- CVS Health (Albany, NY)
- …customers regarding ongoing case investigations. **Required Qualifications** + 3-5 years investigative experience in the area of healthcare fraud, waste and abuse. + ... to Travel for Business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE + Bilingual English/Spanish + Dental Investigative … more
- State of Minnesota (Vadnais Heights, MN)
- …job's beginning and ending month and year._** Active certification as a Certified Professional Coder (CPC) **AND** Three (3) years of experience in revenue cycle ... Shift / 8:00am-4:30pm + **Days of Work** : Monday - Friday + **Travel Required** : No + **Salary Range:** $32.99 - $48.93 / hourly; $68,883 - $102,165 / annually +… more
- GE Aerospace (Niskayuna, NY)
- …Engineering or related disciplines with a minimum of 7 years of industry experience OR a master's degree in Electrical Engineering or related disciplines with a ... minimum of 5 years of industry experience OR a Ph.D. in Electrical Engineering or related...write simple device drivers. + Knowledge of MATLAB HDL coder or Xilinx's System Generator for control algorithm implementations… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Active clinical license, eg nursing, physical therapy, LICSW + Certified Professional Coder (CPC) **Required Experience (must have):** + minimum 5-7 years' ... aligned with industry standards, evidence, and best practices. **Supervision Exercised:** + No , this position does not have direct reports. **Essential Duties &… more
- University of Michigan (Ann Arbor, MI)
- …using ICD-10-CM, CPT, and HCPCS coding systems. + Collaborate with medical coder compliance specialist, providers and medical staff for clarification and to ensure ... is associated and corresponds to EKG verification. + Verify no -shows. + Check open/closed encounters and verify charges. +...School Diploma or GED + Minimum 3 years of experience + 2 or more years of charge capture… more
- Northwell Health (New York, NY)
- …and performs other duties as assigned QUALIFICATIONS: Education: Bachelor's degree. Certified Professional Coder (a plus) Experience : + Eight or more years of ... is hiring a CLAIMS SPECIALIST on a fulltime Temporary basis. (Coding/Claims experience needed, Data Analysis a plus) The Claims Specialist will support department… more
- Elevance Health (Hanover, MD)
- …license in applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a ... minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or...Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS… more
- HCA Healthcare (Nashville, TN)
- …and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral ... billing guidelines. The ideal candidate will possess detailed billing and coding experience related to hospital inpatient and outpatient services. You will be adept… more
- CVS Health (Hartford, CT)
- …proceedings or training if necessary **Required Qualifications** - 1-3 years of Investigative experience in the area of healthcare fraud, waste and abuse - Strong ... terminology/CPT/HCPCS coding. - Advanced skills with Microsoft Excel - Experience in healthcare/medical insurance claims investigation or professional/clinical … more
- CenterWell (Anderson, SC)
- …referral coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and ... better outcomes for seniors by providing a concierge experience , multidisciplinary services, coordinated care supported by analytics and...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more