- Blanchard Valley Hospital (Findlay, OH)
- …response to investigational or potential compliance risks. Duty 7: Work with Coding Claims Resolution Specialist (CCRS) to review denial trends, whether coding ... Provides general coding support as well as education and training for new and existing BVHS providers. JOB DUTIES/RESPONSIBILITIES...and abilities have been acquired. Coding certification (CPC or CCS -P) required or obtained with 9 months of hire… more
- Crawford & Company (Phoenix, AZ)
- …In Everything We Touch Position Summary Plans, designs, organizes and conducts training programs in corporate service lines for field and home office personnel ... in conjunction with business partners and subject matter experts using proven training methods and techniques. + Facilitates and leads training instruction… more
- Crawford & Company (Phoenix, AZ)
- …In Everything We Touch Position Summary Plans, designs, organizes and conducts training programs in corporate service lines for field and home office personnel ... in conjunction with business partners and subject matter experts using proven training methods and techniques. + Facilitates and leads training instruction… more
- Loretto Management Corporation (Syracuse, NY)
- …of outpatient and inpatient (hospital setting) preferred. + Certified Coding Specialist ( CCS / CCS -P), Certified Procedural Coder (CPC/CPC-H) certification, ... supervision of the Health Information Director/Designee, the Compliance Reimbursement Specialist is responsible for analyzing documented clinical data to identify… more
- St. Luke's University Health Network (Allentown, PA)
- …a patient's ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment in accordance with ... coding conventions, UHDDS guidelines and CMS directives. Researchs failed claims , identifies discrepancies and communicates resolution to appropriate departments.… more
- Beth Israel Lahey Health (Burlington, MA)
- …through AAPC), CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS -P (Certified Coding Specialist Physician Based through AHIMA) Experience: ... provider documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands on coding, documentation review and… more
- Burrell Behavioral Health (Springfield, MO)
- …to deliver exceptional healthcare services with integrity. As a Compliance Audit Specialist , you will play a vital role in ensuring our organization's adherence ... while pursuing a rewarding career with our organization. The Compliance Audit Specialist position offers + All-Inclusive Employee Benefits Package - A robust… more
- Atrius Health (Newton, MA)
- …for optimal health risk scores. Reviews clinical data from EpicCare and outside claims to ensure that all chronic disease (HCC or other risk model) diagnoses ... as a mentor and role model to Risk Adjustment Specialist RNs assuring that they are practicing in accordance...for Physician Assistants (PA). Certification as professional coder (CPC, CCS -P, CCS , CPC-H, CRC-risk, AAPC) preferred with… more
- Robert Half Office Team (Portland, OR)
- Description This position is fully remote, but you must have your CPC certificate or CCS certificate to be considered for the role Robert Half is currently seeking a ... Collaborate with the team to research and resolve denied claims + Establish and maintain positive working relationships with...Coding role or similar role + CPC Certificate or CCS Certificate required + Previous FQHC/RHC experience required +… more
- Trinity Health (Athens, GA)
- …within the Region. EPIC A PLUS Licensure / Certification: RHIA, RHIT, CCS , CPC/COC or other coding credentials strongly preferred. CDC (Healthcare Compliance ... **Very strong Billing / Acute background** **Exp. with Denials** **Exp. with Hosptial Claims a must!** + Must possess a demonstrated knowledge of clinical processes,… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically necessary referrals… more
- Penn Medicine (Philadelphia, PA)
- …Are you living your life's work? **Job Title:** Revenue Cycle Specialist **Department:** Emergency Department **Entity:** CPUP **Location:** Hospital of the ... **Hours:** full time hybrid, 8:00am-4:30pm M-F **Summary:** + The Revenue Cycle Specialist (RCS) provides billing knowledge, expertise and oversight in support of… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **37316BR** **Extended Job Title:** Coding Specialist (Medical Coding/Alberta) **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Review ... ability to professionally interact and exchange information, education and training to clinic personnel, physicians, administration, providers, and co-workers.… more
- Cleveland Clinic (Cleveland, OH)
- …terminology. **Certifications:** + Certified Professional Coder (CPC), Certified Coding Specialist Physician ( CCS -P), Registered Health Information Technologist ... to ensure appropriate continuity of care. + Works held claims and claim edits in the CCF claims...School Diploma / GED or equivalent required. + Specific training related to CPC procedural coding and ICD9, ICD10… more
- Houston Methodist (Katy, TX)
- …Apprentice (AAPC) **OR** + CPCA - Certified Professional Coder Associate (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty ... Classification (APC) Coordinator position is responsible for reviewing and correcting all claims edits related to the APC grouper, National Correct Coding Initiative… more
- Banner Health (AZ)
- …physiology, or the equivalent training and education. Requires Certified Coding Specialist ( CCS ) or Certified Professional Coder (CPC) or Certified Coding ... submission acceptance for the state; coding accuracy; % clean claims ; staff stats; etc. Participates in the improvement of...Specialist -Physician ( CCS -P) or Registered Health Information Technologist… more
- Cleveland Clinic (Cleveland, OH)
- …terminology. **Certifications:** + Certified Professional Coder (CPC), Certified Coding Specialist Physician ( CCS -P), Registered Health Information Technologist ... continuity of care. + Responsible for working professional held claims in CCF claims processing system. Work...School Diploma / GED or equivalent required. + Specific training related to CPT procedural coding and ICD9 CM… more
- University of Rochester (Rochester, NY)
- …including but not limited to: coding abstraction, pre-bill coding edits, claims resolution functions, provides recommendations to improve coding acuity, quality and ... In addition, the Assistant Manager will be responsible for ensuring appropriate training and oversight of assigned staff members, ensuring that URMFG best practice… more
- Rush University Medical Center (Chicago, IL)
- …* Bachelor's Degree * Certified Professional Coder (CPC) or Certified Coding Specialist - Physician Based ( CCS -P) * Registered Health Information Administrator ... leadership, and providers. 5. Develops educational presentations, learning tools, and training material. 6. Provides education for both providers and coders for… more
- Sharp HealthCare (San Diego, CA)
- …be considered. + One of the following is required: AHIMA's Certified Coding Specialist ( CCS ), or Certified Documentation Improvement Practitioner (CDIP), or AAPC ... Compliance (CHC) - Compliance Certification Board; Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate **Hours** **Shift Start… more
