- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …in Eagan, MN. In this role, you will be responsible for ensuring healthcare medical coding and reimbursement policies are implemented and integrated in all ... coding . The incumbent will also represent the medical coding team on various Blue Cross...offer a comprehensive benefits package which may include: * Medical , dental, and vision insurance * Life… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding ... MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their...Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding… more
- St. Luke's University Health Network (Allentown, PA)
- …for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure ... APR-DRG for the purpose of appealing proposed DRG and coding changes by insurance providers or their...Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …or projects with minimal direction or oversight. . Acts as an expert in reviewing medical coding and medical record review with ability to oversee complex ... Accountabilities: Level I . Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the… more
- HCA Healthcare (Augusta, GA)
- …coding guidelines and policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates on special reviews or ... in current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical resources to… more
- HCA Healthcare (Chattanooga, TN)
- …III (CARS III) duties + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical resources to ... Submit your application for the opportunity below: Acute Care Inpatient Coding Specialist Parallon **Benefits** Parallon offers a total rewards package that… more
- Community Health Systems (Springdale, AR)
- …using classification systems like ICD-10-CM and CPT, complying with the official coding guidelines from the American Medical Association, the American Hospital ... reimbursement principles, health record content, sequencing of diagnoses, and the use of coding software. + Knowledge of medical terminology. + Basic computer… more
- Elevance Health (Ashburn, VA)
- …if candidates reside within a commuting distance from an office.** The **DRG Coding Auditor** is responsible for auditing inpatient medical records and ... issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement sent in by acute… more
- Mount Sinai Health System (New York, NY)
- …EPIC EMR system + Strong clinical and analytical skills to evaluate appropriate Medical Record Coding + Currently credentialed as CPC and/or CCS certifications ... records + Experience and working knowledge of various Health Insurance including CMS guidelines + Advanced knowledge of the...maintain on-going coding educational sessions that address coding edits from various depts., medical necessity… more
- Huron Consulting Group (Chicago, IL)
- …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and… more