- Zelis (St. Petersburg, FL)
- …post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy ... on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client specific coverage policies. Conduct… more
- Montrose Memorial Hospital (Montrose, CO)
- …clinical diagnoses and procedure codes in accordance with nationally recognized coding guidelines for the development for organization wide database and submission ... You : + High school diploma or equivalent. + Coding credential or certification Clinical Coding Specialist...Computer literate. What We Offer: + Mentoring + Continuing Education + 401 K Retirement Plan with employer match… more
- BayCare Health System (Atlanta, GA)
- …AM to 3:30 PM + **Days:** Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position. _Sign on bonuses available!_ This position ... requires 3 years' Inpatient Coding experience and a Certified Coding Specialist...RHIT (Health Information) in addition to the required CCS Education + **Required:** High School Diploma or Equivalent +… more
- Hackensack Meridian Health (Toms River, NJ)
- …Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for ... are located in the Toms River or Morganville office.** ** Education , Knowledge, Skills and Abilities Required** : + High...GED equivalent programs. + Minimum of 1 year of coding for professional services + Strong understanding of physiology,… more
- WellSpan Health (York, PA)
- …guidelines and to support medical necessity + Follows Official Guidelines for Coding and Reporting using encoding software to identify coding edits ... Review or Claim Edit work queues to identify and investigate Epic edits for coding errors, charge capture, or claim edits and reviews Epic documentation to institute… more
- UPMC (Pittsburgh, PA)
- **Are you a coding professional seeking a meaningful career? UPMC's Trauma Registrar role involves maintaining the Trauma Patient Registry with high data quality and ... consistency. You'll handle patient identification, admissions, abstracting and coding , manage the trauma database, and retrieve data for quality assurance. You'll… more
- Elevance Health (Hanover, MD)
- …an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit ... activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge...ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.… more
- 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 ... well as validation of accuracy and completeness of all coding elements. The position is also responsible for guidance...as needed. Performs other duties as assigned. Duties Continued Education Required Associate's Degree in Nursing Education … more
- Commonwealth of Pennsylvania (PA)
- …or being transferred, a rchive hardcopy and electronic files, verify medical coding , and p repare periodic statistical reports. Interested in learning more? ... must be provided on the application (ie, relevant, detailed experience/ education ). + If you are claiming education .... + Yes 05 WORK BEHAVIOR 1 - MEDICAL CODING AND RECORDS REVIEW Code diseases, operations, special therapies,… more
- Aerotek (Charleston, SC)
- …CPT, and CMS guidelines. This role requires advanced proficiency in medical coding , attention to detail, and a strong understanding of applicable regulations. The ... auditor will collaborate closely with clinicians to communicate coding standards and documentation requirements effectively, supporting overall accuracy and quality… more