- Robert Half Accountemps (Eden Prairie, MN)
- Description We are looking for a highly skilled RN Certified Coder to join a fully remote team on a long-term contract basis. This role involves working remotely ... and PowerPoint to prepare reports and communicate findings. Requirements * Active, unrestricted RN license and certification as a Coder (CPC). AAPC or AHIMA.… more
- Centene Corporation (New York, NY)
- …outlier payment review. + Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide ... pricing guidance. + Ensure medical coding rules and regulations including compliance requirements are...assigned. + Complies with all policies and standards. **Education/Experience:** RN Degree. One year experience preferred in hospital inpatient… more
- UPMC (Pittsburgh, PA)
- … Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified Medical Coder (CMC) + Registered Health Information Administrator (RHIA) + ... auditing and monitoring to ensure that coding/documentation combinations and medical record documentation adequately support services coded and billed...+ Licensed Professional Nurse (LPN) or + Registered Nurse ( RN ) + Act… more
- UPMC (Pittsburgh, PA)
- … Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified Medical Coder (CMC) + OR Registered Health Information Administrator (RHIA) + ... Responsibilities:** . **Comprehensive Auditing:** Conduct UPMC-wide audits to ensure medical record documentation supports the services coded and billed...+ OR Licensed Professional Nurse (LPN) + Registered Nurse ( RN ) Required: +… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is...Office suite, including Word, Excel and PowerPoint. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Adecco US, Inc. (Minneapolis, MN)
- …EST **Pay:** $60.00 - $67.00 per hour based on experience **Responsibilities of the** ** RN Certified Coder :** . Determine which codes belong to the language in ... the coding for our benefit plans **Qualifications for the** ** RN Certified Coder :** . Active RN...Pay . 401(k) Plan . Skills Training . Excellent medical , dental, and vision benefits Benefit offerings include … more
- Geisinger (Danville, PA)
- …Experience Minimum of 5 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Certified ... 40 hours weekly; Days. A minimum of 5 years RN work experience is required. Certifications Required: Applicants must...rules and regulations, for completeness and accuracy of the medical record. + Monitors and provides feedback to the… more
- Highmark Health (Little Rock, AR)
- …experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... and retrospective claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure appropriate level of… more
- McLaren Health Care (Mount Pleasant, MI)
- …degree in healthcare related field + ACMA or ACDIS memberships + Certified Medical Coder , Certified in Healthcare Compliance, Certified Coding Specialist, or ... other related duties as required and directed. **Qualifications:** **_Required:_** + Registered Health Information Technician (RHIT), Licensed Practical Nurse … more
- Elevance Health (Atlanta, GA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for… more
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