• Code Edit Disputes Team Medical

    Humana (San Juan, PR)
    …The Medical Coding Coordinator 3 reviews clinical information from medical records and assigns appropriate procedural terminology and medical codes ... requirements, and supports operational efficiency in claims management. The Medical Coding Coordinator 3 performs advanced administrative, operational,… more
    Humana (10/07/25)
    - Related Jobs
  • Billing Coding Auditor

    Rush University Medical Center (Chicago, IL)
    …resolving accounts * Collaborates with operational departments to ensure accurate and complete medical records and charges * Meets or exceeds accuracy, quality ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical ...on the circumstances of each case. **Summary:** The Billing Coding Auditor uses advanced knowledge of billing, coding more
    Rush University Medical Center (09/30/25)
    - Related Jobs
  • Facility Coding Inpatient DRG Coding

    Banner Health (OK)
    …you. **Requirements:** + **5 years recent experience** **in acute-care Inpatient facility-based medical coding (clearly reflected in uploaded resume);** + **DRG ... researching authoritative reference information from a variety of sources. 2. Reviews medical records . Performs an audit of clinical documentation to ensure… more
    Banner Health (10/16/25)
    - Related Jobs
  • Inpatient Coding Quality Officer III…

    RWJBarnabas Health (Oceanport, NJ)
    …care RWJBarnabas facilities. Reviews ICD-10-CM/PCS coding and DRG assignment of medical records as "flagged" by SMART. + Independently manages EPIC SMART ... coding associated with RAC audits and/or other additional medical records as needed, and provides appropriate written feedback including rationale, research,… more
    RWJBarnabas Health (10/14/25)
    - Related Jobs
  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    medical record coding . * Works with vendors, providers and hospital Medical Records Departments and Business Office staff to coordinate medical ... responsible for various aspects of decision-making and implementation of medical coding reviews and coding ...Validation (RADV) Audits Essential Accountabilities: Level I * Reviews medical records to determine if specific disease… more
    Excellus BlueCross BlueShield (08/27/25)
    - Related Jobs
  • Outpatient Coding Education Analyst

    University of Washington (Seattle, WA)
    …of educational and outreach materials, report on unit activities, maintain unit records , monitor regulatory developments, and help develop Coding program ... Records Retention Schedule and department policy + Evaluate billing/ coding /documentation behavior and identify recommendations for improvement + Review, analyze… more
    University of Washington (08/20/25)
    - Related Jobs
  • Outpatient Coding Specialist

    St. Luke's University Health Network (Allentown, PA)
    …codes into Network's health information system. Collaborates with the Health Information/ Medical Records and Finance departments to ensure appropriate flow ... AND RESPONSIBILITIES: + Codes and abstracts diagnosis and procedure information from patient medical records according to AHA ICD-10-CM/PCS and AMA CPT-4 … more
    St. Luke's University Health Network (10/16/25)
    - Related Jobs
  • Coding Validator 3

    Beth Israel Lahey Health (Charlestown, MA)
    …accuracy and consistency.** Responsible for coding all types of outpatient medical records with efficiency and accuracy.** Responsible for writing compliant ... Official Guidelines for Coding and Reporting** Knowledge of medical records content and management** Strong written communication skills** Working knowledge… more
    Beth Israel Lahey Health (10/11/25)
    - Related Jobs
  • Coding Charges & Denials Specialist…

    Houston Methodist (Houston, TX)
    …changes are needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records , claims data, payer medical policies, etc.), ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for...claims information into a concise appeal letter, including appropriate medical records submission. + Performs timely review… more
    Houston Methodist (10/17/25)
    - Related Jobs
  • Coding and Compliance Internal Auditor I…

    Atlantic Health System (Morristown, NJ)
    …being reported + Audits codes and professional fee services performed by providers from medical records according to ICD-10, CPT, HCPCS, and CMS guidelines + ... Responsible for coding quality audits of all records ...Work Experience in the business of healthcare which includes: Medical Terminology and Coding and billing experience… more
    Atlantic Health System (10/01/25)
    - Related Jobs