- Emanate Health (Covina, CA)
- …**J** **ob Summary** Responsible for the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the IPA ... or exceeds 1.0 and achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to external physician offices and works closely… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …SUMMARY: Division Support Specialist Under the general supervision of the Supervisor, Professional Billing & Coding , responsible for compiling & providing daily, ... productivity reports. Compile & review monthly billing report packets for Director, Professional Billing. Analyze, track & trend any significant changes in prior… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …subject to renewal by 03/31/2026** JOB SUMMARY: Under the direction of the Manager, Professional Billing & Coding , the Billing & Collections Rep I is responsible ... to review and process charges via our EMR system. They are responsible to process the paper charge tickets that are received for services provided at non-RCHSD locations. Using applicable reports, the incumbent ensures that all expected charges are received… more
- Stanford Health Care (Palo Alto, CA)
- …lead to appropriate execution of regulatory requirements and guidelines related to professional or facility and documentation, charging, coding and billing, ... to medical records + Knowledge of ICD-10-CM & CPT coding conventions to code medical record entries; abstract information...required . or + CPC and/or CCSP - Certified Professional Coder required . or + Certified Outpatient Coder… more
- TRC Talent Solutions (Peoria, IL)
- …and submit corrections; or if payer error, escalate for re-processing in a professional and timely manner Identify billing or coding issues and requests ... Assess accounts for balance accuracy, confirm correct payer billed, coding accuracy, denials, and outstanding insurance requests Provide documentation appropriately… more
- SMBC (Jersey City, NJ)
- …science or related field, Master's degree preferred + PhD/MS/MBA/FRM or other professional qualification highly preferred + Coding experience in Python, or ... R, or SAS + Proficiency with Word, Excel, PowerPoint, Tableau + Experience of working with QRM software is strongly preferred + Manage multiple initiatives simultaneously and plan/prioritize appropriately + Lead and drive initiatives through creative thinking… more
- SMBC (Jersey City, NJ)
- …science or related field, Master's degree preferred + PhD/MS/MBA/FRM or other professional qualification highly preferred + Coding experience in Python, or ... R, or SAS + Proficiency with Word, Excel, PowerPoint, Tableau + Past hands-on experience with QRM is preferred + Lead and drive initiatives through creative thinking and pragmatism + Strong writing skills, previous experience in drafting model documents +… more
- Luke Staffing (Butner, NC)
- …Technician (RHIT) . Certified Coding Specialist (CCS) . Certified Coding Assistant (CCA) . Certified Professional Coder (CPC) **CORE RESPONSIBILITIES:** ... **MEDICAL BILLING CODING SPECIALIST** **We encourage Military Veterans and Military...services at the FCC. . Utilizing Medicare National Correct Coding Initiative (NCCI) coding principles, the selected… more
- Astound (Princeton, NJ)
- …and employee discounts-ensuring our team members are supported in both their professional and personal journeys. At Astound, we believe in creating astounding ... architectural designs. What You Bring to the Table: 7-10+ years of relevant professional experience. Preferred at least 5 years' experience in a mentoring capacity.… more
- Stanford Health Care (Palo Alto, CA)
- …CDI targeted audits and analysis of the findings, related to documentation and coding , to build physician education, identify areas of individual and service line ... expert and authoritative resource on interpretation and application of CDI practices, coding rules and regulations, and conducts risk assessments of potential and… more
