- University of Southern California (Los Angeles, CA)
- …reason for claim denials/rejections, analyzing, and resolving inpatient and outpatient coding -related insurance claim denials, rejections, and DRG downgrades in ... and state regulations. This role operates at the intersection of medical coding , billing , clinical documentation, and payer compliance, ensuring accurate claim… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …In addition, the Collections Specialist will: + Collect information and verify account-specific billing , insurance , and coding . + Update and document ... - full-time employees + Medical, Dental, Vision, and Life insurance + 401 (k) (available for Part Time &...& Full Time EEs) + Short-term and Long-term disability insurance + Tuition reimbursement + Personal Time Off (PTO)… more
- CareFirst (Baltimore, MD)
- …is not accepted. Troubleshoot, make recommendations and answer questions on more complex coding and billing issues whether systemic or one-off. + Supports and ... of CPT and ICD 10 codes in claims submissions. Utilizes extensive coding knowledge, combined with medical policy, credentialing, and contracting rules knowledge to… more
- Seattle Children's (Seattle, WA)
- …coding and coding -related processes, in collaboration with professional coding and charge capture, professional billing , professional compliance, and CUMG ... leadership teams. Develop educational materials and standard procedures. Communicate coding and billing updates to clinical leaders and providers. Build and… more
- Mount Sinai Health System (New York, NY)
- …The Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits and ... or health claims, with experience in EPIC & IDX billing systems in a health care or insurance...coders and provide education/feedback to the providers on optimal billing and coding for outpatient encounters, in-patient… more
- Fairview Health Services (St. Paul, MN)
- …review and addresses the coding components of said claims. + Reviews insurance coding -related denials, including but not limited to: DRG downgrade, DRG ... terminology, governmental regulations, protocols and third-party payer requirements pertaining to billing , coding , and documentation. The Inpatient Coding … more
- WMCHealth (Valhalla, NY)
- …NYS OMIG Compliance Program requirements + OIG Compliance Program Guidance + CMS billing , coding , and documentation standards + Develop and maintain a risk-based ... N/A Special Requirements: + In-depth knowledge of: + CMS billing and coding requirements + Federal and...comprehensive compensation and benefits package that includes: + Health Insurance + Dental + Vision + Retirement Savings Plan… more
- Mount Sinai Health System (New York, NY)
- …claims, with experience in IDX billing systems in a health care or insurance environment, and strong familiarity with ICD/CPT coding + Licensing: None but ... Specialist I is responsible for multiple components of the complex billing and coding process for specialized procedures, including Accounts Receivable,… more
- CVS Health (Raleigh, NC)
- …needs over the phone * Healthcare work experience and familiarity with benefits, insurance , prescriptions * Medical billing , coding , and other medical ... a comprehensive benefits package which includes tuition reimbursement, medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and… more
- Ascension Health (Austin, TX)
- …background experience preferred. + Medical terminology knowledge preferred. + Knowledge of insurance payers, billing , and/or coding experience preferred. + ... + **Location:** Austin, TX **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans… more