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Certified Medical Coding Reviewer
A company is looking for a PI Medical Coding Reviewer III, requiring CPC, RHIT, or RHIA certification....train claims analysts on coding and documentation standards Analyze complex provider claims submissions using coding rules and guidelines Required Qualifications Associate's degree or equivalent relevant work experience Minimum of five years of medical
Certified Medical Coding Reviewer
A company is looking for a PI Medical Coding Reviewer III, requiring CPC, RHIT, or RHIA certification....Qualifications, Training, and Education Associate's degree or equivalent relevant work experience required Minimum of five years of medical billing and coding experience required Three years of SIU/FWA medical billing and coding experience required
Certified Medical Coding Reviewer
A company is looking for a Medical Coding Reviewer I....Key Responsibilities Perform clinical and coding medical claim reviews to ensure compliance with coding practices Analyze provider billing practices and review medical records for consistency with billing Identify potential billing errors, abuse,
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Medical Coding Dispute Reviewer
A company is looking for a Dispute Resolution Reviewer (Medical Coding & Insurance Claims Expert)....preferred but not required with 3+ years of medical billing/coding experience
Certified Medical Coder Auditor
findings and recommend process improvements Communicate audit results professionally and record findings to identify trends Required Qualifications Associate's Degree or higher strongly preferred, or equivalent work experience required 3+ years of medical...coding experience required One or more certifications required: CCS, CPC, or CEMC Professional E&M Coding experience for billing is required Strong understanding of physiology, medical terms, and anatomy
SC Licensed Quality Improvement Abstractor
report on issues related to abstractions and communicate outcomes with health plans and vendors Required Qualifications Associate's degree in a related field or equivalent experience; Bachelor's degree preferred 4+ years of experience in nursing, medical...assisting, medical coding, or data management Experience in quality initiatives, including HEDIS projects or NCQA standards, preferred Advanced knowledge of Microsoft Applications, including Excel and Access Current state's RN or LPN license preferred
Clinical Auditor RN
Key Responsibilities Audit outpatient and specialty claims using medical chart coding principles and client-specific guidelines Utilize advanced audit tools and maintain productivity, accuracy, and quality standards Identify new claim types and recommend...record coding or auditing Knowledge of HIPAA Privacy and Security Rules and medical claims billing/payment systems Expert knowledge of coding guidelines and compliance mandates (e.g., DRG, ICD-10, CPT, HCPCS)
Certified Medical Coder
A company is looking for a Medical Coder to assign accurate medical codes for Emergency Room encounters....Key Responsibilities Assign accurate Evaluation and Management (E&M) codes, ICD diagnoses, CPT, and HCPCS codes from medical records Work collaboratively to meet team quality and productivity standards while adhering to quality assurance protocols
Medical Coding Associate
and respond to inquiries regarding policies and edits Required Qualifications Bachelor's degree or 4+ years of relevant experience 4+ years of experience in claims processing, coding, auditing, or healthcare operations 4+ years of experience in medical...coding with relevant certification (AAPC or AHIMA) Experience with reimbursement methodologies and claims processing practices 3+ years of experience working with large data sets using Excel or a database language
Denials Specialist
of experience in a hospital business environment related to billing and/or collections Intermediate understanding of Explanation of Benefits (EOB) and managed care contracts Intermediate knowledge of hospital billing form requirements (UB-04) and medical...coding Intermediate Microsoft Office skills