- Health Care Service Corporation (Richardson, TX)
- …of or experience with BlueChip claims processing is a strong plus. + Knowledge of quality review processes is a strong plus. + Ability to analyze problem claims ... internship is in Richardson, TX **What Are Your Responsibilities?** The Audit Specialist Intern responsibilities may include assisting with claim accuracy audits… more
- LogixHealth (Dania, FL)
- …contribute to our fast-paced, collaborative environment and bring your expertise to review reimbursements and issues in Carrier Payment Audits. The ideal candidate ... skills, excellent interpersonal communication, and analytical skills. Key Responsibilities: + Review all insurance company reimbursements in all practices for all… more
- LogixHealth (Dania, FL)
- …contribute to our fast-paced, collaborative environment and will bring your expertise to review and carry out processes on all out of network claims. The ideal ... communication, and a well-rounded knowledge of insurance payers. Key Responsibilities: + Review , organize, and file IDR emails and complete responses + Monitor and… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …conditions. + Meets FMG Production standards for coding procedures. + Meets FMG Quality standards per the Coding Audit and Monitoring process. + Follows ... primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement through documentation review as well as abstracting billable… more
- Molina Healthcare (Warren, MI)
- …on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding . **Job Summary** Utilizing clinical knowledge and experience, ... decision making pertinent to clinical experience + Documents clinical review summaries, bill audit findings and ...two years of experience in Claims Auditing, Medical Necessity Review and Coding experience + Familiar with… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Conduct/NYS Education Department, Office of Professional Discipline and/or internal referral for quality review by the applicable business area. + Acts as ... agencies. Essential Accountabilities: Level I + Functions as a clinical reviewer of medical records, researching and investigating complex medical cases. Interprets… more
- HCA Healthcare (Nashville, TN)
- …Submit your application for the opportunity below: Revenue Integrity Charge Review Analyst Parallon **Benefits** Parallon offers a total rewards package that ... by location._** We are seeking a Revenue Integrity Charge Review Analyst for our team to ensure that we...that we continue to provide all patients with high quality , efficient care. Did you get into our industry… more
- University of Utah (Salt Lake City, UT)
- …for improvement and training within an organization that provides healthcare patient services. Review audit results with medical coding management and staff. ... Details **Open Date** 09/22/2025 **Requisition Number** PRN43151B **Job Title** Medical Coding Quality Auditors (Healthcare) **Working Title** Quality … more
- UTMB Health (Galveston, TX)
- …Health Care Administration. + Experience in billing/ coding , collections, claims, and quality and integrity audit review . **Equal Employment Opportunity** ... in payer requirements in a timely manner. + Ensures quality measurements, such as charge audits and compliance driven...of CDM, regulatory compliance, ICD-10, and CPT-4 medical record coding and UB04 billing. + Knowledge and understanding of… more
- UPMC (Pittsburgh, PA)
- … coding clinics, ICD-10-CM or government regulations. + Review provider coding /billing trends, and government audit outcomes to identified HCC coding ... facilitate the resolution of coding issues, focused review outcomes, government audit outcomes, or ad...Clinical Documentation Improvement, Fraud & Abuse, Chart Auditing, or Quality Review experience required. + Ability to… more