- Geisinger (Danville, PA)
- …management, physicians, clinical and non-clinical personnel utilizing the national correct coding standards, approaches, and industry standard coding rules to ... Biller through AAPC + Applies expanded knowledge of CPT, ICD-10 and HCPCS coding skills toward the maintenance and development of prospective claim edits and… more
- Commonwealth Care Alliance (Boston, MA)
- …the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing ... Management + Collaborate system and data configuration into CES ( Claims Editing System) with BPaaS vendor and...Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding … more
- Sedgwick (Los Angeles, CA)
- …maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Medical Malpractice | Professional Liability | California **PRIMARY… more
- Elevance Health (Norfolk, VA)
- …spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding...and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation… more
- Sedgwick (Orange, CA)
- …maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to ... limits. + Manages the litigation process; ensures timely and cost effective claims resolution. + Coordinates vendor referrals for additional investigation and/or… more
- Sedgwick (Charleston, WV)
- …maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to ... limits. + Manages the litigation process; ensures timely and cost effective claims resolution. + Coordinates vendor referrals for additional investigation and/or… more
- Adecco US, Inc. (Jacksonville, FL)
- …maintains professional client relationships. . Ensures claim files are properly documented and claims coding is correct. . Refers cases as appropriate to ... limits. . Manages the litigation process; ensures timely and cost-effective claims resolution. . Coordinates vendor referrals for additional investigation… more
- Sedgwick (Bartlesville, OK)
- …maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to ... limits. + Manages the litigation process; ensures timely and cost effective claims resolution. + Coordinates vendor referrals for additional investigation and/or… more
- Adecco US, Inc. (Washington, DC)
- …maintains professional client relationships. . Ensures claim files are properly documented and claims coding is correct. . Refers cases as appropriate to ... limits. . Manages the litigation process; ensures timely and cost effective claims resolution. . Coordinates vendor referrals for additional investigation and/or… more
- Sedgwick (Denver, CO)
- …maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to ... limits. + Manages the litigation process; ensures timely and cost effective claims resolution. + Coordinates vendor referrals for additional investigation and/or… more
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