- Dignity Health (Phoenix, AZ)
- …and adheres to all Dignity Health coding policies and procedures. You MUST be a Certified Professional Coder CPC or CBCS to be considered for this position** ... and procedures, as well as laws and regulations affecting payment compliance, denials and appeals recovery . Proficient...MS Office applications, including MS Excel and MS Access. ** Certified Professional Coder CPC or CBCS** **PREFERRED**… more
- Elevance Health (Grand Prairie, TX)
- …Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, ... of one of our Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud member of the Elevance...years of experience in claims auditing, quality assurance, or recovery auditing. + Requires at least one of the… more
- Houston Methodist (Houston, TX)
- …receivable follow up experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + CPC - Certified Professional Coder (AAPC) **OR** + CCS - Certified ... data, payer medical policies, etc.), determines the causes for denials of payment and partners with management to implement strategies to prevent future denials.… more
- Elevance Health (Woburn, MA)
- …Coordinates with concerned unit/brand as appropriate regarding approved interventions such as recovery of overpayment, pre- payment audit of claims, or putting ... conducts analysis of claims and medical records prior to payment . + Researches new healthcare-related questions as necessary to...Requires an ASin Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and… more
- Whitney Young Health Center (Albany, NY)
- …MINIMUM QUALIFICATIONS: High School diploma/GED required. Certification from the AAPC as a Certified Professional Claims Coder required or obtained within 1 year ... addition to category II coding for our value base payment arrangements.Please note, this is a full-time, in-person role....the risk of fraud and abuse, and optimize revenue recovery . + Assists in training of Patient Account staff… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …Applicant is required to become a certified Healthcare Access Associate (CHAA), Certified Professional Coder (CPC), or other HFMA, NAHAM or AAHAM recognized ... of accounts by communicating financial responsibility through estimates, setting up payment plans, and/or providing referrals to financial counselors + Manage… more
- Stanford Health Care (Palo Alto, CA)
- …departmental productivity standards. Groups codes and completed product into payment group. Analyzes information for optimal and approprite reimbursement. Ensures ... work experience **Required Knowledge, Skills and Abilities** + Successful completion of the Coder Proficiency Exam (pre-hire) + Ability to adapt to and deal with… more
- CVS Health (Baton Rouge, LA)
- …legal proceedings, arbitrations, depositions, etc. **Preferred Qualifications** + AHFI, CFE, Certified Professional Coder + Knowledge of CVS/Aetna's policies and ... regulation. What you will do: + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines...and external, in the required timeframe + Facilitates the recovery of company and customer money lost as a… more
- CVS Health (Trenton, NJ)
- …approximately 10% of time for business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE + Dental Investigative experience ... fraud, waste and abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's,...within the timeframes required by Law. + Facilitates the recovery of company and customer money lost as a… more