- 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
- Stanford Health Care (Palo Alto, CA)
- …Denial Analysis: Conduct thorough analyses of denials, evaluating the appropriateness of medical services and procedures. Ensure accurate coding with ICD, HCPCS, CPT ... comprehensive appeal letters to payors after a detailed review of medical records. Ensure compliance with Medicare, Medicaid, third-party guidelines, Local Coverage… more
- Carle Health (Champaign, IL)
- …1 year - American Health Information Management Association (AHIMA); Certified Professional Coder (CPC) within 1 year - American Academy of Professional Coders ... Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight...groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital,… more
- Bozeman Health (Bozeman, MT)
- …Intermediate knowledge and experience with electronic health records (EHR) systems (preferably Epic) and compliance/audit management tools. + Intermediate knowledge ... healthcare administration, business, accounting, or related field. + Certified Professional Coder (CPC) or similar coding credential. + Prior experience supporting… more
- Organon & Co. (Plymouth Meeting, PA)
- …and compliance. Strong understanding of CMS rules, stark law, anti-kickbacks in medical device space. In addition, the role will support contract analytics and ... costs, revenue cycle management, cost avoidance, and cost consequence analysis. + ** Systems Expertise:** proficiency in reimbursement and billing systems such as… more
- RTX Corporation (Goleta, CA)
- …+ Support work in the Hardware/Firmware Engineering Department at the Electronic Warfare Systems + Support work on new product development based on descriptions and ... integrated product teams to design, develop, and manufacture complex state-of-the-art systems for airborne, naval, and land-based military applications. + Activities… 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...required. 1+ years experience of using code editing software systems in a managed care organization preferred. **Certifications:** RN… more
- CDPHP (Latham, NY)
- …eligible members. This position will have responsibility for review of medical records to identify accurate ICD-10 diagnosis codes, chart retrieval activities, ... of employment is required. + CRC (Certified Risk Adjustment Coder ) credential preferred. + Minimum one (1) year of...a health care setting preferred. + Strong knowledge of medical terminology, anatomy and physiology, and medical … more
- Robert Half Finance & Accounting (Colorado Springs, CO)
- …skills to maintain seamless workflows and patient satisfaction. Job Description As a Medical Biller, you will play a critical role in managing all aspects of ... + Reporting and Analysis: Generate and maintain reports from practice management systems like NextGen and update the billing escalation tracker in Excel (pivot… more
- Ascension Health (Muskego, WI)
- …**Responsibilities** Facilitate improvement in overall quality, completeness and accuracy of medical record documentation. + Complete admission reviews and assigns 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
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