- Highmark Health (Pittsburgh, PA)
- …industry **Preferred** + 1 year of financial analysis in acute care hospital or health insurance setting **LICENSES or CERTIFICATIONS** **Required** + None ... (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud… more
- Intermountain Health (Santa Fe, NM)
- …functionalities to expediate the claim processing for compliant and optimized hospital accounts. + Evaluates, provides education and guidance to revenue cycle, ... Lab and Interventional Radiology procedure coding experience, and Certified Cardiology Coder (CCC) or Certified Interventional Radiology Cardiovascular Coder … more
- Highmark Health (Harrisburg, PA)
- …investigations **Preferred** + 1 year in Financial Analysis in an acute care hospital or health insurance setting + 1 year in professional billing, facility Patient ... (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud… more
- CenterWell (Coral Springs, FL)
- …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.… more
- CenterWell (Las Vegas, NV)
- …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
- Datavant (Boise, ID)
- …Scrutinizes all HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary results for review ... and actively participates in the resolution of audit findings. + Provide coder education via email and/or conference calls, utilizing the audit spreadsheet findings… more
- MD Anderson Cancer Center (Houston, TX)
- …one to one basis. *Preferred Experience:* * Prior experience working in a Teaching Hospital setting. This specific position is for a surgical position in OR surgical ... Coding Associate American Health Information Management Association (AHIMA). * Certified Coder -AHIMA or AAPC American Academy of Professional Coders (AAPC). * CPC-A… more
- CenterWell (Phoenix, AZ)
- …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …inquiries within the facility reimbursement mailbox + Maintain and update the hospital outpatient and drug fee schedules, including assessing and pricing new codes ... experience + Strong understanding of healthcare reimbursement methodologies + Certified Professional Coder (CPC) and certified outpatient coder (COC) preferred +… more
- Scripps Health (San Diego, CA)
- …Documentation Integrity (CDI), and Health Information Management (HIM), encompassing both hospital and professional fee services. This role is responsible for ... excellence, and information integrity across the Scripps system, spanning both hospital and professional fee settings. The Senior Director will have enterprise… more