- CGI Technologies and Solutions, Inc. (Charlotte, NC)
- …domains, including pre-payment review, post-payment audit, FWA detection and prevention, coding accuracy, clinical integrity, and provider data management. * ... domains, including pre-payment review, post-payment audit, FWA detection and prevention, coding accuracy, clinical integrity, and provider data management.… more
- Centene Corporation (Jefferson City, MO)
- …the Continental United States. **Position Purpose:** Lead a team of investigators, clinical and coding reviewers, and analysts dedicated to detecting, ... preventing, and correcting fraud, waste, and abuse ("FWA") in healthcare billing through investigation and coordination with internal and external stakeholders. Responsible for designing and executing strategies that ensure high-quality, timely,… more
- University of Virginia (Charlottesville, VA)
- …allied health professionals and billing staff to support patient care documentation, coding and billing practices according to federal, state and local regulatory ... and education sessions for physicians, allied health professionals, residents, and coding and billing staff to support compliance with third party documentation… more
- St. Bernard's Medical Center (Batesville, AR)
- …an emphasis on accounting or business. Completion of medical terminology and coding classes in ICD-9-CM. + Experience + Pre-Authorization experience required. Two ... or business office required. Requires minimum of two years in ICD-9-CM coding experience. Previous healthcare billing and follow-up experience preferred. Able to… more
- Datavant (Denver, CO)
- …and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...CPC-H, COC, CIC or CRC). + Proficient in ICD-10 coding . + Experienced in HCC coding across… more
- Molina Healthcare (San Antonio, TX)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case...GED (or higher) **Required Experience** + 3+ years CPT coding experience (surgical, hospital, clinic settings) or 5+ years… more
- Elevance Health (Indianapolis, IN)
- …of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.** PRIMARY ... policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support… more
- WMCHealth (Valhalla, NY)
- …. CDIP: Clinical Documentation Improvement Practitioner . CCDS: Certified Clinical Documentation Specialist . CCS: Certified Coding Specialist, or equitable ... Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Professional/Non- Clinical Department: Health Info Mgmt-WMC Health Union: No Position:… more
- UCHealth (Aurora, CO)
- …leadership team to support HR processes. Functions as liaison between the Clinical Documentation Department, CDI Physician Advisers, coding , quality, compliance, ... (RN). + Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP). Preferred: Certified Coding Specialist… more
- Vitalief (New Brunswick, NJ)
- …and accounting principles for research preferred. + Experience or training in clinical research budgeting, financial management and/or coding . + Maintains ... at the intersection of Sites, Sponsors, and CROs across the research and clinical trials landscape. By blending deep subject matter expertise with strong business… more
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