- AdventHealth (Maitland, FL)
- …reimbursement, and key quality indicators. Utilizes a thorough understanding of coding guidelines, guidance, medical necessity, and coverage determinations. Uses ... perks you need for you and your family:** + Benefits from Day One: Medical , Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day… more
- Cedars-Sinai (Los Angeles, CA)
- …will include: + Performs physician compliance audits and group audits by analyzing medical record documentation and coding services to ensure compliance with ... + Maintains a high level of competency related to medical record documentation, coding and compliance with...pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state… more
- UNC Health Care (Chapel Hill, NC)
- …provider compliant queries. 8. Ensures compliance with third party and State and Federal regulations. 9. Audits CDS medical records to identify opportunities for ... the Official Coding Guidelines, and third party payer, state and federal regulations. 10. Identifies cases for CDI Physician Advisor intervention and coordinates… more
- Elevance Health (Tampa, FL)
- …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
- Insight Global (Charlottesville, VA)
- …allied health professionals and billing staff to support patient care documentation, coding and billing practices according to federal , state and local ... coding education experience -CCS-P or CPC Certification -Experience creating coding presentations for physicians -Experience with academic medical center … more
- Johns Hopkins University (Baltimore, MD)
- …Specialist II_** who will be responsible for understanding all aspects of coding , quality assurance and compliance with Federal payer documentation guidelines. ... Duties & Responsibilities** _Procedural Knowledge_ + Responsible for all aspects of coding , quality assurance and compliance with Federal payer documentation… more
- Elevance Health (Indianapolis, IN)
- …by law._ The ** Coding Analyst** is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and ... you will make an impact:** + Audits and reviews medical documentation for appropriate ICD-9 and CPT coding...of gender, race, or any other category protected by federal , state, and local pay equity laws _._ *The… more
- Elevance Health (Richmond, VA)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Managers of DRG Coding & Clinical ... Manager of DRG Coding Audit-Program/Project Locations: _The selected candidate must reside...Validation** leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance of… more
- Elevance Health (Nashville, TN)
- …responsible for auditing coders that diagnosis data collected from physician and hospital medical records to ensure proper ICD-9 coding and compliance with risk ... minimum of 3 years of experience as coder of medical records in physician office, hospital, or insurance/ coding...acceptable explanation. Elevance Health will also follow all relevant federal , state and local laws. Elevance Health is an… more
- Emanate Health (Covina, CA)
- …and the #19 ranked company in the country. Job Summary The HCC Coding Specialist is responsible for the oversight and execution of HCC (Hierarchical Condition ... Category) and STAR Measures-related coding functions. This role collaborates closely with the IPA...This position plays a critical role in provider education, medical record review, claims validation, and performance reporting for… more