- Highmark Health (Cheyenne, WY)
- …using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers for ... Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits....or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) +… more
- CareFirst (Baltimore, MD)
- …ongoing professional development on CMS, HHS, HCC, and ICD-10 coding requirements. + Identify and resolve process bottlenecks, ensuring timely completion of ... **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate coding strategy across Medicare… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION ... PURPOSE:** The Risk Adjustment Coding Specialist works in a team environment and is...Guiding Behaviors and Caring Standards including interpersonal communication and professional conduct expectations with all coworkers, other departments, and… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk Adjustment Data ... Validation (RADV) audit and any other chart coding functions, by performing moderately complex medical record review and coding , ensuring compliance with all… more
- Elevance Health (Ashburn, VA)
- …spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role ... within a commuting distance from an office.** The **DRG Coding Auditor** is responsible for auditing inpatient medical records...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Claxton-Hepburn Medical Center (Carthage, NY)
- …or RHIA (multiple certifications preferred). Experience + Minimum 5 years of progressive coding experience in hospital and professional settings. + At least 2 ... CAH-Patient Accounting - Coding Supervisor- Full Time- Day Shift-8a-4p - Req...Req 9146 Pay Range $29.71-$39.36* Position Summary The Medical Coding Supervisor ensures accurate, compliant, and timely coding… more
- Providence (OR)
- **Description** ** Coding Policy Analyst** **_Remote_** The Coding Policy Analyst is responsible for the coordination of technically detailed work that has a ... within Providence Health Plan (PHP). This position will update and create Coding Policies and associated edit configurations within the PHP claims editing system.… more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the ... hospital/physician. Reviews and analyzes medical records and coding guidelines to formulate coding arguments for appeals and/or coding guidance for potential… more
- Penn Medicine (Philadelphia, PA)
- …shape our future each day. Are you living your life's work? **HIM Inpatient Coding Specialist II** **Job Summary:** + Performs all coding and abstracting for ... of reimbursement to which the facility is legally entitled according to stringent coding and compliance guidelines. Reviews and acts as the gatekeeper for the… more
- Henry Ford Health System (Detroit, MI)
- At Henry Ford Health, precision and integrity in coding are essential to delivering high-quality care and ensuring the financial strength of our system. As the ... Director of Procedural and Anesthesia Coding , you'll set the strategy and lead system-wide efforts...+ Foster a culture of accountability, continuous learning, and professional growth; ensure ongoing coder education tied to compliance… more
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