- Hawaii Pacific Health (Honolulu, HI)
- … Coder - Risk Adjustment (CRC) or Certified Documentation Specialist (CCDS). Previous experience providing education to physicians and advanced practice ... a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the… more
- Trinity Health (Albany, NY)
- …Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** ... The Risk Adjustment Coding Specialist works in a team environment and is responsible...**SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal and written communication… more
- Community Health Systems (Las Cruces, NM)
- As a **Charge Capture Specialist at Mountainview Medical Group** you'll join a team and be a part of a culture that's dedicated to providing top quality care to ... loan assistance for eligible roles.** **Job Summary** The Charge Capture Specialist is responsible for reviewing, auditing, and reconciling clinical and procedural… more
- State of Montana (Helena, MT)
- …the Office of Inspector General, Program Compliance Bureau.* The Compliance Specialist 2 is responsible for identifying and investigating potential fraud, waste, ... and Healthy Montana Kids (HMK) programs. Key duties include analyzing medical claims data, evaluating provider billing practices, and ensuring compliance with… more
- Genesis Healthcare (PA)
- Overview We are seeking a full time Certified Professional Coding Specialist to join our Advanced Care Organization (ACO) team. This is a remote position. **Current ... certification in medical coding from an accredited institution (such as AAPC...in the field in required.** The Certified Professional Coding specialist will work as a compliance team member by… more
- McLaren Health Care (Mount Pleasant, MI)
- …related field + ACMA or ACDIS memberships + Certified Medical Coder , Certified in Healthcare Compliance, Certified Coding Specialist , or Certified Clinical ... write appeals demonstrating accuracy/proficiency in referencing support from the medical recorddocumentation and coding guidelineswith timely and successful submissions.… more
- Cleveland Clinic (Cleveland, OH)
- …of medical terminology and anatomy/physiology + Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS-P), Registered Health ... of the most respected healthcare organizations in the world. As a Reimbursement Specialist , you are responsible for policies and protocols related to coding and… more
- Avera (Sioux Falls, SD)
- …& specialty care providers to ensure that proper clinical documentation. The QRA Specialist will be responsible for ensuring that medical records for identified ... Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with the Director of Quality...RA gaps. + Identifies opportunities for synergies related to medical record review and manages the medical … 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
- Mount Sinai Health System (New York, NY)
- …Degree or high school diploma/GED plus 3 years of relevant experience + Certified coder required + Experience in medical billing or health claims, with ... **Job Description** The Billing Specialist is responsible for multiple components of the...methodologies. 8. May perform specialty coding for services and medical office visits and review physician coding and provide… more