- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …verbal communication skills + Knowledge of CPT/HCPCS & ICD10 coding , Correct Coding Initiatives and UB04 billing + Strong critical thinking & problem-solving ... Strong understanding of healthcare reimbursement methodologies + Certified Professional Coder ( CPC ) and certified outpatient coder (COC) preferred + Proficiency in… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …or regulatory compliance Knowledge, Skills & Abilities (required): + Medicare and Medicaid billing rules + Clinical documentation and coding standards + HIPAA ... in evaluating and strengthening the organization's compliance program across clinical, billing , privacy, and operational domains. + This role leads complex,… more
- Highmark Health (Pittsburgh, PA)
- …Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical ... to prevent further improper payments. Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Develop and… more