- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible for researching...within 18 months of hire, unless existing Certified Professional Coder (CPC) is held. + Experience with paper and… more
- Ellis Medicine (Schenectady, NY)
- The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not ... practice providers to optimize accurate documentation and coding. Additionally, all Medical Coder will participate in regularly scheduled cross-functional… more
- University of Rochester (Rochester, NY)
- …qualifications, expertise of the individual, and internal equity considerations._ **Responsibilities:** The Medical Coder III functions as an advanced coder ... - Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides...or health related field - 2 years' experience as Medical Coder required - Additional coding experience… more
- Trinity Health (Livonia, MI)
- …Full time **Shift:** **Description:** to be able to accurately and timely coder Emergency room and observation accounts using correct coding guidelines and rules ... and Reporting + The American Hospital Association (AHA) Coding Clinic + The American Medical Association (AMA) for CPT codes and CPT Assistant + The American Health… more
- Dignity Health (Phoenix, AZ)
- …support compliance and billing concepts and procedures. + Manages and corrects denied claims for coding issues, ie, unbundling, medical necessity, coding errors, ... affecting payment compliance, denials and appeals recovery. Proficient understanding of medical coding systems effecting the adjudication of claims payment.… more
- Fair Haven Community Health Care (New Haven, CT)
- …and rules that impact billing and collection. Duties and responsibilities The Medical Billing Coder performs billing and computer functions, including patient ... We believe that everyone should have access to high-quality medical and dental care, regardless of ability to pay....resolution of denials + Prepares and submits clean claims to various insurance companies either electronically or by… more
- Trinity Health (Waterbury, CT)
- …resolves claim edits that occur after coding to support timely final claims submission. Assigns appropriate code(s) by utilizing coding guidelines established by: + ... Clinic for International Classification of Diseases, Clinical Modification + The American Medical Association _(AMA_ ) for CPT codes and CPT Assistant + American… more
- Trinity Health (Livonia, MI)
- …established by Revenue Excellence/HM. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation ... Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial and appeals issues affecting reimbursement. Maintains CEUs as appropriate… more
- University of Virginia (Charlottesville, VA)
- …responsibilities depending on their work assignment. + Reviews documentation in medical record to appropriately assign ICD-10-CM, CPT-4, HCPCS and modifiers within ... by providers at all locations. Encounters may be within Epic, outside electronic medical record systems, or based on paper documentation. + Monitors, analyzes, and… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor...Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for… more