- Insight Global (Chapel Hill, NC)
- …This role focuses on building automated charging logic within OpTime-not end‑user coding workflows. The goal is to ensure the system automatically applies the ... correct charge levels per procedure, reducing manual coder intervention and improving revenue integrity. The ideal consultant will be able to quickly assess… more
- LA Care Health Plan (Los Angeles, CA)
- …tools, or data mining platforms. Skills Required: Strong understanding of adjudication, coding , and the application of Division of Financial Responsibility (DOFR) to ... knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), International Classification of Diseases (ICD)-10, DRG/… more
- Banner Health (Phoenix, AZ)
- …applicable certifications and/or licensures, including but not limited to: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) PREFERRED ... Medicare rules and regulations (may also include knowledge of CPT, ICD-9 coding , HCPCS and DRGs). Researches regulatory requirements and develop/update audit tools… more
- NetApp (Morrisville, NC)
- …managed Cloud Services based on given requirements. We expect you to have excellent coding skills and take a lead role in designing and implementing managed Cloud ... code and architecture. **Job Requirements** * Excellent Problem solver, proficient coder and a designer. * Thorough understanding and extensive experience with… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …Bachelor's degree preferred. Minimum Experience: 5 years of experience in healthcare coding including at least 1 year of prior auditing experience. Knowledge of ... Medicaid) and commercial payers billing and documentation guidelines, current coding resources, including CPT4, ICD-10-CM/PCS, HCPCS required. **License/Certification/Registration Required:**… more
- Banner Health (Tucson, AZ)
- …Certified Healthcare Facility Manager (CHFM); Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder (CPC); JD from ... for the administrative clinic functions including front office operations and coding , billing etc. Works with the Chair to determine resource allocation… more
- Waystar (Atlanta, GA)
- …planning, implementation, and stabilization. The Consultant will leverage billing and coding subject matter expertise and industry experience to advise clients in ... compliance issues, focusing on government/payer requirements for claims billing & coding /authorization * Leverage analytical tools (Excel, PowerBI, SQL Databases) to… more
- Sanford Health (Fargo, ND)
- …19.00 - 30.50 **Job Summary** Responsible for functions related to pharmacy coding and billing; participate in the resolution of pharmacy billing issues. Ensure ... is captured and reconciled against prescription records. Reviews and completes coding , claims, and denials for medications, supplies, and diagnosis within pharmacy.… more
- Carle Health (Peoria, IL)
- …guides new orientees Perform daily QI checks on the equipment. Assigns/completes charging/ coding worksheet on each patient undergoing procedures within the area in ... Completes charge sheet with correct charges/codes to facilitate accurate coding based on the procedures performed/completed Validates correct charges/codes with… more
- University of Utah Health (Salt Lake City, UT)
- …documentation through extensive concurrent interactions with physicians, nursing staff and coding to support that appropriate reimbursement and clinical severity is ... measuring and reporting physician and hospital outcomes. + Assists the assigned coder with concurrently reviewing the medical records of inpatients and subsequently… more