- MyFlorida (Fort Lauderdale, FL)
- …being paid. Claims Billing Responsible for the accuracy and timeliness of medical and dental billing to all insurance companies. Capture the correct charge ... This is a professional position that serves as the medical and dental biller for the Accounts Receivable Department...accredited college or university. + Current certification as a Certified Professional Coder (CPC). Florida Department of… more
- Molina Healthcare (San Diego, CA)
- …Association** Registered Nursing license in good standing. Certified Clinical Coder , Certified Medical Audit Specialists (CMAS), Certified ... previously denied cases, in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing. * Evaluates … more
- Texas Health Resources (Arlington, TX)
- …2 Years Managing a team or as a lead preferred Licenses and Certifications CPC - Certified Professional Coder Upon Hire REQUIRED or CCS-P - Certified Coding ... Degree - Experience with coding (charge capture and coding denials) and billing of professional services (Part B) healthcare experience REQUIRED or 5 Years… more
- WMCHealth (Valhalla, NY)
- …Degree preferred or two years' work experience. Licenses / Certifications: Certified Professional Coder (CPC) or similar credential, preferred. Other: ... Coordinator reviews and revises accounts to achieve revenue enhancement and billing /coding compliance. This position updates and reviews accounts to ensure accurate… more
- Texas Health Resources (Arlington, TX)
- …CCS - Certified Coding Specialist Upon Hire Required Or CPC - Certified Professional Coder Upon Hire Required Skills Strong understanding of leadership ... Manager oversees and manages auditing and monitoring activities related to billing and coding compliance. This role is responsible for developing policies,… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice ... direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective… more
- SUNY Upstate Medical University (Syracuse, NY)
- … Medical Coding, Medical Assistant Program. Preferred Qualifications: Certified Professional Coder (CPC) / Certified Coding Specialist (CCS) ... Job Summary: Analyze OP admits for appropriate billing requirements involving Advanced Beneficiary Requirement (ABN) waivers, pre-authorizations, referrals, correct… more
- Trinity Health (Fresno, CA)
- …procedural coding for the designated specialty areas and other major procedural areas. The Certified Medical Coder focuses their work on the detailed ... coding is preferred. 3. Two (2) years of certified coding experience in physician or medical ...Professional (CCSP)from American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) from American Academy… more
- Humana (Helena, MT)
- …of experience in risk adjustment coding/auditing/education and provider relations/engagement + Certified Professional Coder (CPC) + Prior experience in ... ability to adapt quickly to change **Preferred Qualifications** + Bachelor's Degree + Certified Risk Adjustment Coder (CRC) + Certified Documentation Expert… more
- Highmark Health (Sacramento, CA)
- …+ None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more