- LA Care Health Plan (Los Angeles, CA)
- …III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies ... quality audits as well as validation of accuracy and completeness of all coding elements. The position is also responsible for guidance related to Payment Integrity… more
- Highmark Health (Harrisburg, PA)
- …and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days; all ... and cash flow as it pertains to the unbilled coding report. (5%) + Keeps informed of the changes/updates...with members of the health care team Preferred + Associate 's degree in Health Information Management or Related Field… more
- University of Southern California (Alhambra, CA)
- …Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes ... evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with...track, and maintain the integrity of the CDM and associate charge flow process. + Provides CDM data as… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate , you are joining a culture that is built on values of succeeding ... and identifies actionable opportunities for providers to improve their Quality and Coding Accuracy performance. The role leads face-to-face meetings with leaders in… more
- Robert Half Office Team (Sacramento, CA)
- …Sacramento, California. This long-term contract position focuses on ensuring the accurate coding and processing of fees for patient services. The role emphasizes ... Accurately apply diagnostic and procedural codes, including modifiers, based on current coding guidelines. * Review and code services for billing while ensuring all… more
- Trinity Health (Columbus, OH)
- …records and assist physicians in removing the barriers between clinical and coding languages to allow more specific and complete documentation. Through interaction ... resource on appropriate clinical documentation. + Communicates documentation discrepancies and coding definitions to the physicians both written and verbally as… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... experience involving economic or insurance related matters; or an associate 's or bachelor's degree in criminal justice or related...year of hire date. + Knowledge of medical record coding conventions (eg CPT, DRG, HCPCS, ICD10, etc.). +… more
- Trinity Health (Livonia, MI)
- …+ High school diploma or GED + Minimum three (3) years of relevant coding and charge control work experience in a hospital and/or Physician Practice environment and ... experience in revenue cycle, billing, coding and/or patient financial services. + Experience working with current clinical processes, charge master maintenance,… more
- University of Rochester (Albany, NY)
- …Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 106 ... equity considerations._ **Responsibilities:** Reviews codes for accuracy in accordance with coding rules and policies. Responsible for system edit reviews and… more
- Datavant (Lincoln, NE)
- …2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders + Uphold an ... overall 95% coding accuracy rate and a 95% accuracy rate for...written communication skills **What Helps You Stand Out:** + Associate or Bachelor's degree from an AHIMA-certified HIM or… more