- Centene Corporation (Austin, TX)
- …in state fair hearings and health plan provider calls. + Develop and maintain review guidelines for Corporate medical coding reviews. + Performs other ... medical claim reviews to ensure compliance with coding guidelines through a comprehensive review and analysis of claims, medical records, claims… more
- University of Miami (Hialeah, FL)
- …years of coding in an inpatient hospital setting. Must have ICD-10-CM/PCS medical coding experience. Strong knowledge of anatomy and physiology, medical ... Communicates professionally identified discrepancies, documentation issues, denial management issues and coding concerns in the medical record to the appropriate… more
- Elevance Health (Tampa, FL)
- …on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. Partners ... **Nurse Reviewer I** **Location:** Tampa, FL Elevance Health supports...meets medical necessity criteria or requires additional medical necessity review . + Conducts initial … more
- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist- Senior will be responsible for reviewing coding ... and audit tips across the team. The Clinical & Coding Specialist- Senior will support the leadership in...+ Responsible for all reconsideration clinical appeals to include review of records, consultation with Medical Director,… more
- Banner Health (TN)
- …CAC applies clinically intelligent Optum natural language processing (NLP) to review medical records and deliver comprehensive, accurate code suggestions. ... coding Inpatient team members. CORE FUNCTIONS 1. Analyzes medical information from medical records. Accurately codes...and complex matters independently with regard to interpretation of coding guidelines prior to referral to senior … 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 ... to know you. We have an opportunity at our corporate offices in Chicago for a Senior Healthcare Coding Analyst on our Health Solution team. This is a hybrid… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Senior Coding Specialist is responsible for performing coding tasks required to promote efficient operation of the physician practices within Chesapeake ... Regional Medical Group. Essential Duties and Responsibilities These duties and...various code and charge information into information system + Review appropriate reports for validation of accurate transmission +… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Inpatient Coding Audit Manager? At HCA Healthcare, you come first. HCA Healthcare has committed up to ... offer eligible colleagues an attractive benefit package that includes medical , wellbeing, dental and vision benefits along with some...a difference. We are looking for a dedicated Inpatient Coding Audit Manager like you to be a part… more
- CenterWell (Miami, FL)
- **Become a part of our caring community and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical ... codes (eg, ICD-10-CM, CPT) to patient records. The Medical Coding Professional 2 work assignments are...reviews. (Frequency and sampling methodology to be determined) + Review the encounter for potential missed opportunities. + Address… more
- Stony Brook University (Commack, NY)
- …new and existing staff based on results of each coders performance + Perform coding audits and validation by reviewing medical records for correct ICD-10-CM and ... software. + Provide education to the CDI staff on coding guidance on an ongoing basis. + Review...line. **Job Number:** 2500556 **Official Job Title:** : TH Medical Records Senior Specialist **Job Field** :… more