- Molina Healthcare (Jacksonville, FL)
- …required, + Experience with Medicare, Medicaid and Marketplace is required. + Medical coding experience is highly preferred. **JOB QUALIFICATIONS** **Required ... Education ** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 7-9 years **Preferred Education ** Graduate Degree… more
- Vanderbilt University Medical Center (Nashville, TN)
- **Discover Vanderbilt University Medical Center** : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, ... health and wellness through preeminent programs in patient care, education , and research. **Organization:** Hematology/Oncology **Job Summary:** Under moderate… more
- Guidehouse (San Antonio, TX)
- …Required** **:** None **Fully Remote Fully Remote Fully Remote!** **Join Our Growing Medical Coding Team! All roles are 100% REMOTE.** **What You Will ... by analyzing documentation and discussing correct code assignment. + Reviews medical records flagged through the SMART (Inpatient and Outpatient tools) software… more
- Hartford HealthCare (Farmington, CT)
- …appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPT coding , by reviewing the medical record, facility protocol, and other ... 1. Analyze and resolve specific billing edits and denials that require coding and billing expertise with some clinical knowledge that are delaying claims… more
- Northwell Health (Westbury, NY)
- …clinical staff and nursing supervisors in providing appropriate documentation in the Medical Record. + Identifies appropriate coding changes necessary to provide ... RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group… more
- Queen's Health System (Honolulu, HI)
- …to ensure services are coded with appropriate CPT and ICD-9 codes. Conducts education , training, and continuously monitors QMC and QEC providers related to PATH ... guidelines, coding and documentation of professional services rendered, in accordance with government, insurer, and other regulatory agency standards. Effective… more
- Datavant (Denver, CO)
- …for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring ... of a patient's health stats, **You will:** + Provide education through detailed feedback within audits. + Provide coders'...to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing… more
- Henry Ford Health System (Troy, MI)
- …High school degree or equivalent. + Associate's degree or equivalent years of college education , preferred. + Two (2) years of coding experience. + Experience ... Ford Health System's (HFHS) transaction flow processes, including the use of coding knowledge to effectively design insurance recovery and patient pay workflows,… more
- Centene Corporation (New York, NY)
- …training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor ... needed analysis to determine specific training needs for clinical and coding staff + Identifies, selects, or develops appropriate training programs, including… more
- Huron Consulting Group (Van Buren, AR)
- …Epic and Cerner EHR systems + Skilled in coding quality audits and inpatient coding education + The ability to travel based on client, enterprise, or project ... internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and… more