- Humana (Olympia, WA)
- …community and help us put health first** As a Senior Network Performance Professional at Humana, you will play a pivotal role in enhancing provider performance ... equivalent work experience. + Experience with Medicare Risk Adjustment and/or medical coding . + Experience with Medicare and/or managed care. + Understanding of NCQA… more
- WSP USA (Lakewood, CO)
- …PSCAD, Aspen Oneliner, ETAP, Power World and others as applicable + Coding experience and automation development Disclaimer: . Relocation assistance is not available ... operating company of WSP, one of the world's leading engineering and professional services firms. Dedicated to serving local communities, we are engineers, planners,… more
- Zelis (St. Petersburg, FL)
- …clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your ... Health Plans and TPA's to ensure adherence to proper coding and billing, analyzing inpatient DRG claims based on...analyzing inpatient DRG claims based on industry standard inpatient coding guidelines, and supporting the Office of the Chief… more
- UHS (Binghamton, NY)
- …for hospital inpatient services. This role ensures compliance with official coding guidelines, regulatory requirements, and ethical standards to support proper ... wage is dependent on relevant experience Primary Department, Division, or Unit: Coding Support Services, UHS Revenue Cycle Operations Primary Work Shift: Day… more
- Trinity Health (Livonia, MI)
- …and education to clinical documentation specialists (CDS) to enhance clinical and coding skill sets and optimal utilization of the 3M CDI software. Responsible ... for scheduling and work assignments for colleagues. Works closely with Clinicians, Coding , Quality and Denials teams to facilitate documentation within the medical… more
- Northwell Health (Lake Success, NY)
- …role, you'll leverage your healthcare environment experience-whether as a Certified Professional Coder or similar professional -to audit and monitor clinical ... ensuring accuracy, completeness, and compliance. Your expertise with medical terminology, coding , and documentation will support our mission to uphold the highest… more
- Stony Brook University (Commack, NY)
- …responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes. **Duties of ... to assign for the services and diagnoses. + Utilizes coding resources along with any other applicable reference material...electronic reference check with a minimum of three (3) professional references. + Successfully complete a 4 panel drug… more
- Emory Healthcare/Emory University (Decatur, GA)
- …**At Emory Healthcare** At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoingmentorshipand leadership programs ... Tennessee, Texas, Virginia and Wisconsin) **Description** Candidates are required to take a coding skills assessment within 5 days of contact and must have a passing… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... discovery of potential FWA. Discusses sensitive material in a professional , fair and accurate manner. Recommends providers for referrals...year of hire date. + Knowledge of medical record coding conventions (eg CPT, DRG, HCPCS, ICD10, etc.). +… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …professional experience with liability insurance claims processing. + Minimum 1 year professional experience with CPT, ICD-9 or ICD-10 coding , and/or HCPCS. ... + Bachelor's degree, or Associate's degree plus 3 years of professional experience, or 6 years of professional work experience. + Minimum 1 year professional … more