- Humana (Dover, DE)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied...opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent… more
- Humana (Dover, DE)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied...Associates will work on EST, regardless of where the associate resides. Work hours can vary, slightly, but all… more
- Humana (Dover, DE)
- …a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- CenterWell (Dover, DE)
- …required: RHIA, RHIT, CCS, CRC, or CPC + Minimum 5 years' progressive experience in medical coding operations + Minimum of 3 years' direct experience managing or ... degree preferred. **Knowledge, Skills, and Abilities** + Advanced understanding of medical coding guidelines, healthcare regulations (including HIPAA, state and… more
- Highmark Health (Dover, DE)
- …** EDUCATION ** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/ coding , health insurance, healthcare ... using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers… more
- Humana (Dover, DE)
- …for timeliness, compliance and quality. + Will be a SME (Subject Matter Expert) medical coder with in-depth experience in inpatient coding audits (MSDRG/APDRG) + ... health first** The Senior Payment Integrity Professional - Inpatient Coding Disputes on the Disputes Team consults and collaborates...starting your FIRST day of employment. Benefits include: + Medical Benefits + Dental Benefits + Vision Benefits +… more
- Humana (Dover, DE)
- … record review knowledge + 2 or more years of risk adjustment provider education + Familiar with coding guidelines (ie ICD-9/ICD-10) + Comprehensive knowledge of ... of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation and creates an … more
- SitusAMC (Dover, DE)
- …equivalent from four-year College or technical school or equivalent combination of education and experience + Experienced professional with 5+ years of industry ... and/or relevant experience, typically with 1+ years in an Associate level role or external equivalent. + 5+ years...work environment. + Understanding of ADO, WLS, and SQL coding a plus + Ability to work in a… more
- Datavant (Dover, DE)
- …academic medical facility. + Experience with significant level of coding quality review feedback + Experience in computerized encoding and abstracting software ... for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to… more
- Datavant (Dover, DE)
- …educational needs related to coding quality, compliance assessments, external payer reviews, coding education , interim coding management, and coding ... Systems: Cerner PowerChart, 3M360.** You Will: + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM,...will bring to the table: + 3+ years experience coding and auditing + Associate or Bachelor's… more
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