- TEKsystems (Houston, TX)
- …Qualifications + Registered Nurse (RN) license strongly preferred with some sort of coding certification ( CPC , RHIT, etc.). + Previous experience in nursing, ... clinical documentation, or healthcare quality assurance. + Strong knowledge of medical terminology, anatomy, physiology, medications, and lab values. + Excellent… more
- Banner Health (AZ)
- …Information Technologist (RHIT); Certified Healthcare Facility Manager (CHFM); Certified Coding Specialist (CCS); Certified Professional Coder ( CPC ) Additional ... essential remote support for Electronic Health Record (EHR) systems and Medical Imaging Picture Archiving Communication System (PACS), covering both acute and… more
- Elevance Health (Latham, NY)
- …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent ... you make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and...Skills & Capabilities** + Professional certification of CFE, AHFI, CPC , Paralegal, RN, JD or other job related designation… more
- Highmark Health (Montgomery, AL)
- …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
- Elevance Health (Indianapolis, IN)
- …claims. **How you will make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and use of proprietary data ... **Preferred Skills, Capabilities, and Experiences:** + Professional certification of CFE, AHFI, CPC , Paralegal, RN, JD or other job related designation preferred. +… more
- Ochsner Health (New Orleans, LA)
- …(CHPC), Certified in Healthcare Research Compliance (CHRC), Certified Professional Coder ( CPC ), Certified Coding Specialist (CCS) or related certification. ... and unbiased judgment on behalf of the organization. + Knowledge of Medical terminology **Job Duties** + Reviews clinical trial protocols, informed consent forms,… more
- Banner Health (Phoenix, AZ)
- …Certified Healthcare Facility Manager (CHFM); Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder ( CPC ); JD from ... in support of audits of health care liabilities, communicating ROI for medical management and other health plan initiatives to leadership, preparing and delivering… more