- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …to any HHS and CMS RADV audits, including retrieval and coding of targeted medical records. * Design and implement QA programs to improve coding accuracy, reduce ... staff, on proper coding practices and compliance requirements. * Manage medical coding metrics, performance improvement opportunities, and evaluation of in-home… more
- Banner Health (Tucson, AZ)
- …Incentive Program as part of your Total Rewards package. Banner University Medical Group is our nonprofit faculty practice plan associated with the University ... provide primary and specialty care to patients at highly ranked Banner - University Medical Centers and dozens of clinics while providing mentorship to more than 700… more
- Elevance Health (Atlanta, GA)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for ... identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for fraud and abuse… more
- Northwell Health (Lake Success, NY)
- **Req Number** 168589 Job Description Supervises and coordinates medical record functions: acquisition and distribution, chart analysis, discharge coding, ... by communicating and providing guidance toward achieving department objectives. + Supervises medical record functions to ensure coding of charts is achieved within… more
- Bon Secours Mercy Health (Greenville, SC)
- …Heart Association required BAT, DOT Urine Drug Screen, PFT, Hearing Conservation, Medical Coder preferred **Education** High School Diploma required Associates ... screenings, spirometry, EKG, drug & alcohol screens, and more + Collaborates with billing to ensure accuracy with financial aspects of service line + Supports… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical, and business professionals… more
- Health Care Service Corporation (Richardson, TX)
- …professional development. **Job Summary** This position is responsible for performing clinical, billing , coding and lowest cost setting reviews for services pre and ... post payment utilizing medical , contractual, legislative, policy, and other information to validate claims submitted and billed. Conducting research; preparing… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... professional fee coding across all entities to ensure timely and optimal billing and reimbursement to support established Health Information Management and Revenue… more
- Molina Healthcare (MI)
- …projects, and other state specific audit projects and deliverables related to accurate billing and coding. This role also works with the Health Plan Risk/Quality ... source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of...be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you… more
- Parkview Health (Huntington, IN)
- …Parkview Health Systems/PRMC including Flight and EMS services. Determines appropriate coding/ billing charges according to written procedures and criteria as it ... Must be a High School graduate. Successful completion of a Medical Terminology course preferred. Licensure/Certification Must obtain Certified Ambulance Coder… more