- Centene Corporation (Tallahassee, FL)
- …preferably in healthcare . Project management experience preferred. **Preferred Skills:** Medical Billing and Coding Appeals experience Working with claims ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more
- Molina Healthcare (NE)
- …of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement ... medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination… more
- Molina Healthcare (ID)
- …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed ... team leadership experience + 10 years analytical work experience within the healthcare industry (ie, hospitals, network, ancillary, medical facilities, … more
- Oracle (Augusta, ME)
- …for Oracle Health, while building out a complete platform supporting modernized, automated healthcare . This is a net new line of business, constructed with an ... be pivotal in delivering our new Generative AI-powered solutions for healthcare and enterprise customers. Qualifications and Experience + Demonstrated experience in… more
- Molina Healthcare (Rochester, NY)
- …Education** Master's Degree **Preferred Experience** + Preferred experience in healthcare medical economics and/or strong financial analytics background ... health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver… more
- Molina Healthcare (NM)
- …Education** Master's Degree **Preferred Experience** * Preferred experience in healthcare medical economics and/or strong financial analytics background ... health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …service standards. Requirements + Education: Certificate or associate's degree in medical coding /CPC. These additional certifications are not required but ... THIS IS NOT A REMOTE POSITION We are hiring a Medical...+ Knowledge of CMS rules and regulations and current coding resources + Knowledge of Healthcare Common… more
- Cognizant (Columbia, SC)
- …Remote ] **Employment Type:** [Full-time] M-F flexible hours An **inpatient hospital medical coder** is a healthcare professional responsible for reviewing and ... **Job Title: Medical Coder - Inpatient Hospital - ICD 10...on **ICD-10-CM** (International Classification of Diseases) and **PCS** (Procedure Coding System) standards. . **Responsibilities** + Review clinical documentation… more
- The Cigna Group (Bloomfield, CT)
- …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
- UTMB Health (Galveston, TX)
- …Certified Coding Specialist (CCS) certification, and a minimum of 3 years of medical coding experience. **Or** . Registered nurse (or medical school ... Clinical Documentation Specialist ( Remote -Texas Resident) - Clinical Data **Galveston, Texas,...+ Understand the general flow of health information from medical record documentation and discharge, through coding ,… more