- 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
- Centene Corporation (Lansing, MI)
- …within a managed care environment related to HEDIS record review, quality improvement, medical coding or transferable skill sets that demonstrates the ability to ... performance in areas of Quality, Risk Adjustment and Operations ( claims and encounters). + Assists in delivering provider specific...education to providers and provider staff OR 2 years medical coding or other transferable experience and… more
- Humana (Indianapolis, IN)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background,...but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes… more
- CVS Health (Salt Lake City, UT)
- …skills, with experience in healthcare fraud detection. + Proficiency in interpreting claims data, medical coding , and regulatory frameworks. + Excellent ... and coding practices, verifying document authenticity, and identifying false claims or improper billing. + **Data-Driven Analysis** : Utilizes advanced data… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …The Billing Specialist will be responsible for processing the full lifecycle of medical claims -from charge entry and claim submission to payment posting, denial ... + High school diploma or equivalent required; associate degree or certification in medical billing/ coding (eg, CMB, CMRS) strongly preferred. + Minimum 2 years… more
- Globus Medical, Inc. (Collegeville, PA)
- …of the HFX Access team and build cross-functional relationships. + Working knowledge of medical terminology + Knowledge of HCPCS Coding + Knowledge of ICD-10 ... At Globus Medical , we move with a sense of urgency...the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a culture… more
- Ellis Medicine (Schenectady, NY)
- …in a hospital or healthcare setting preferred. + Must have knowledge of medical records, medical terminology and billing requirements, CPT, HCPCS and ICD-9 ... coding and be able to apply such ...records preferred. + Must understand managed care concepts and healthcare regulations. + Excellent communication (verbal, written and phone),… more
- UCLA Health (Inglewood, CA)
- …of AHA- Coding Clinic and AMA - CPT Assistant guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment ... to coding issues consistent with the most updated American Medical Association Current Procedural Terminology. + Identifies and reports any potential compliance… more
- Nuvance Health (Danbury, CT)
- …experience a plus. .Experience with large scale, automated patient billing systems, medical terminology and coding . Cerner CDM and Charge Capture preferred. ... process with IT to interface all charges and new codes into the billing and medical record system in order to ensure an accurate and timely Revenue Cycle. The Charge… more
- UnityPoint Health (Johnston, IA)
- …they are accurate, up-to-date, and confidential. + Process billing and insurance claims , including coding and verifying patient information. + Patient Education: ... Friday + Job ID: 175336 Overview UnityPoint Clinics Certified Medical Assistant Full-time + benefits $5,000 sign-on bonus for...recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in… more