- Robert Half Accountemps (Boca Raton, FL)
- …is required. * At least five years of experience in medical billing, coding , or related roles within the healthcare industry. * Proficiency in E/M ... providers and administrative staff. Responsibilities: * Conduct thorough audits of medical documentation to identify coding discrepancies and ensure accuracy… more
- Humana (San Juan, PR)
- …Qualifications** + BS in healthcare or business-related field + Knowledge of internal Medical Coverage Policies and Claims Payment Policies + CAS claims ... takes to Succeed** + 2 years experience with a coding certification (Industry-recognized coding certification from the...from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement… more
- Stony Brook University (East Setauket, NY)
- …include the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected ... or denied claims , improper payments and coding issues. +...least 6 months of business experience, preferably in a healthcare setting such as revenue cycle, medical … more
- Truman Medical Centers (Kansas City, MO)
- …authorization platforms** , or EHR systems + Understanding of **insurance coverage, medical /pharmacy coding ** , and ambulatory care workflows + Proven track ... positions and apply.** Ambulatory Medication Access Coordinator - Pharmacy - UH Truman Medical Center (Mon - Fri, 8:00a-5:00p, Hybrid schedule) 101 Truman Medical… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Preferred Skills and Experience * Bachelor's degree * Experience in provider office medical coding , claims auditing, or specialty clinics. * Certifications ... on proper coding practices and compliance requirements. * Manage medical coding metrics, performance improvement opportunities, and evaluation of in-home… more
- St. Peters Health (Helena, MT)
- … course work preferred. Approximately three to five years work experience in medical coding preferred. Has working knowledge of medical terminology, ... and monitors the progress of the claim. Resolves denied claims due to coding issues. Reconciles daily...weekly and resolves those outstanding. Conducts audits of physician medical documentation and coding as assigned. Other… more
- HCA Healthcare (Leander, TX)
- …to our team by providing accurate demographic and insurance information to ensure accurate coding , billing and claims submission. **What you will do:** + You ... Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- The Cigna Group (Bloomfield, CT)
- …with corporate guidelines. + Conduct in-depth clinical summary reviews, including analysis of medical records and claims data. + Summarize and compile findings ... to support Market Medical Executives and Nurse Executives in client-facing engagements. +...TruCare strongly preferred. + Experience with CPT and ICD-10 coding is highly recommended. + Excellent time management, organizational,… more
- Molina Healthcare (Cincinnati, OH)
- …fraud, abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of ... healthcare providers that bill Medicaid/Medicare/Marketplace. **KNOWLEDGE/SKILLS/ABILITIES** + Ensure investigators...well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems +… more
- Genesis Healthcare (Kennebunk, ME)
- …five thousand dollar sign-on bonus!** Sub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility (no on call or ... - $62 / hour. AlignMed Partners is a national medical group dedicated to improving health outcomes among residents...of life for all. Our mission is to elevate healthcare outcomes for our patients, providers, and partners. In… more