- Northeast Alabama Regional Medical Center (Anniston, AL)
- …meet payor requirements. Maintains records of review information and outcomes for billing purposes and for compliance with requirements of regulatory agencies and ... for retrospective reviews by outside agencies. Reviews the patients' medical record for documentation issues as they relate to...relate to the working DRG developed by the Case Manager/ Coder . Assists with special projects as directed or requested… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …experience + Strong understanding of healthcare reimbursement methodologies + Certified Professional Coder (CPC) and certified outpatient coder (COC) preferred + ... Knowledge of CPT/HCPCS & ICD10 coding, Correct Coding Initiatives and CMS 1500 billing + Strong critical thinking & problem-solving skills + Ability to manage… more
- Stanford Health Care (Palo Alto, CA)
- …identifying potential revenue leakage while ensuring compliance in charging and billing practices within the healthcare system. Serving as the primary liaison ... multiple priorities effectively. **Licenses and Certifications** + Non ClinicalCOC - Certified Outpatient Coder preferred . or + CPC-H preferred . or + CCS -… more
- AdventHealth (Altamonte Springs, FL)
- …of the Outpatient Coding Operations manager, the Rapid In & Out Coder is responsible for reviewing, analyzing, and interpreting clinical documentation contained in ... the medical record, applying appropriate ICD-10 and CPT codes conventions...for comprehensive, accurate, timely clinical documentation. + Outpatient Surgical coder . Assign ICD-10 diagnosis codes and applicable CPT/HCPCS codes… more
- LogixHealth (Bedford, MA)
- …+ Assist in the development and implementation of ED pro /facility coder production, other specialties and consistently meet LogixHealth coding industry standards + ... social events. About LogixHealth: At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great clinical care.… more
- Elevance Health (Tampa, FL)
- …or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing… more
- Fairview Health Services (St. Paul, MN)
- …reimbursement for services provided by the hospital/physician. Reviews and analyzes medical records and coding guidelines to formulate coding arguments for appeals ... and stays abreast of ICD-10-CM and ICD-10-PCS, coding principles, medical terminology, governmental regulations, protocols and third-party payer requirements… more
- Elevance Health (Atlanta, GA)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... (CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- Robert Half Office Team (Mountain View, CA)
- …appointments. * Verify insurance coverage and gather required information to support billing processes. * Input and maintain precise patient data within electronic ... medical record systems such as Epic or Cerner. * Handle billing tasks by collecting copays, managing forms, and ensuring accurate account reconciliation. *… more
- Hawaii Pacific Health (Honolulu, HI)
- …to maintain the most accurate reimbursement, tracking and reporting for the organization's medical and billing records. Activities include the processing of ... billing codes for professional medical services and communication with physicians and Revenue Management staff to ensure that the transfer of information is… more