- 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
- RWJBarnabas Health (Oceanport, NJ)
- …set forth by RWJBH, American Hospital Association (AHA) and the American Medical Association (AMA) must be maintained. Qualifications: Required: + Bachelor's degree ... Bachelor's degree. + Extensive knowledge of ICD-10-CM/PCS and CPT coding, medical terminology, human anatomy and physiology, clinical indicators associated with… more
- CenterWell (Seneca, SC)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
- CenterWell (Greer, SC)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
- Centene Corporation (Jefferson City, MO)
- …leading clinical coding compliance nurses and non-clinical team members through medical claim review. Ensure compliance with coding practices through a comprehensive ... review and analysis of medical claims, medical records, claims history, state...State Licensure and/or Compact State Licensure preferred Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred Pay… more
- State of Montana (Helena, MT)
- …and Healthy Montana Kids (HMK) programs. Key duties include analyzing medical claims data, evaluating provider billing practices, and ensuring compliance with ... *Qualifications for this Career Opportunity ** * Knowledge of Medicaid rules, medical claims processing, medical terminology and coding principles and practices.… more
- MedKoder (Mandeville, LA)
- About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for ... physician documentation that supports codes selected including adherence to Medical Necessity; + Adherence to Local Coverage Determination (LCDs),... Coding Industry Leaders - CEO is a Certified Coder with 20+ years of experience * Up to… more
- Community Health Systems (Huntsville, AL)
- **Join the team at Crestwood Medical Center!** Our benefits include: + Medical , dental, and vision coverage + 401(k) with employer match + Paid time off and ... with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and support continuity… more
- CenterWell (Atlanta, GA)
- …Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the ... business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state and federal regulations as… more
- Molina Healthcare (San Antonio, TX)
- …for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and ... medical records to document relevant findings of a post...registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's degree… more