- Blue KC (Kansas City, MO)
- …medical policies and member benefits + Knowledge of medical terminology and ICD/CPT coding + Experience working with the regulators (eg, CMS, State Department of ... DEA, HHS-OIG, OPM-OIG and/or Department of Justice) + Juris Doctorate + Coding Certification: AAPC, AHIMA + FWA Certification: Certified Fraud Examiner (CFE),… more
- Edwards Lifesciences (Naperville, IL)
- …+ Support the commercial team by addressing technology and procedure coding , coverage, and payment concerns, onboarding new accounts, and implementation process ... the medical device industry including, but not limited to coverage, coding , payment, insurance verification, prior authorizations, and/or claim adjudication, in… more
- Veterans Affairs, Veterans Health Administration (Grand Island, NE)
- …The Health Technician (Pedorthist) discusses the assessment with the physician /requesting provider for the purpose of developing the overall treatment ... and procedures to ensure patient privacy. Ability to assign Healthcare Procedure Coding System (HCPCS) coding to pedorthic devices. Health Technician… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for members in obtaining needed services, as appropriate, interacts with the treating physician or other providers of care. + Collaborates with hospital, home care, ... and State and Federal Mandates. + May be responsible for pricing, coding , researching claims to ensure accurate application of contract benefits and Corporate… more
- Globus Medical, Inc. (Collegeville, PA)
- …with an HFX Coach (TM) throughout their pain relief journey and every physician with HFX Cloud (TM) insights for enhanced patient and practice management. **Position ... Working knowledge of medical terminology + Knowledge of HCPCS Coding + Knowledge of ICD-10 coding **Physical Demands** **:** The physical demands listed here are… more
- Bozeman Health (Bozeman, MT)
- …60 days of hire + Basic knowledge of principles of CPT and ICD9 coding + Understanding of Medicare billing requirements for diagnostic tests Preferred + Radiology ... diagnosis or reason for exam requiring an understanding of valid ICD-9 coding , adequate patient demographics. + Provides telephone reception for busy department and… more
- Carle Health (Pekin, IL)
- …or requisitions needed for referrals or lab testing, including appropriate CPT/ICD-10 coding . Answer questions and provide teaching to patients and family members ... requisitions needed for referrals or lab testing, including appropriate CPT/ICD-10 coding . + Provide appropriate and timely documentation in the patient's electronic… more
- Dignity Health (Bakersfield, CA)
- …complex healthcare claims. This position requires expert knowledge of claims processing, coding , and regulatory compliance. The Claims Examiner III will handle the ... a senior or advanced role + Expert knowledge of CPT, ICD-10, HCPCS coding , and medical terminology. + Associate's Degree - Associate's Degree in healthcare… more
- Hartford HealthCare (Bridgeport, CT)
- …Conducts ongoing review of IRF-PAI related data, and actively collaborates with coding , Nursing, Rehabilitation Therapy and Case Management to ensure accurate and ... and admission ICD-10 codes to assure congruence and proper Coding for the IRF-PAI. Makes any necessary changes in...any necessary changes in collaboration with the coder and physician . * Based on medical record review, assists in… more
- Waystar (Atlanta, GA)
- …planning, implementation, and stabilization. The Consultant will leverage billing and coding subject matter expertise and industry experience to advise clients in ... compliance issues, focusing on government/payer requirements for claims billing & coding /authorization * Leverage analytical tools (Excel, PowerBI, SQL Databases) to… more