- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible ... Degree **Required Experience (must have):** + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+...Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …3 years of relevant health plan or provider office medical coding / claims and/or Business Analyst experience in a healthcare setting applicable to ... In this role, you will be responsible for ensuring healthcare medical coding and reimbursement...claims adjudication. This includes analysis of changes to medical code sets to determine impacts to and necessary… more
- General Dynamics Information Technology (Fairfax, VA)
- …(CCS) through the American Health Information Management Association (AHIMA) + Expertise in medical terminology and all healthcare coding (eg, ICD-10, CPT, ... Health **Skills:** Healthcare Fraud (Inactive),Insurance Fraud Investigations,Insurance Regulations, Medical Billing and Coding ,Technical Writing Documentation **Certifications:**… more
- HCA Healthcare (Plano, TX)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an ... which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** Parallon offers...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Genesis Healthcare (PA)
- …Care Organization (ACO) team. This is a remote position. **Current certification in medical coding from an accredited institution (such as AAPC or AHIMA) ... work as a compliance team member to ensure that claims submitted through participating LTC ACO TINs, including PAI...medical documentation and the ensuing billing documentation and coding ; + Work with team to develop comprehensive ICD-10… more
- HCA Healthcare (Nashville, TN)
- …experience required + RHIA, RHIT and/or CCS preferred Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding ... in Company and HSC policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures and clinical/ medical resources to… more
- Sharp HealthCare (San Diego, CA)
- …Auditor will analyze and assess Sharp's potential risks using SHC's billing and coding claims data, risk assessment data, MDAudit risk analyzer software, OIG ... Sharp HealthCare 's (SHC) compliance audit function and maintaining Sharp HealthCare 's view of coding , billing and reimbursement compliance audits. **Required… more
- Guidehouse (San Marcos, CA)
- …or customer service. + Working knowledge can be of the following: insurance claims , billing, coding , follow-up, finance, accounting or customer service related ... Required** **:** None **What You Will Do** **:** The ** Medical Biller** is expected to perform all areas of...billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the… more
- University of Southern California (Alhambra, CA)
- …Coding Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding -related ' claims denials' and ' claims rejections,' specific to ... services provided to covered patients. Manages the denial management process for coding -related denials, triage denied claims to distinguish coding -related… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …data. Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, ... of medical claims billing/payment systems, provider billing guidelines, medical necessity criteria, and coding terminology. . Coding Certification… more
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