- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …medical coding with a focus on Medicare Advantage and ACA risk adjustment. * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & ... to any HHS and CMS RADV audits, including retrieval and coding of targeted medical records. * Design and implement QA programs to improve coding accuracy, reduce… more
- HCA Healthcare (Tallahassee, FL)
- …or GED Required + Minimum 2 years supervisory experience Required + (CPC) Certified Professional Coder Required + Associate Degree Preferred HCA Florida Capital ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- CareFirst (Baltimore, MD)
- …or equivalent work experience required. **Licenses/Certifications Upon Hire Required:** + Certified Professional Coder . **Experience:** 3 years year's relevant ... for conducting research and analysis and reviewing billing requirements, provider manuals, medical policies, and other sources as needed to identify new overpayment… more
- Huron Consulting Group (Chicago, IL)
- …**Qualifications** + **Education:** Bachelor's degree required + **Certification:** CPC ( Certified Professional Coder ) required; additional certifications (eg, ... internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and… more
- Houston Methodist (Katy, TX)
- …- REQUIRED** + N/A **LICENSES AND CERTIFICATIONS - PREFERRED** + CPC - Certified Professional Coder (AAPC) -- or equivalent if overseeing revenue integrity ... areas of Revenue Cycle, to include but not limited to: medical coding, insurance billing, collections, patient account resolution, appeals/denials, customer service,… more
- Hawaii Pacific Health (Honolulu, HI)
- …healthcare related field or equivalent combination of education, training, and experience. Certified Professional Coder (CPC) certification. Three (3) years of ... a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the… more
- Adecco US, Inc. (Bradenton, FL)
- …move between sites as needed (with mileage reimbursement) **Preferred Qualifications** * Certified Coder (AAPC or AHIMA preferred) * AHIMA Clinical Documentation ... EHR for the clinical status of the patient, current treatment plan, past medical history, quality measures (eg, HEDIS, HCC, etc..), and identify potential gaps in… more
- Elevance Health (Seattle, WA)
- …Requirements:** + Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for… more
- Saratoga Hospital (Saratoga Springs, NY)
- …than 5 years' professional experience will be considered in lieu of a degree. + Certified Coder Certificate and/or LPN certification and an RN (AS or BSN), ... other pertinent data from the various insurance companies, electronic medical records, as well as quality metric systems in...opportunities to close gaps in care and enhance the Medical Group's ability to meet incentive and quality outcome… more
- Henry Ford Health System (Jackson, MI)
- …applications including EPIC, Morrisey, and/or MDStaff preferred. CERTIFICATIONS/LICENSURES REQUIRED: . Certified Professional Coder (CPC) preferred. . Must meet ... reviewing patient concerns with Network administrative leadership and Network medical directors. * Supports the Network communications and education through… more