- Molina Healthcare (NM)
- …requirements and converting these terms to configuration parameters. + Handles coding , updating and maintaining benefit plans, provider contracts, fee schedules and ... and needs of user community. + GA Medicaid claims/ reimbursement/ coding experience is highly preferred **JOB QUALIFICATIONS** **Required Education** Associate… more
- The Cigna Group (Bloomfield, CT)
- …initiatives aimed at improving claim accuracy and operational efficiency. Strong technical coding experience will be needed to be successful in this role. **Key ... 5+ years of experience in healthcare data analytics required. + 5+ years coding experience required, with proficient skills using SAS and Microsoft SQL Server,… more
- Community Health Systems (Franklin, TN)
- …issues and enhance payer relations. + Maintains knowledge of medical coding systems, reimbursement structures, and regulatory changes to support accurate account ... working with internal teams and external payer representatives. + Knowledge of medical coding systems (ICD-10, CPT, HCPCS, DRG, etc.) and how they affect claim… more
- Vanderbilt University Medical Center (Nashville, TN)
- …from registration and scheduling to the final payment of a balance. * Coding Knowledge (Novice): Ability to assign and interpret ICD-10-CM/PCS coding ... classification systems and MS-DRG and APR-DRG prospective payment and severity systems. * Data Entry (Intermediate): The ability to transcribe information from the original source into an electronic system according to written and verbal instructions… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Clinical Documentation Specialist (CDS) uses clinical, coding , and Clinical Documentation Integrity (CDI) knowledge and experience to improve ... preferably critical care. + Basic PC knowledge required. Knowledge of ICD-10-CM Coding Guidelines. Knowledge of revenue cycle process preferred. + Knowledge of… more
- Trinity Health (Columbus, OH)
- …developing/implementing action plans. Reviews denials (eligibility, registration, and authorizations, coding etc..) for each area and provides feedback to Practice ... policy and regulatory changes as well as changes in CPT, ICD-10 and HCPCS coding . + Communicates with manager and liaison team to ensure all assigned sites and… more
- Insight Global (Burlington, MA)
- …within the department. You will be a key member involved with design discussions, coding on both the backend and frontend, and working heavily with the database and ... new features according to the requirements while adhering to the best coding development standards. * Conduct detailed designs and lead design whiteboarding and… more
- Molina Healthcare (GA)
- …Visio + Advanced knowledge of Excel preferred + SQL knowledge preferred + Coding certification preferred + Knowledge of configuration in QNXT strongly preferred + GA ... Medicaid claims/ reimbursement/ coding experience is highly preferred **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of… more
- CareFirst (Baltimore, MD)
- …creates highly complex systems. **ESSENTIAL FUNCTIONS:** + Perform technical detail design, coding , testing of applications. Serves as subject matter expert for both ... experience. **Experience:** 5 years experience with software development, basic coding and compilation, software architecture/design, user requirements definition and… more
- Insight Global (Dallas, TX)
- …. Skills and Requirements o GED or High School Diploma o CPC Certification o 2 years of Pro Fee E/M Coding Experience o Surgical coding experience ... We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for… more
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