- Texas Health Resources (Arlington, TX)
- …Manager oversees and manages auditing and monitoring activities related to billing and coding compliance. This role is responsible for developing policies, ... resource, this position provides guidance to providers, HIMS, the Central Billing Office, and other departments regarding coding compliance, documentation standards,… more
- AdventHealth (Orlando, FL)
- … demonstrates experience and expertise, so coding quality review is not required before billing . The Senior Coder utilizes years of experience and expertise to ... 125,000 outpatients each year **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in… more
- SUNY Upstate Medical University (Syracuse, NY)
- …training pertaining to Medical Terminology, Medical Coding, Medical Assistant Program. Preferred Qualifications: Certified Professional Coder (CPC) ... Job Summary: Analyze OP admits for appropriate billing requirements involving Advanced Beneficiary Requirement (ABN) waivers, pre-authorizations, referrals, correct… more
- AdventHealth (Orlando, FL)
- … demonstrates experience and expertise, so coding quality review is not required before billing . The Senior Coder utilizes years of experience and expertise to ... 125,000 outpatients each year **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in… more
- Molina Healthcare (San Diego, CA)
- …previously denied cases, in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing. * Evaluates ... Field. **Preferred Experience** Nursing experience in Critical Care, Emergency Medicine, Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and… more
- Mount Sinai Health System (New York, NY)
- …and experience + 5+ years of experience in hospital chargemaster maintenance and medical coding. + Certified Professional Coder (CPC) or equivalent credential ... seek an experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and optimization of the… more
- Commonwealth Care Alliance (Boston, MA)
- …employment - + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice ... direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective… more
- Highmark Health (Montpelier, VT)
- …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
- Humana (Helena, MT)
- …Facilitate presentations and train physicians and other staff regarding documentation, billing and ICD10 coding, and provide feedback to physicians regarding ... + Cultivate effective partnerships in a matrix environment of coding educators, medical director, clinical and market operations. + Facilitate, track and trend for… more
- Catholic Health Services (Melville, NY)
- …resulting in effective auditing and education to assigned services/departments, coding and billing teams. It also requires a broad exposure and knowledge of the ... to demonstrate success of the plan. + Collaborates with medical staff to develop and implement education training associated...+ Associate's Degree with 5 years of coding or coding/ billing experience in a professional billing setting… more