- Elevance Health (Indianapolis, IN)
- …based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective ... and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. +… more
- Datavant (Boise, ID)
- …presentations, reports, educational programs, memoranda, etc. by providing formal and informal education to QA specialists, coding vendors and staff. + Report ... superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
- Mount Sinai Health System (New York, NY)
- …operations. + Provides on-going in-service training for staff on proper coding guidelines, insurance regulations, medical records and physician documentation ... **Job Description** **Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid** The Reimbursement Analyst… more
- Johns Hopkins University (Baltimore, MD)
- …**_Coding Specialist II_** is responsible for understanding all aspects of coding , quality assurance, and compliance with Federal payer documentation guidelines. ... & Responsibilities** _Procedural Knowledge_ + Responsible for all aspects of coding , quality assurance and compliance with Federal payer documentation guidelines. +… more
- SUNY Westchester Community College (Yonkers, NY)
- …into the workforce. RESPONSIBILITIES: Seeking energetic and engaging Adjunct Faculty to teach Medical Billing and Coding classes. The incumbent will deliver a ... join its team. Located in Yonkers, NY, this non-traditional adult education institution provides tuition-free academic and vocational training to eligible… more
- Guidehouse (Denver, CO)
- **Job Family** **:** General Coding **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** + Assists coders, compliant ... by analyzing documentation and discussing correct code assignment. + Reviews medical records flagged through the SMART (Inpatient and Outpatient tools) software… more
- Elevance Health (Roanoke, VA)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The Manager of DRG Coding Audit & Clinical ... **Manager DRG Coding Validation (Manager Program and Project Management)** ****...Validation leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance of… more
- HCA Healthcare (Brentwood, TN)
- …invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a part of an organization ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Queen's Health System (Honolulu, HI)
- …Experience to demonstrate the following: o Knowledge of CPT-4, ICD-9 and ICD-10 CM coding . o Knowledge of medical terminology and abbreviates. o Proficient in ... I. JOB SUMMARY/RESPONSIBILITIES: * Responsible for conducting internal audits of coding and documentation to ensure compliance with coding guidelines… more
- Calvert Memorial Hospital (Prince Frederick, MD)
- …+ Codes and abstracts inpatient medical records in accordance with established coding conventions and guidelines. + Education : + Associate's or Bachelor's ... degree in Health Information Management (HIM) or Coding , preferred. Position requires formal working knowledge equivalent to a two or four year degree in Coding .… more