- Houston Methodist (Houston, TX)
- …experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + CPC - Certified Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for...denials, denial reason and trending, interpretation of payer manuals, medical policies, and local/national coverage determinations. **SERVICE ESSENTIAL FUNCTIONS**… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …Description of Duties + Performs monitoring and compliance reviews of medical billing and coding compliance activities, associated risk assessments, ... coding , and reimbursement processes. + Reviews, assesses and analyzes medical records, coding , billing, claims, reimbursements and workflow processes to… more
- Elevance Health (Houston, TX)
- …position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and ... and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's...Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with… more
- Houston Methodist (Houston, TX)
- … Coding Specialist Physician-based (AHIMA) **OR** + CPC - Certified Professional Coder (AAPC) **OR** + Other coding credential by the American Academy ... and APC systems, official coding guidelines and coding compliance + Working knowledge of medical ...and coding compliance + Working knowledge of medical terminology, anatomy and physiology + Extensive PC knowledge… more
- Brockton Hospital (West Bridgewater, MA)
- …of placement ie inpatient/outpatient coding + Certification/Licensure: Requires Certified Coding Specialists (CCS) or Certified Professional Coder (CPC) or ... is Southeastern Massachusetts' premier local provider of quality, personalized medical services. We are comprised of the award-winning not-for-profit Signature… more
- R1 RCM (Salt Lake City, UT)
- …via Axiom and high dollar medical necessity edits + Identify trended coding quality issues requiring new or refresher coder education for accurate and ... transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise… more
- Fairview Health Services (St. Paul, MN)
- …payer medical policies + One of the following: Certified Coding Specialist-Professional (CCS-P); Certified Professional Coder (CPC; Registered Health ... reimbursement for services provided by the hospital. Reviews and analyzes medical records and coding guidelines to formulate coding arguments for appeals… more
- HCA Healthcare (Richmond, VA)
- …Improvement Specialist (Quality Improvement/Medicare Risk Adjustment)** will monitor and audit medical record documentation, coding and quality measures in the ... employees for MRA coding opportunities + Ensure that codes assigned meet medical necessity requirements by Medicare and other carriers + Create and assist with… more
- Stony Brook University (Commack, NY)
- …new and existing staff based on results of each coders performance + Perform coding audits and validation by reviewing medical records for correct ICD-10-CM and ... coding . RHIA,RHIT, and/or CCS certification. Demonstrated proficiency in medical terminology. Strong organizational and written communication skills. **_Preferred_**… more
- Independent Health (Buffalo, NY)
- …and financial recoupment statistics. + Perform validation of diagnosis and procedure coding by reviewing medical record documentation and/or provider claims ... culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist-Senior will be responsible for reviewing coding and… more
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