- State of Minnesota (Vadnais Heights, MN)
- …Insurance, and other Third-Party Payer rules and regulations related to billing, coding , and documentation standards as well as managing the quality assurance ... collections are consistent with all rules and regulations. + Reviewing coding and billing strategies while implementing quality assurance processes. + Understand… more
- Nomad Global Communication Solutions (Huntsville, AL)
- …in a timely manner. Accountabilities: * Effectively serve as a team lead by coaching and mentoring, providing constructive feedback, and contributing to the ... and multi-thread development. * Master system architecture design, frontend coding , and backend coding sufficient to complete...and responsive outside of such hours as needed. Required Education / Experience: Education / Experience: *… more
- LA Care Health Plan (Los Angeles, CA)
- …configuration errors, contract misinterpretation, pricing defects, authorization discrepancies, coding anomalies, or systemic system defects. Reconstructs claims ... reporting, budgeting, and policy implementation. Performs other duties as assigned. Education Required Bachelor's Degree In lieu of degree, equivalent education… more
- Elevance Health (Seattle, WA)
- …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates with the ... Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1 year in fraud,...in fraud, waste abuse experience; or any combination of education and experience, which would provide an equivalent background.… more
- Nuvance Health (Poughkeepsie, NY)
- …open communications with physicians, interdisciplinary care team members, Department Head, Lead Clinical Documentation Specialist, coding management and ... extensive interaction with physicians, nursing staff, other patient caregivers, the Coding team and Health Information Management Department to ensure clinical… more
- Geisinger (Danville, PA)
- …of facility and professional compliance audits, monitoring, and provides compliance education for facility and professional documentation, coding , and billing. ... service line area. Job Duties One of the following coding or auditing certifications are required (CCS, CPC, RHIA,...a mentor for compliance staff. + Serves as primary lead for facility/professional billing compliance education , including… more
- J&J Family of Companies (New Brunswick, NJ)
- …+ Develop, review, and write study protocols and statistical analysis plans (SAP) + Lead and oversee the analysis; execute and/or review codes for analyses; and work ... healthcare claims databases, hospital billing data, or registries and clinical coding taxonomies such as the International Classification of Diseases (ICD), Current… more
- Integrative Emergency Services (Dallas, TX)
- …revenue cycle performance, documentation, and reimbursement outcomes. + Oversee coding auditing and education related to specialty-specific documentation, ... related to specialty service lines, including but not limited to change capture, coding , billing, collections, denials, and appeals. + Serve as a liaison between… more
- Trinity Health (Livonia, MI)
- …Obtain appropriate clinical documentation through extensive interaction with providers and coding staff to ensure documentation reflects level of service rendered to ... standards for claims submission. + Identifies patterns & trends impacting documentation & coding & acts as a technical resource related to documentation, coding … more
- Trinity Health (Livonia, MI)
- …structure, workflows & guidance of best practice documentation standards to ensure coding compliance & minimize audit liability. + Provides emphasis on adherence to ... for all services provided & clinical documentation exists to support appropriate coding & billing. + Stays current with organizational alternate payment models &… more