- UPMC (Pittsburgh, PA)
- …technical school diploma is preferred. + 3 or more years of experience in medical coding , billing, auditing and compliance. + Extensive knowledge of CMS, and ... Compliance Auditor!** Are you passionate about ensuring accuracy and compliance in healthcare documentation and billing? Do you thrive in a dynamic environment where… more
- Access Dubuque (Dubuque, IA)
- …+ Troubleshoot system issues and deploy updates and enhancements. + Support claims processing, billing/ coding , and EDI transactions ( claims , enrollment, ... claims processing, or a related field. + **Knowledge:** Familiarity with medical billing/ coding , EDI transactions, CMS guidelines, and insurance industry… more
- Humana (Springfield, IL)
- …and quality related topics. + Educate on processes including claims submissions, recoupments, reconsiderations, authorizations, referrals, medical record ... limits. **Preferred Qualifications** + Bachelor's Degree. + Understanding of claims systems, adjudication, submission processes, coding , and/or dispute… more
- State of Montana (Helena, MT)
- …for this Career Opportunity ** * Knowledge of Medicaid rules, medical claims processing, medical terminology and coding principles and practices. * ... information, accounting, business, or social sciences related field. o Two years of experience with medical claims , medical coding , or medical review… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …improvement opportunities, and evaluation of in-home assessments, in office assessments, medical record retrieval and coding reviews, and point-of-care programs. ... and implementing risk adjustment strategies to facilitate accurate and complete coding , reporting, and regulatory compliance with CMS, HHS, and state guidelines.… more
- Huron Consulting Group (Van Buren, AR)
- …tools related to HIM + Knowledge of ICD-10, CPT and HCPCS medical coding standards. **Posting Category** Generalist **Opportunity Type** Contractor **Country** ... Proven success in managing end-to-end billing processes, including generating and submitting claims , statements and invoices for healthcare services with a focus… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …3 years in auditing of claims adjudication. + Working knowledge of medical terminologies and coding a plus + Excellent written and oral communication, ... will oversee contract and benefit configuration to ensure accurate claims processing and network compliance. This is a remote...our people are committed to the improvement of how healthcare is accessed and delivered. When you join our… more
- Robert Half Accountemps (French Camp, CA)
- …We are looking for a dedicated Patient Financial Services Supervisor to oversee medical billing operations in a healthcare environment. This long-term contract ... The ideal candidate will have a strong background in medical billing and coding , along with proven...coding is a plus. * Familiarity with electronic claims systems such as Epaces and other relevant tools.… more
- J&J Family of Companies (Irvine, CA)
- …and other study materials. + Conduct routine review of adverse events (AEs), medical coding , source documents, and subject narratives. + Contribute to drafting ... At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented,… more
- Humana (Montgomery, AL)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more