• Billing Specialist-78319-027

    Mount Sinai Health System (Elmhurst, NY)
    …or acquired through the completion of a High School Diploma. Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT 4 coding certification obtained by ... **Job Description** Review Medical charts and documentation within but not limited...with CPC / CCS-P credentials. At least six months coding experience preferred. Certified Professional Coder /AAPC. Ability… more
    Mount Sinai Health System (05/06/25)
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  • Senior Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …compliance. **MINIMUM REQUIREMENTS:** + Bachelors degree required. + Current Certified Coding Specialist (CCS) or Certified Professional Coder certification ... coding , and documentation requirements, Federal and State regulations, medical necessity, clinical best practices, and facility/professional billing issues.… more
    Emory Healthcare/Emory University (03/04/25)
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  • Claims Specialist - Remote

    Rising Medical Solutions (Milwaukee, WI)
    …Bachelor's degree preferred + CPC (Certified Professional Coder ), CCS (Certified Coding Specialist) or equivalent medical coding certification preferred ... Insurance, Workers' Compensation, No-Fault, and/or Liability industry + Strong knowledge of medical terminology, CPT and ICD coding , and healthcare billing… more
    Rising Medical Solutions (04/19/25)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    …with billing regulations and trends in denials of services due to medical necessity or appropriateness of services. + Conducts compliance, defense, LifeNet and ... reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +...holding a valid Compact State license. + Certified Professional Coder required. + Certified Outpatient Coder (COC;… more
    Childrens Hospital of The King's Daughters (04/25/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Norfolk, VA)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
    Elevance Health (04/29/25)
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  • Supervisor, Clinical Documentation Improvement

    Baylor Scott & White Health (Dallas, TX)
    … Specialist (CCS) or Cert Doc Improv Practitioner (CDIP) or Cert Professional Coder (CPC) Clinical knowledge of disease process. Medical Record Review skills. ... a weekly basis. Complies and stays abreast of new regulations and coding guidelines. Responsible for physician/clinical documentation education on an as needed… more
    Baylor Scott & White Health (04/17/25)
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  • Clinical Documentation Specialist

    University of Texas Rio Grande Valley (Harlingen, TX)
    …provides supporting evidence and makes recommendations regarding identified documentation and coding deficiencies or gaps. Identifies trends and provides feedback to ... medical staff, coders, and management. * Acts as a...expert to service providers and coders through familiarity with coding conventions. * Works closely with Revenue Cycle … more
    University of Texas Rio Grande Valley (04/28/25)
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  • Payment Integrity: Reimbursement Policy Quality…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …certified outpatient coder (COC) preferred, experience with CPT/HCPCS & ICD10 coding , Correct Coding guidelines. + Experience with MS Access, Cognos Power ... support including policy research & development, clinical editing, industry regulatory coding knowledge, business operations and acting as a subject matter expert… more
    Blue Cross Blue Shield of Massachusetts (05/11/25)
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  • Procedural Billing Specialist II- Oncology…

    Mount Sinai Health System (New York, NY)
    coding services for complex or more specialized inpatient and outpatient medical office visits. Reviews physician coding and provides updates. + Provides ... process for specialized or complex pre and post-surgical procedures, including coding , Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates… more
    Mount Sinai Health System (04/16/25)
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  • Billing Specialist - Psychiatry - MSM - Full…

    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 ... payments in IDX using approved methodologies. 8. May perform specialty coding for services and medical office visits and review physician coding and provide… more
    Mount Sinai Health System (03/15/25)
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