- Elevance Health (Atlanta, GA)
- …of claims, provider contracts and data, eligibility, member contracts, benefits, clinical decisions, pharmacy on pre-service and post service appeals and grievances ... related to non- clinical and clinical services, quality of service and quality of care issues including executive and regulatory grievances. + Oversees and… more
- UNC Health Care (Chapel Hill, NC)
- …with Patient Financial Services, Health Information Management and hospital based clinical departments regarding the Correct Coding Initiative (CCI) edits ... resolving complex carrier/payor claim edits, including but not limited to Correct Coding Initiative (CCI), Medically Unlikely Edits (MUEs) as well as complex payor… more
- HCA Healthcare (Nashville, TN)
- …in current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical /medical resources to ... Monday-Friday Day Shift** **This position requires DRG Validation and Inpatient Coding experience.** **Benefits** Parallon, offers a total rewards package that… more
- Decatur County Memorial Hospital (Greensburg, IN)
- …scheduling appointments, FMLA, Prior Authorizations, maintaining medical records, billing, and coding for insurance purposes. Clinical duties may include taking ... + Reports To: + Practice Manager + Summary: + Perform administrative and certain clinical duties under the direction of physician. Administrative duties may include… more
- Northern Light Health (Bangor, ME)
- … clinical research. Responsibilities: * Performs manual data collection of demographics and coding of clinical and follow-up data from all sources into trauma ... (TQIP) and National Trauma Data Bank (NTDB). * Resolves routine coding issues/problems and appropriately seeks assistance from Trauma Program leadership and/or… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …consistent with the industry-standard guidelines for CPT, ICD-9 and ICD-10. + Answer coding questions + Review clinical documentation to ensure it meets the ... standards. Requirements + Education: Certificate or associate's degree in medical coding /CPC. These additional certifications are not required but a plus: Certified… more
- TEKsystems (Austin, TX)
- …treatment and documentation of regimen relative to pathway adherence. -Updates coding /payer guidelines for clinical staff. Tracks pathways and performs ... various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer… more
- Saratoga Hospital (Saratoga Springs, NY)
- …information. What You'll Do + Assist the HIM Operations Manager to ensure all clinical documentation is available to coding /billing and clinical staff via ... entry-level position focuses on the retrieval, preparation, scanning, and indexing of clinical documentation for the Albany Med Health System's (AMHS) inpatient and… more
- Fair Haven Community Health Care (New Haven, CT)
- …questions. + Process and post all patient and/or insurance payments. + Reviewing clinical documentation and provide coding support to clinical staff ... GED with experience in medical billing is required. + A certified professional coding certificate, knowledge of third party billing requirements, ICD and CPT codes,… more
- Children's Hospital Boston (Boston, MA)
- …company policy, when appropriate. Reviews all official data quality standards, coding guidelines, company policies and procedures, and clinical /medical resources ... + Performs complex ICD-10 and CPT review and validation or ASA coding for assigned specialty departments. + Establishes and maintains working relationships with… more
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