- The Cigna Group (Bloomfield, CT)
- Job Summary: The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates ... members and matrix partners to facilitate various aspects of coding and Risk Adjustment education with internal...* Experience with medical documentation audits and medical chart reviews and proficiency with ICD-10-CM coding… more
- Advatix, Inc. (Philadelphia, PA)
- …Coder (CPC-H) or + Certified Coding Specialist (CCS) or + Certified Coding Specialist-Physician- + Based (CCS-P) Required Education : HS diploma or GED XPDEL, ... Job Title: Medical Abstractionist Pay Rate: $30-$32 Per Hour Location:...and clinical documentation insufficiencies + Review and resolution of coding -related edits and errors that impact claim submission +… more
- HCA Healthcare (Nashville, TN)
- …are appropriately educated + Reviews all official data quality standards, coding guidelines, company policies and procedures, and clinical/ medical resources ... eligible. **Introduction** **This position requires experience in Hospital Inpatient Coding .** Experience the HCA Healthcare difference where colleagues are trusted,… more
- Trinity Health (Syracuse, NY)
- …and ensure charges/ coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, ... combination of education and experience.Minimum three (3) years of relevant coding and charge control work experience in a Hospital and/or Physician Practice… more
- Datavant (Springfield, IL)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... Hospital OBS cases. MUST have heavy injection and infusion coding experience. Must have experience at a trauma level...but not required. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and… more
- University of Michigan (Ann Arbor, MI)
- Chief Medical Officer of Revenue Cycle and Billing Compliance Apply Now **Job Summary** The **Chief Medical Officer of Revenue Cycle and Billing Compliance** , ... of UMHs financial, patient satisfaction, compliance, and quality goals. Additionally, the Chief Medical Officer will work to build consensus and engage with a broad… more
- Vanderbilt University Medical Center (Tullahoma, TN)
- …issues, including potential fraud, over- or under-billing for services performed, CPT coding changes or discrepancies, and questionable medical necessity Allied ... **Discover Vanderbilt University Medical Center** : Located in Nashville, Tennessee, and...health and wellness through preeminent programs in patient care, education , and research. **Organization:** Core Laboratory **Job Summary:** 4-… more
- UNC Health Care (Chapel Hill, NC)
- …or other standards. Provides one-on-one and/or group meetings with providers regarding coding /compliance education . Assists with the development and delivery of ... Administration, Nursing or related field (or equivalent combination of education , training and experience). **Licensure/Certification Requirements:** * Coding … more
- Hartford HealthCare (Hartford, CT)
- …working in an educational/training role preferred. Licensure, Certification, Registration Medical Coding Certification, Certified Professional Coder (CPC), ... Coder Educator develops and implements an enterprise-wide risk adjustment coding and documentation education program to support...work experience Experience * Minimum of 3-5 years in medical claims coding required * Experience working… more
- Mount Sinai Health System (New York, NY)
- …a **Senior Contract Manager Analyst** will play a critical role in testing, coding , modeling, and reporting on Hospital Billing (HB) and Professional Billing (PB) ... contract data into the revenue cycle system. A strong background in contract coding , logic, and the ability to interpret contract terms and reimbursement guidelines… more