- UPMC (Williamsburg, PA)
- …with correct coding and billing requirements * Post payments from insurance companies and patients * Assign charges and determine financial status using UPMC ... guidelines * Review and file insurance forms and patient statements (electronic or paper) *...and RRC compliance * Educate physicians and staff on coding and billing procedures * Contact physicians for missing… more
- University of Michigan (Ann Arbor, MI)
- …professional and facility charges. + Analyze visit documentation and apply coding /billing guidelines to interpret accuracy in charge capture. + Review Charge ... + Accurately code procedures and diagnosing using ICD-10-CM, CPT, and HCPCS coding systems. + Collaborate with medical coder compliance specialist, providers and… more
- Houston Methodist (Houston, TX)
- …responsible for resolving all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities ... on simple and complex denials and on outstanding insurance balances in the professional fee environment. This role...+ Creates and submits appeals when necessary. Engages the coding follow-up team for any medical necessity or … more
- Humana (Lansing, MI)
- …the Provider Relations team with appropriate claims submission processes and requirements, coding updates, and common billing errors to reduce claims denials and ... of provider communications and/or other educational materials, such as billing guides, coding updates, etc. + Partner with Provider Relations team to ensure prompt… more
- Intermountain Health (Murray, UT)
- …with third party payers. + Knowledge of care management. + Knowledge of health insurance related products. + Working understanding of coding , episode of care and ... length of stay guidelines. + Written and verbal communication skills. + Ability to work independently, be self-motivated, have a positive attitude, and be flexible in a rapidly changing environment. **Physical Requirements:** + Interact with others requiring… more
- Amentum (Englewood, CO)
- …standards for in-house products and processes, ie, follows best practices in coding . and documentation. + Provides technical guidance in IT engineering techniques ... applications. **Minimum Requirements** Specific experience and proficiency in the following coding languages at a minumum: VBA, Python, SQL, Java, HTML Ability… more
- HCA Healthcare (San Antonio, TX)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...Analyze and resolve specific billing edits that require HCPCS/CPT coding based on the chargemaster expertise and that are… more
- The Institute for Family Health (New Paltz, NY)
- …work queues and reports. + Verifies and performs data entry of patients' personal/ insurance information as needed to assist in payment of debt for designated ... payers regarding outstanding balance. + Interacts with other departments, insurance companies, medical professionals and patients' on daily basis....Institute fee schedules as well as CPT and ICD-10 coding and keeps up to date on annual changes.… more
- MaineGeneral Health (Augusta, ME)
- …cases as necessary. + Monitor and optimize billing practices, including coding accuracy, charge reconciliation, and dispute resolution. + Collaborate with ... or related field preferred. + Prior experience in billing, coding , or revenue cycle management strongly preferred. + Strong...2% in the 401(a) retirement income plan. + Three insurance plans are available to protect your family from… more
- Actalent (West Des Moines, IA)
- …Job Description This role requires a thorough understanding of standard medical coding , including CPT, ICD-10, and HCPCS. The Nurse Auditor is responsible for ... medical record review, billing, and auditing with extensive knowledge of medical coding and/or Medicare Guidelines. + Strong problem-solving skills and ability to… more