- Elevance Health (Indianapolis, IN)
- …based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective ... and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. +… more
- Houston Methodist (GA)
- …and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory ... good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with… more
- CVS Health (Harrisburg, PA)
- …every day. **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that ... evidence and tools. + Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …setting, with 2 years experience in auditor role. Certified Professional Coder (AAPC, AHIMA)- Required Certified Medical Auditor Certification (AAPC)-Preferred ... Education SHIFT/CORE HOURS: Monday-Friday 8:30AM-5:00PM Exciting Careers Await at Premier Medical Group! Who We Are We are a physician-owned, multi-specialty … more
- The Cigna Group (Bloomfield, CT)
- The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates complex medical ... processes for Continuous Quality Improvement (CQI). Key Job Functions: * Conduct medical records reviews with accurate diagnosis code abstraction in accordance with… more
- CenterWell (Atlanta, GA)
- …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
- Ascension Health (Elk Grove Village, IL)
- …**Responsibilities** Facilitate improvement in overall quality, completeness and accuracy of medical record documentation. + Complete admission reviews and assign a ... mid-level providers to address the need for more detailed information in the medical record. + Collaborate with healthcare professionals to ensure the severity of… more
- National Health Transport (Miami, FL)
- Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance ... Medical Billing Specialist answers inquiries from insurance companies, patients,...Familiar with Medicare/Medicaid laws and billing + Certified Ambulance Coder helpful + Ambulance Industry experience helpful Compensation: $15.00… more
- Cleveland Clinic (Cleveland, OH)
- …responsible for assessing the accuracy and completeness of inpatient and outpatient medical record documentation through the conduct of random and focused coding ... 5:00 pm** A caregiver who excels in this role will: + Audit Electronic Medical Records, procedural cases and surgical cases, including pre-bill coding, DRG and APC… more
- CenterWell (Phoenix, AZ)
- …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more