- Centene Corporation (Jefferson City, MO)
- …+ Complies with all policies and standards **Education/Experience:** Associate's Degree in Medical Billing and Coding, Healthcare or related field, or equivalent ... experience required. 5+ years of account management, nursing, healthcare management, medical billing , or CPT coding, claims, coding analysis and trends, and/or… more
- Carle Health (Champaign, IL)
- Overview **This position offers remote flexibility but requires availability for on-site visits as necessary.** Performs routine and ad hoc auditing of all revenue ... 1 year - American Health Information Management Association (AHIMA); Certified Professional Coder (CPC) within 1 year - American Academy of Professional Coders… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …that define our success and are transforming healthcare. This is a remote position. This position is responsible for managing and overseeing the activities ... increasingly responsible management experience in healthcare). + Certification as Professional Coder (CPC) through AAPC or Coding Credential through AHIMA required.… more
- Ochsner Health (New Orleans, LA)
- …System (CTMS) to guide users in accurate data recording to prevent billing errors, ensuring data integrity and compliance. To perform this job successfully, ... (CHPC), Certified in Healthcare Research Compliance (CHRC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or related certification.… more
- UPMC (Pittsburgh, PA)
- …works Monday through Friday during daylight hours. The position will be fully remote ! In this role, the DRG Specialist II will review clinical documentation within ... the medical record to ensure that all patient resource utilization,...sequenced according to coding and compliance guidelines. + Review billing data when conducting focused chart audits to ensure… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …to any HHS and CMS RADV audits, including retrieval and coding of targeted medical records. * Design and implement QA programs to improve coding accuracy, reduce ... staff, on proper coding practices and compliance requirements. * Manage medical coding metrics, performance improvement opportunities, and evaluation of in-home… more
- Houston Methodist (Houston, TX)
- …by providing direct education to the staff via face-to-face classroom setting, remote web conferencing, and written resources. The Coding Educator will work jointly ... with pre-billed claim edits to ensure complaint coding, charting and billing . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Designs, implements, and monitors effective… more
- Centene Corporation (Frankfort, KY)
- …in monitoring business processes and systems to assure integrity and compliance in billing and claims payment + Investigate possible waste , abuse and fraud leads ... Business, Criminal Justice, Healthcare, related field or equivalent experience. 3+ years of medical claim investigation, medical claim audit, medical claim… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... professional fee coding across all entities to ensure timely and optimal billing and reimbursement to support established Health Information Management and Revenue… more
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