organizational decisions + Develop policies, guidelines, and procedures for pharmaceutical coding , billing , pricing, charging, and denial management to maximize ... Under the direction of the Director of Pharmacy the Pharmacy Revenue Integrity Auditor will serve as a pharmacy liaison and interface with finance, billing… more