- Commonwealth Care Alliance (Boston, MA)
- …the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing ... and clinical coding and reimbursement edits and necessary coding ...the request based on business needs and requirements, provider resolution option based on financial ability and forecasting for… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity ... appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record review. Provides billing… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …based on alphabetical splits. Responsibilities of the Patient Accounting Billing Specialist include regular and consistent billing for all payers and follow-up ... accounting projects, charge entry, and cash applications. The Patient Accounting Billing Specialist II performs analysis of persistent billing issues and recommends … more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250 West 57th Street-Full Time, Days** The Senior ... Billing Specialist is responsible for multiple components of the billing...of claims and collection, and in analysis and problem resolution . **Qualifications** + Associates Degree or high school diploma/GED… more
- TEKsystems (Milwaukee, WI)
- …Role We are seeking a highly skilled and detail-oriented Clinical Documentation Specialist (CDS) to support automation initiatives within our business office. This ... OR IA TO BE CONSIDERED**Key Responsibilities + Perform concurrent reviews of inpatient medical records to ensure documentation accurately reflects patient acuity and… more
- Cedars-Sinai (Los Angeles, CA)
- …that are both straightforward or may need further research in order to bring resolution . You will work with minimal direction from management to ensure the integrity ... **Experience we are seeking:** + Expert knowledge of medical terminology and coding (ICD, CPT, HCPCS, Modifiers, procedure, bill type, diagnosis, and revenue codes).… more
- Huron Consulting Group (Van Buren, AR)
- …for periods at a time. TECHNICAL QUALIFICATIONS: * Required Certifications: * Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or ... the 72-hour rule and other account combine scenarios. * Adheres to the Inpatient coding quality and productivity standards established by the organization. *… more
- Billings Clinic (Billings, MT)
- … coding for all outpatient services and outpatient surgery services. Begin inpatient coding training. * Knowledge: Demonstrated and in-depth knowledge and ... Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) at hire Or an equivalent combination… more
- SSM Health (MO)
- …- American Health Information Management Assoc (AHIMA) + Or + Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management ... follow up denials. Works to improve billing based on findings/ resolution of errors. + Trains and mentors coding...Academy of Professional Coders (AAPC) + Or + Certified Coding Specialist (CCS) - American Health Information… more
- Ellis Medicine (Schenectady, NY)
- …Diploma or Equivalent required. + Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or ... and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations, responsible for reviewing and coding … more