- Highmark Health (Cheyenne, WY)
- …None **Substitutions** + None **Preferred** + Associate degree in medical billing/ coding , health insurance , healthcare or related field preferred. **EXPERIENCE** ... using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers for… more
- 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 ... The Senior HIM Coding Denials Management Specialist is a seasoned inpatient coding professional or coding auditor responsible for triaging, identifying… more
- CareFirst (Baltimore, MD)
- …experience. **Experience:** 3 years progressive work experience in a risk adjustment, medical coding or health insurance operations within a health plan or ... **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate coding strategy across Medicare… more
- Ideal Home Care (Islandia, NY)
- … coding courses, including healthcare terminology, ICD-10, CPT, HCPCS coding systems, insurance claims, reimbursement processes, and regulatory compliance. ... are seeking an experienced and dedicated Medical Billing and Coding Instructor to join our academic team. The ideal...to students in the field of medical billing and coding . This role involves preparing students for certification exams,… more
- Mount Sinai Health System (New York, NY)
- …operations. + Provides on-going in-service training for staff on proper coding guidelines, insurance regulations, medical records and physician documentation ... **Job Description** **Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid** The Reimbursement Analyst… more
- State of Georgia (GA)
- …(2) of the last five (5) years of work experience in medical billing, coding and insurance . Preferred Qualifications: + Diploma or Associate's degree in medical ... records administration, medical coding , or medical billing and insurance . + Teaching experience in a Health Science related field at the postsecondary level. +… more
- Rush University Medical Center (Chicago, IL)
- …3. Reviews charge information submitted by certified coders, claim forms, and insurance correspondence to determine if coding , billing, claim follow-up, payment ... conducting reviews of EMR documentation of patient encounters to ensure coding accuracy and documentation adequacy. The professional will work collaboratively with… more
- St. Luke's University Health Network (Allentown, PA)
- …to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Assures that the ... a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data...provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical… more
- St. Luke's University Health Network (Allentown, PA)
- …properly assigned MS-DRG or APR-DRG for the purpose of appealing proposed DRG and coding changes by insurance providers or their respective auditors JOB DUTIES ... The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure… more
- Johns Hopkins University (Baltimore, MD)
- …information prior to actual time of service. Requires extensive knowledge of insurance contracts, medical terminology and coding . Assumes administrative tasks, ... information, etc. on charge capture encounters before submitting to insurance companies. + Works closely with Coding ...to insurance companies. + Works closely with Coding Specialist III at Green Spring's Medical Oncology for… more