• Coding Auditor Educator

    Highmark Health (Jefferson City, MO)
    …**GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data ... quality and accuracy of coding , billing and documentation related to DRGs,...for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical more
    Highmark Health (04/13/24)
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  • Hierarchical Condition Category (HCC)…

    Highmark Health (Jefferson City, MO)
    …**Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing / coding , health insurance, healthcare or related field ... including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology...preferred. **EXPERIENCE** **Required** + 3 years HCC coding and/or coding and billing more
    Highmark Health (04/25/24)
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  • Senior Hierarchical Condition Category (HCC)…

    Highmark Health (Jefferson City, MO)
    …+ Other duties as assigned. **EDUCATION** **Required** + Associate's degree in medical billing / coding , health insurance, healthcare or related field, ... (MA) and Affordable Care Act (ACA) through Hierarchical Condition Category (HCC) coding , medical coding , clinical terminology and anatomy/physiology, Centers… more
    Highmark Health (05/31/24)
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  • Medical Billing /AR Specialist…

    Sutherland Global Services (Jefferson City, MO)
    …analytical, detail-oriented individuals with strong communication skills to join us as Medical Billing /AR Specialists! In this position, you will be responsible ... and types of coverage + Reviewing contracts and identifying billing or coding issues and requesting re-bills,...billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high… more
    Sutherland Global Services (05/30/24)
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  • Investigations Consultant

    Highmark Health (Jefferson City, MO)
    …Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical ... specific to professional, hospital, ambulatory surgical center, home health and durable medical equipment to identify key areas of risk exposure and develop plans… more
    Highmark Health (05/07/24)
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