- AnMed Health (Anderson, SC)
- …to account information. Prepares and files electronically or hard copy claims . Stays current of all Government/State/HIPPA, etc., rules and regulations pertaining ... to compliance in billing . Responsible for analyzing denials and initiating appeals, when...HIPPA, and Commercial Insurance/Managed Care, rules, and regulations governing billing compliance. + Gather and analyze medical records and… more
- Highmark Health (Columbia, SC)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and...in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of… more