- Molina Healthcare (Phoenix, AZ)
- …medical providers. This position uses information from a tip, member benefits, and medical records to document relevant findings of a post pay clinical ... JOB DESCRIPTION Job Summary The SIU Coding Investigator is responsible for investigating and resolving...payment recovery. KNOWLEDGE/SKILLS/ABILITIES Reviews post pay claims with corresponding medical records to determine accuracy of claims… more
- Datavant (Boise, ID)
- …Experience in Interventional Radiology and HCC is a plus. You Will: Conduct inpatient coding audits on medical records , utilizing ICD-10-CM, CPT, and ... references for accurate DRG and APC assignment. Review non-CC/MCC records to assess proper coding or identify...Encoder and Auditing software Perks: Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more
- CUNY (Brooklyn, NY)
- …in one or more of the following non-credit certificate programs/courses: Electronic Health Records Medical Billing and Coding / Medical Insurance ... CPR/BLS AMAP/SCIP-R Certified Nursing Assistant (CNA) Pharmacy Technician Emergency Medical Technician (EMT) Licensed Practical Nurse (LPN) - Non-credit licensure… more
- Datavant (Trenton, NJ)
- …E/M coding in multiple settings What You Will Do: Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- UnitedHealth Group (Hartford, CT)
- …of experience with health insurance claims 2+ years of experience with medical records review / auditing including MS-DRG coding validation and / OR Acute ... of medical and reimbursement policies within the claim adjudication process through medical records review Serve as a Subject Matter Expert (SME), performing… more
- University of Rochester (Albany, NY)
- …variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies. ... requests for medical information. ESSENTIAL FUNCTIONS Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge… more
- UnitedHealth Group (Tampa, FL)
- …include all levels of complexity Have the ability to review/code a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, ... Investigations Unit (UHC IU) is a valuable national leader for UnitedHealthcare. The Medical Director oversees a coding team, ensuring accurate and efficient… more
- Banner Health (Phoenix, AZ)
- …in accordance with nationally recognized coding guidelines. CORE FUNCTIONS Analyzes medical information from medical records . Accurately codes diagnostic ... contributing to our award-winning patient care. POSITION SUMMARY Evaluates medical records , provides clinical and surgical abstraction... medical records . For all assigned records and/or areas assures compliance with coding … more
- Cardinal Health (Albany, NY)
- …or related field preferred. 6+ years of experience in physician and/or hospital coding and auditing, medical necessity reviews, or related work; cancer and ... documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation coding rules; medical terminology; E/M rules; healthcare compliance audit… more
- PedIM Healthcare (Crystal River, FL)
- …a Medical Billing Specialist in a healthcare setting. Strong knowledge of medical billing and coding procedures. Proficiency in medical billing software ... in Lecanto, Florida. We are currently seeking a detail-oriented and experienced Medical Billing Specialist to join our team. If you're passionate about healthcare… more
