- Healthfirst (FL)
- … rules and industry standards across all areas of the company with regards to claims editing and proper coding , billing, and payment. + Researches and provides ... York, NY.** **Duties & Responsibilities** : + Conducts independent assessments of current claims edits to ensure comprehensive and defensible claims editing is… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …be considered. * 3 years of relevant health plan or provider office medical coding / claims and/or Business Analyst experience in a healthcare setting ... Cross and Blue Shield of Minnesota Position Title: Healthcare Coding Analyst Location: Hybrid | Eagan, Minnesota...as a liaison to other divisions/departments (Health Management, Service, Claims ) for coding policy and coding… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical ... data. Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and… more
- Houston Methodist (Bellaire, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and ... and identifying potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV8219 Working TitleCOMPLIANCE CODING AND BILLING ANALYST Number of Vacancies1 LocationMcAllen, Texas DepartmentCompliance ... , and reimbursement processes. + Reviews, assesses and analyzes medical records, coding , billing, claims , reimbursements and workflow processes to ensure… more
- Banner Health (AZ)
- …coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing ... data base and indices, and must be familiar with coding and abstracting software, claims processing tools, as well as common office software and electronic… more
- American Medical Association (Chicago, IL)
- Senior Healthcare Coding Analyst Chicago, IL (Hybrid) The American Medical Association (AMA) is the nation's largest professional Association of physicians and a ... IL office, requiring 3 days a week in the office. As a Senior Healthcare Coding Analyst you will be responsible for supporting and enhancing the activities of… more
- Highmark Health (Harrisburg, PA)
- …is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various ... including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must fully… more
- Amergis (Tulsa, OK)
- …of processing healthcare claims preferred. + Researching, investigating and adjusting claims . + CPT, ICD-9, and Diagnostic coding experience. + Data entry ... Amergis Healthcare Staffing is seeking a Claims Processor / Claims Examiner to be responsible for providing expertise or general claims support to teams in… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Clinical Auditor/ Analyst Intermediate! The Clinical Auditor/ Analyst Intermediate is an integral part of the ... the analysis of care and services related to clinical guidelines, coding requirements, regulatory requirements, and resource utilization. This role also acts… more