- Ascension Health (Kalamazoo, MI)
- …Remote, Monday - Friday day shifts with flexibility + **Facility:** Ascension Medical Group + **Location:** Kalamazoo, MI **Benefits** Paid time off (PTO) Various ... health insurance options & wellness plans Retirement benefits including...the offer._ **Responsibilities** Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and… more
- Ascension Health (Glendale, WI)
- …schedule + **Location:** Fully remote **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match ... the time of the offer._ **Responsibilities** Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Ascension Medical Group + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent's + **Location:** ... and HCC knowledge Required** **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match… more
- McLaren Health Care (Shelby Township, MI)
- …department staff, Clinical Documentation Improvement (CDI), and other allied health professionals to improve documentation of patient care and appropriately ... specialists, validating the coding specialist is accurately abstracting data into medical record systems, following coding guidelines, and relevant federal and other… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice to...Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for… more
- St. Luke's University Health Network (Allentown, PA)
- …as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless ... of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role...Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely… more
- LA Care Health Plan (Los Angeles, CA)
- …is responsible for planning audits and audit work programs that address appropriate claims and financial compliance criteria for specialty health plans. These ... Senior Health Care Audit Analyst Job Category: Accounting/Finance Department:...also LA Care contractual agreements. The position handles DMHC claims data submissions for LA Care and its Plan… more
- CenterLight Health System (NY)
- …Association (AHIMA): 1. Certified Professional Coder (CPC) 2. Certified Professional Medical Auditor (CPMA) 3. Certified Professional Practice Manager (CPPM) ... process for operational enhancements. Responsible for reviewing and implementing accurate medical /coding policies and Claims Manager edits across all PACE… more
- The County of Los Angeles (Los Angeles, CA)
- …County, CA Job Type Full time Job Number PH0668D Department PUBLIC HEALTH Opening Date 02/19/2025 + Description + Benefits + Questions Position/Program Information ... systems. + Supervises the review of audit findings prepared by the County Auditor and outside agencies and supervises the preparation of reports to support requests… more
- Elevance Health (Houston, TX)
- …and audit schedule. + Reviews, negotiates, and approves scope presented by external auditor . + For implementation audits, ensures the claims system is coded ... Audit Facilitator** is responsible for managing the process for claims and customer service audits/quality control reviews, including implementation audits,… more