Coding quality analyst jobs

Mar 30, 2023

Compliance Analyst III - Work From Home

Organization: SHSO-Sutter Health System Office-Valley Position Overview: Assists the Compliance Officer or Ethics & Compliance leadership in coordinating, implementing, administering and evaluating the Sutter Health Ethics and Compliance Program at system-level or assigned affiliates to ensure compliance with applicable laws, regulations, and standards (e.g., Department of Health and Human Services Departments, including the Centers for Medicare and Medicaid Services (CMS) and the Office of the Inspector General (OIG)) and Sutter Health's policies and procedures. Collaborates with affiliate organizational staff, Ethics and Compliance staff, and OGC team members (e.g., Legal, Risk Services) regarding changes in federal and state laws and regulations for healthcare providers and the organization's policies and procedures. Plans, executes, and oversees a variety of regulatory compliance based projects. Assists with conducting internal investigations and compliance risk assessments,...

Sutter Health Remote * (Sacramento, CA, USA)

Mar 30, 2023

Compliance Analyst (Remote)

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, youll have access to competitive benefits including a fresh perspective on workplace flexibility.Position Purpose: Assist in maintaining Centene Corporations Compliance Program; guide special projects; provide regulatory interpretation; perform compliance reporting; and develop and implement compliance auditing and monitoring strategies. Respond to external requests for information required by the organization for its regulatory filings. Respond to inquiries from state and federal regulatory agencies. Monitor pending legislation and regulations affecting Centene Corporation services. Maintain database and other reference materials related to legislative and regulatory issues and compliance. Communicate state and federal requirements to internal and external clients. Provide development guidance...

Centene Corporation Remote * (Tallahassee, FL, USA)

Mar 30, 2023

Coder *Remote Hybrid/Onsite Must reside in TX

Description Remote Work is Available for Candidates Residing within the State of Texas Only, This is a full-time position and is a Hybrid work-from-home 3-4 days a week and live within 60 miles from Plainview, TX Out-of-State Candidates Will Not be Considered. Under general supervision, coordinates the processing, review and application of ICD-9 & ICD-10 coding rule sets, CPT and HCPCS codes to medical records based on documentation provided by the providers and adheres to coding compliance for a specified clinical area. Adheres to strict federal coding rules in selecting codes that appropriately and accurately reflect the condition that the patient had and the medical service that was provided. Will communicate heavily with Coding/Compliance Department and coding peers to abstract clinical and statistical data for outcome measure and monitoring. Provides coding education including but not limited to: Patient Representatives, Billing/Collection Specialists, and/or...

Providence Remote * (Plainview, TX, USA)

Mar 30, 2023

TCEQ - Programmer Analyst II (Remote within Texas)

Job Description WE ARE TCEQ Are you ready to make a positive impact in Texas? At Texas Commission on Environmental Quality, protecting the environment is at the heart of everything we do. Choose a career where your perspective, passion, and skills are valued. We strive to protect our state's public health and natural resources consistent with sustainable economic development. Our goal is clean air, clean water, and the safe management of waste. TCEQ employees get some great perks, including a hybrid work schedule, paid leave, health insurance, and state and federal holidays. See Benefits and Perks at TCEQ. TELEWORK This position offers an opportunity to work remotely, with occasional attendance in the office required. YOUR FUTURE TEAM As part of TCEQ Administrative Services, you would help support the logistical and operational structure for TCEQ statewidethe business foundation for the whole agency. See details about what we do. This position is a member of our...

Capps Remote * (Austin, TX, USA)

Mar 30, 2023

Accountant 1 / Finance Analyst (Remote)

Supporting the Most Exciting and Meaningful Missions in the World Accountant 1 / Finance Analyst (Remote) Amentum is seeking a Accountant 1 Finance Analyst to join our Operations & Maintenance team. This is a remote position however the ideal candidate should be able to travel to the Site on occasion. The Financial/Accounting Site Support Analyst is responsible for maintaining the accounting & financial records of the site(s) by working with Operations and Procurement team. Analyst is responsible for preparing, reviewing, analyzing, interpreting, and maintaining accounting records for the purpose of giving advice and/or preparing statements. Positions that fall within this job family will function in both the field and telework. Essential Responsibilities: Prepares, records, analyzes and reports accounting transactions, including coordination and administration of assignments. Vendor invoice coding management and processing through OnPoint. Ensure vendor...

Amentum Services Remote * (Hillsboro, OR, USA)

Texas Health & Human Services Commission

Mar 30, 2023

Web Applications Developer - 100% remote in Texas

*This position is eligible for a $5,000 recruitment bonus upon hire, subject to conditions.* This position is eligible to work remotely from any location within the state of Texas. Out of state applicants must be willing to relocate within 60 days, at their own expense. Works under the direction of the Team Lead, with extensive latitude for the use of initiative and independent judgment to analyze, develop, and maintain complex Web Application systems for the Health, Developmental and Independence Services (HDIS), Women Infants and Children (WIC) program area. Analyzes business and system requirements, prepares detailed procedures for solutions to problems, and develops and maintains software for WIC using a variety of modern programming languages and web technologies. Documents the design, programs, and procedures relevant to the WIC Program's web applications. Performs quality control measures for in-house programming efforts. Works with other members of a design/development...

Texas Health & Human Services Commission Remote * (Austin, TX, USA)

Mar 30, 2023

Coding QI Compliance Auditor and Trainer II, Outpatient, Remote

Job Description Providence St. Joseph Health is calling a Coding QI Compliance Auditor and Trainer II, Outpatient to work remotely within our footprint states: AK, CA, MT, OR, TX and/or WA. The Coding QI Compliance Auditor and Trainer II, Outpatient is critical to the coding compliance program. By performing audits of hospital coding, training new coding staff, preparing and presenting educational sessions for the coders and staying current with official coding guidelines and regulations, the incumbent ensures the proper coding of PH&S hospital medical records. This position includes obtaining, recording and reporting essential data, assisting in problem solving of coding issues and acting as a subject matter expert for coding staff. Responsibilities: Ensure accurate, compliant coding of hospital medical records through outpatient training, auditing and research. Work with coders and CDI specialists to resolve complex coding and documentation issues. Train and...

Providence Health & Services Remote * (Portland, OR, USA)

Mar 28, 2023

Epic Revenue Cycle Analyst - Duke Health Technology Solutions - Remote

DHTS: Duke Health Technology Solutions is a robust, specialized division of Duke University Health System dedicated to the development and management of enterprise IT systems. A 2020 Most Wired health system, Duke is nationally recognized for IT and information management as the first healthcare system to achieve the Davies Award highest honor by the Healthcare Information and Management Systems Society (HIMSS) for inpatient, ambulatory, and analytics health information technology capabilities. Our employees are among the top-skilled IT experts in the Triangle and partner with leading scholars, clinicians, and researchers across Duke University and Duke Health to develop innovative technologies that support our mission of delivering tomorrow's healthcare today. Occupational Summary The Revenue Cycle Analyst couples knowledge of business practices/operations with knowledge of information systems to implement,...

Duke Health Remote * (Durham, NC, USA)

Mar 28, 2023

DBA Analyst II - Duke Health Technology Solutions - Remote

This position may have an opportunity to work remotely. All Duke University and Duke Health remote workers must reside in one of the following states or districts: Arizona; California; Colorado; Florida; Georgia; Hawaii; Illinois; Maryland; Massachusetts; Montana; New Jersey; New York; North Carolina; Pennsylvania; South Carolina; Tennessee; Texas; Virginia; or Washington, DC. Duke Health Technol ogy Solutions is a robust, specialized division of Duke University Health System dedicated to the development and management of enterprise IT systems. A 2018 Most Wired health system, Duke is nationally recognized for IT and information management as the first healthcare system to achieve the Davies Award highest honor by the Healthcare Information and Management Systems Society (HIMSS) for inpatient, ambulatory and analytics health information technology capabilities. Our employees are among the top-skilled IT experts in the Triangle and partner with leading scholars,...

Duke Health Remote * (Durham, NC, USA)

Mar 21, 2023

Trauma Registry Data Analyst (Full Time, Remote Day shift)

Description Job Summary Works as part of the Trauma Service to achieve high quality, cost-effective health care throughout Nicklaus Children's Hospital. Works closely with other departments to maintain the licensing requirements for the organization and facilitates the performance improvement process by providing accurate and timely data. *** This position will be remote once candidate completes training *** Job Specific Duties Abstracts required information into the Trauma Registry and coordinates the reporting of data to the Florida Department of Health Trauma Registry as set forth in the Florida Trauma Standards. Facilitates and manages the process for identifying trauma patients in the hospital data system utilizing Cerner reports. Identifies issues related to performance improvement and identifies trends. Prepares data reports for Trauma Committee, M&M and trauma site visits. Ensures accurate and error free data...

Nicklaus Children's Hospital Remote * (Miami, FL, USA)

Mar 30, 2023

Alliance Management Director (Hybrid or Remote)

Myriad Genetics is hiring for a Alliance Management Director within our Biopharma team. This position can be hybrid in Salt Lake City, UT or Remote across the United States. Myriad Genetics is a leading precision medicine company that develops diagnostic tests to help guide treatment decisions for patients with cancer. Our biopharma team partners with diagnostic kit manufacturers and pharmaceutical companies to develop companion diagnostic tests and commercialize them globally. As a member of our growing biopharma team you will work closely with our partners to support clinical trial testing and development of companion diagnostic products. This team member will be curious, pro-active, able to work across organizations, and driven to help shape the future of this company. At Myriad Genetics, our future is yours to create. Responsibilities Assemble, manage and lead cross-functional internal and external project teams to advance...

Myriad Genetics Salt Lake City, UT, USA

Mar 30, 2023

Eligibility Consultant - Work From Home

Job DescriptionThe Enrollment Representative position will be supporting multiple health plans. Under general supervision, verifies enrollment status, makes changes to member/client records, and addresses a variety of enrollment questions or concerns. Maintains enrollment databases and coordinates transfer of non-electronic eligibility data. Responds, researches, and resolves eligibility and/or billing related issues involving member specific information;Works directly with clients, field marketing offices and/or local claim operations to achieve positive service outcomes.() Monitors daily status reports assessing output for developing trends potentially impacting service levels. () Applies all appropriate considerations associated with technical requirements, legislative/regulatory policies, account structure and benefit parameters in addressing eligibility matters. () Validates benefit plan enrollment information for assigned clients for accuracy and completeness; coordinates the...

CVS Remote * (Pittsburgh, PA, USA)

Mar 30, 2023

Billing Account Manager - National Remote

You ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This Billing Manager role will help manage day to day Revenue Cycle Management (RCM) billing operations. This position will help ensure RCM processes are operating accurately/effectively and aid in continually improving our billing and operating controls. The role will...

UnitedHealth Group Remote * (Dallas, TX, USA)

Mar 30, 2023

Billing Account Manager - National Remote

You ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This Billing Manager role will help manage day to day Revenue Cycle Management (RCM) billing operations. This position will help ensure RCM processes are operating accurately/effectively and aid in continually improving our billing and operating controls. The role will...

UnitedHealth Group Remote * (Tampa, FL, USA)

Mar 30, 2023

Provider Installation Representative - National Remote

**You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.****Optum** is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**The **Provider Installation Representative** is responsible for various activities related to the Provider Network database which may include: database maintenance, reporting and extracting data for various reports and analyses, and initiating database improvement. The Provider...

UnitedHealth Group Remote * (Tampa, FL, USA)

MP

Mar 30, 2023

Medical Coding Specialist - work from home

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company that helps our customers thrive by interpreting our client's needs and tailoring innovative cost management solutions. We are MultiPlan and we are where bright people come to shine! JOB SUMMARY: The Medical Coding Specialist is responsible for providing billing analysis of claims and applying coding standards and federal regulations to ensure correct billing practices. In this role, you will perform bill and chart reviews in identifying any variation from quality of billing as well as monitor patient bills for accuracy and compliance. JOB ROLES AND RESPONSIBILITIES: Review and analyze inpatient, outpatient, and provider billing for medical appropriateness of treatment; analysis of charges of various revenue...

MultiPlan Remote * (Atlanta, GA, USA)

MP

Mar 30, 2023

Lead Software Architect-remote

Lead Software Architect Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions. Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine! This is a work from home position anywhere within the US. Preference is given to those who are in commuting distance to one of the following offices for the occasional onsite meeting: Naperville, IL; Bedford, MA; Irving, TX;...

MultiPlan Remote * (Irving, TX, USA)

MP

Mar 30, 2023

Lead Software Architect-remote

Lead Software Architect Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions. Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine! This is a work from home position anywhere within the US. Preference is given to those who are in commuting distance to one of the following offices for the occasional onsite meeting: Naperville, IL; Bedford, MA; Irving, TX;...

MultiPlan Remote * (Rockville, MD, USA)

MP

Mar 30, 2023

Lead Software Architect-remote

Lead Software Architect Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions. Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine! This is a work from home position anywhere within the US. Preference is given to those who are in commuting distance to one of the following offices for the occasional onsite meeting: Naperville, IL; Bedford, MA; Irving, TX;...

MultiPlan Remote * (Naperville, IL, USA)

Mar 30, 2023

Remote / Work-From-Home - Medical Billing - Payor Verification - Commercial

Medical Billing - Payor Verification - Commercial Remote / Work From Home Starting Pay: $18.00 Job Summary The Medical Billing - Payor Verification - Commercial will work with payor portals and payors via phone communications to verify benefits, deductible and out of pocket amounts, primary, secondary, and tertiary payors. Problem solve and research and resolve coordination of benefits issues. Work as a team to meet team goals and deadlines. Essential Functions/Duties Utilize payor portals or phone calls for benefit verification Analyze work processes to maximize efficiency Work to achieve team and departmental goals Work effectively as a member of a team Communicate clearly and concisely, both orally and in writing Serve as a "champion" for best practices within our "I-Care" Cultural Pillars. (Integrity / Compassion / Accountability / Responsibility / Excellence) QUALIFICATIONS Required Experience One year of experience in...

Global Medical Response Remote * (West Plains, MO, USA)

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78 coding quality analyst jobs found