- WellSpan Health (York, PA)
- …reviews comparing medical record documentation to validate charge capture, medical necessity, and coding accuracy. + Investigates and recommends action ... help desk tickets and work queues, due to potentially inappropriate documentation, coding , medical necessity or charge entry. Communicates with departments,… more
- Henry Ford Health System (Grand Blanc, MI)
- …Must have through knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. + Strong ... in conjunction with OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and completeness of … more
- Scripps Health (San Diego, CA)
- … Clinic and other relevant industry standard guidelines. * Provides input to coding and medical record documentation guidelines to assure compatibility and ... Cycle where you will have primary accountability for the oversight of Coding , Clinical Documentation Integrity (CDI) and Health Information Management HIM. The… more
- Truman Medical Centers (Kansas City, MO)
- …billing systems** , reporting tools, and Microsoft Office + Strong understanding of ** medical terminology** and coding principles + A leader who listens, ... Director of Professional Revenue Cycle - Corporate Professional Billing 101 Truman Medical Center **Job Location** University Health 4 (UH4) Kansas City, Missouri… more
- HCA Healthcare (Nashville, TN)
- …_Assessment of Documentation:_ + Performs high priority retrospective reviews of the complete medical record and the coding summary of assigned population. + ... 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
- Insight Global (Miami, FL)
- …Skills and Requirements - High School or GED - Minimum 1+ years of medical insurance collections experience o Etna, cigna, united healthcare - Knowledge of ... of all transactions, and account resolution - Maintains active communications with insurance carriers and third-party carriers until account is paid. - Negotiates… more
- Fairview Health Services (St. Paul, MN)
- …Fairview offers a generous benefit package including but not limited to medical , dental, vision plans, life insurance , short-term and long-term disability ... clinical records using _ICD‑10‑CM_ and _ICD‑10‑PCS_ in alignment with coding guidelines, MS‑DRG/APR‑DRG reimbursement rules, and Fairview protocols. + Validate… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …Vocational School training with an emphasis on accounting or business. Completion of medical terminology and coding classes in ICD-9-CM. + Experience + ... in a clear and concise manner. Is responsible for providing information from insurance companies and/or review agencies to appropriate medical center departments… more
- Zelis (St. Petersburg, FL)
- …and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and ... and billing rules + Clinical skills to evaluate appropriate Medical Record Coding + Experience conducting root...paid time off, holidays, parental leaves, life and disability insurance , and health benefits including medical , dental,… more
- Kelly Services (St. Louis, MO)
- …strong analytical skills, exceptional communication abilities, and a thorough understanding of medical billing processes and insurance guidelines. This is a ... contract position. **Responsibilities** + ** Medical Billing & Coding ** : Accurately enter...articulate appeal letters for denied claims, ensuring compliance with insurance protocols and maximizing reimbursement. + ** Medical … more