UNKNOWN

FEED

Assists with system analysis, implementation, testing, database management, maintenance, accuracy, regulatory compliance, troubleshooting, and security of coding/abstracting systems, interfaces, databases, and reporting tools for systems using coding/abstracting data (e.g., 3M, Compass/Allscripts, EPIC, etc.). Regularly participates in virtual meetings, training, coaching, audits, and other work-related interactions using Company-approved collaboration technology, including audio and video, as required by Company or client.

Omega HMS

Coding Manager - SA

ea_via_bold

Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator) through AHIMA (American Health Information Management Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder (CPC) credential or Certified Professional Coder - Hospital (CPC-H) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: Experience with Cerner and eClinicalWorks (eCW) is strongly preferred. Assists the coding process in serving as a liaison between the CCU team and practice management, including the providers and division leadership while building and maintaining strategic working relationships with the practice and division leadership (working through specific issues, committee meetings, monthly updates, etc.).Assumes a lead role for innovation, knowledge sharing and leading best practice identification.

At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Richard M. Bracken serves as Chairman of HCA and R. Milton Johnson is the company's President and Chief Executive Officer. HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities. And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.

HCA Healthcare Inc

Regional Coding Operations Manager WFH

linkup_via_bold

In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Clinical Coding Analyst RN, Consultant

Minimum Requirements: Requires a H.S. diploma or equivalent and minimum of 3 years of experience as coder of medical records in physician office, hospital, or insurance/coding office setting; or any combination of education and experience, which would provide an equivalent background. The Coding Auditor Senior is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD-9/ICD-10 coding and compliance with risk adjustment requirements.

Elevance Health Inc

Coding Auditor Senior

IN THIS ROLE YOU are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient activity. Identify training needs through the audit program of work and liaise with the clinical coding training manager and audit manager to provide the necessary training identified.

CRD Careers

Medical Record Audit / Coding Auditor

sourcestack_via_bold

This position will be directly involved in analyzing pre-bill claim edits, claim denials and AR management, and working alongside the Revenue Specialists, will review and amend denied claims to ensure accurate coding and adherence to payor policy requirements. Audit medical record documentation to identify under-coded and over-coded services; prepare reports of findings and meet with providers to provide education and training on accurate coding practices and compliance issues.

Unified Women's Healthcare LLC

Coding Analyst

Elevance Health

Serving as a subject matter expert, the Coding Quality Reviewer and Educator develops and delivers targeted education to coders, providers, and clinical departments to support compliant, defensible documentation and optimal revenue integrity outcomes. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

YEAR

Brown University Health

Coding Quality Reviewer and Educator-3

Ability to operate personal computer and general office equipment as necessary to complete essential functions, including using spreadsheets, word processing, database, email, internet, and other computer programs. Performs reviews of appeal records received based on contract/regulatory requirements, coding guidelines, and coverage policies, prepares review summary for presentation to the appeals committee, and presents appeal review to the appeals committee.

South Florida Community Care Network

Medical Coding Auditor

As a key member of the Coding and Documentation leadership team, this position will report to the CFAO, and assume a strategic role in the oversight of the company's coding, documentation and audit/education departments to support both the owned clinic and affiliate business. The Senior Director provides leadership and direction to the team, as well as collaborates with senior leadership to ensure that all coding and documentation functions are aligned with compliance and clinical requirements and are in accordance with the mission, vision, values and policies of Cano Health.

Cano Health Inc

Sr. Director Coding and Documentation

Cano Health

Sr. Director Coding And Documentation

Review and audit documentation for appropriate capture of CAT II coding Medicare Annual Wellness Visits Medicare Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to submission to the payer. Summary: Ensures procedures E&M and diagnoses are coded as documented in the medical records according to ICD-10-CM CPT-4 and HCPCS in an effort to maintain accurate coding and obtain reimbursement all within the professional coding guidelines Centers for Medicare and Medicaid (CMS) guidelines and Broward Health policies.

Broward Health

PBO Risk Adjustment Coding

per week, performing the following minimum tasks: Reviewing, observing, and verifying that construction conforms to the scope of work identified by the approved construction documents. The work involves interpreting and applying these regulations to customer relations, reviewing building construction blueprints, product approvals, shop drawings, and other project documents.

C A P Engineering

QC Multi-Disciplined Code Inspector

This fully remote role will report directly to the VP of Clinical Appeals and is responsible for overseeing end-to-end audit processes, ensuring regulatory compliance, and managing a team that includes offshore staff . Audit Oversight & Lifecycle Management Lead the management and response process for a variety of audits including RAC, MAC, CERT, PERM, TPE, and commercial payer audits.

Health Business Solutions

Manager, Government Audit

We are seeking a detail-oriented and driven Post-Pay Audit Manager to lead a team of auditors performing retrospective audits across commercial and government payers. Reporting directly to the Director of Post-Pay Audit, this role is responsible for daily operations management, performance oversight, and quality assurance across onshore and offshore teams , including staff based in the Philippines .

Sr Manager, Post Pay Audit

Bachelors in Finance or a related field Required 5+ Years of functional/core experience in hospital billing systems/medical billing (specifically EPIC software) Required and 5+ Years of experience in a supervisory or leadership capacity Required Epic Charge Router Certification (EPIC CHG ROUTER) - EPIC Certification (EPIC) Preferred or Epic Resolute Billing Certification (EPIC BILLING) - EPIC Certification (EPIC) Preferred or Certified Professional Coder-Hospital (CPC) - American Academy of Professional Coders (AAPC) Preferred or Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) Preferred or Registered Health Information Technician (RHIT AHIMA) - American Health Information Management Association (AHIMA) Preferred or Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) Preferred. Strategic focus: based on regulatory and industry updates, MHS strategic initiatives, end-user feedback, and other information, identifies and achieves opportunities to improve charge capture efficiency and accuracy, eliminate missed charges, eliminate billing rework, and improve MHS net revenue.

South Broward Hospital District

Manager Revenue Integrity - FT - Days - MHS - Remote Eligible

At least a Bachelor's degree or, in lieu of a degree, demonstrating in addition to the minimum years of experience required for the role, three years of specialized training and/or progressively responsible work experience in Engineering Program Management for each missing year of college is required. Guide teams in the application of Acceptance Test Driven Development (ATDD), Continuous Integration/Continuous Delivery (CI/CD), and application development frameworks to enhance quality, speed, and functionality.

PwC’s accounting practice originated in London well over a century ago. As times changed and PwC expanded worldwide, our commitment to clients—like you—never wavered. With us, you’re always supported by a global network of more than 223,000 people in 157 countries with one goal: to help your business thrive.

PwC’s professional services include audit and assurance, tax and consulting that cover such areas as cybersecurity and privacy, human resources, deals and forensics. We help resolve complex issues and identify opportunities across these industries.

Let’s combine your ​aspirations with our world-class capabilities to achieve your goals.

Engineering Manager- Technical Program Manager

The ideal candidate brings a strong background in clinical review, medical necessity denials, payer appeal processes, and team leadership—ideally across both U.S. and offshore teams (e.g., Philippines) . We are seeking an experienced and highly organized Manager of Clinical Appeals to lead our clinical appeals operations across commercial and government payers.

Manager, Clinical Appeals

FULL_TIME

These values include but are not limited to greeting and smiling; showing respect with name recognition and eye contact; accepting the empowerment to exceed everyone's expectations and showing enthusiasm for your position and duties; being accountable to show a positive attitude and accountable for your actions; and be trustworthy in your duties and transparent in everything you do. The employee is occasionally required to sit, stand, reach, lift, bend, kneel, stoop, climb, push and pull items weighing 20 pounds or less.

57 Ocean Condominium Association

Assistant General Manager (Assistant Property Manager)

The firm provides clients worldwide with customized service and a level of excellence that have become the firm's hallmark in several primary practice areas - ports and harbors; coastal, environmental and water resources; urban waterfronts and marinas; transportation, bridges and rail; inspection and rehabilitation; and energy. As part of the IT Group, the Development Manager / Technical Lead is a highly experienced technical leader and working manager responsible for leading and empowering the development team to deliver high-quality software solutions that align with the firm's objectives.

Coding Manager Jobs in Davie, FL

Coding Manager - SA Omega HMS

Regional Coding Operations Manager WFH HCA Healthcare Inc

Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield Association

Coding Auditor Senior Elevance Health Inc

Medical Record Audit / Coding Auditor CRD Careers

Coding Analyst Unified Women's Healthcare LLC

Coding Auditor Senior Elevance Health

Coding Quality Reviewer and Educator-3 Brown University Health

Medical Coding Auditor South Florida Community Care Network

Sr. Director Coding and Documentation Cano Health Inc

Sr. Director Coding And Documentation Cano Health

PBO Risk Adjustment Coding Broward Health

QC Multi-Disciplined Code Inspector C A P Engineering

Manager, Government Audit Health Business Solutions

Sr Manager, Post Pay Audit Health Business Solutions

Manager Revenue Integrity - FT - Days - MHS - Remote Eligible South Broward Hospital District

Engineering Manager- Technical Program Manager PwC

Manager, Clinical Appeals Health Business Solutions

Assistant General Manager (Assistant Property Manager) 57 Ocean Condominium Association

Development Manager / Technical Lead for Engineering Consultant Moffatt & Nichol

Similar Job Searches

See More Jobs

Stand out to leading employers.