Senior Recovery / Resolution Analyst - National Remote
By Optum At Dallas, TX, United States
1+ years project management experience
Investigate and pursue recoveries and payables on subrogation claims and file management
Initiate phone calls to members, providers, and other insurance companies to gather coordination of benefits information
Experience working with medical claims platforms
2+ years of experience with claims auditing and researching claims information
1+ years of experience analyzing data and identify cost saving opportunities
Onbase Business Support Analyst - National Remote
By UnitedHealth Group At , Dallas, 75202, Tx $22.45 - $43.89 an hour
Experience with Microsoft Excel (Pivot Tables, Create/Edit, Formula Management)
Experience with the principals of document indexing and management (Document Types, Document Group Types, Keywords, Autofill Keyword Sets)
1+ years working as a subject matter expert within OnBase or a similar configurable workflow and document management tool
Understanding of Document Import Processing (DIP), configurable forms and form engines (HTML and/or Unity), Security Group Management and Report Services/Dashboard Reports
Bachelor’s Degree (or higher) OR 3+ years of equivalent work experience
1+ years of experience presenting complex technical solutions to business in a digestible and understandable manner
Care Ambassador - National Remote
By UnitedHealth Group At , Dallas, 75202, Tx $18.80 - $36.78 an hour
Collaborates and works closely with management, colleagues, and other departments in the organization.
5+ years of case/account management, relationship management, customer support or professional customer service
Manages inbound and outbound e-mail, phone calls, and faxes for customer service support and follow up.
Completes special duties or projects as assigned by the Program Manager / Supervisor.
Experience with using Microsoft Word (creating documents), Microsoft Excel (creating and editing formulas), and Microsoft PowerPoint (creating of slides)
Bachelor’s Degree (or higher) with 1+ years of experience
Radiology Coding Quality Assurance - National Remote
By UnitedHealth Group At , Dallas, 75202, Tx $22.45 - $43.89 an hour
7+ years of radiology coding experience
Certified Professional Coder (CPC) or equivalent professional certification
High School Diploma / GED (or higher)
Proficiency with using Microsoft Office applications, including Microsoft Excel
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Upgrade Claims Analyst - National Remote
By UnitedHealthcare At Dallas, TX, United States
High School Diploma / GED (or higher) OR 2+ years of equivalent years of work experience
Experience with Microsoft Word (read and create documents) and Excel (read and sort data) and Outlook (read and compose emails)
Experience with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
1+ years of experience investigating medical, prescription or mental health claims
Experience with Medical Terminology and/or anatomy/physiology
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Senior Recovery Resolution Analyst - National Remote
By Optum At Dallas, TX, United States
Medical record coding experience with experience in Evaluation and Management Services in the outpatient/office setting
Working knowledge of the healthcare insurance/managed care industry
High School Diploma / GED (or higher) OR 10+ years equivalent experience
Previous experience in claim processing, healthcare provider information and healthcare billing practices
Working knowledge of medical terminology and claim coding
Previous presentation or policy documentation experience
Coding Quality Analyst - National Remote
By UnitedHealth Group At , Dallas, 75202, Tx $22.45 - $43.89 an hour
Continue education – 10% (maintaining certification)
3+ years of recent coding and/or auditing experience
Working knowledge of medical terminology and claim coding
Strong written and verbal communications skills
Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported.
Maintain standards for productivity and accuracy. Standards are defined by the department.
Coding Quality Specialist (Outpatient) (Remote)
By Stanford Health Care At , Newark, 94560, Ca $55.99 - $63.06 an hour
Prepares written reports of review findings and recommendations and presents to management and maintains monitoring records.
Ability to comply with the American Health Information Management Associate's Code of Ethic and Standards
Three (3) years of progressively responsible and directly related work experience
Ability to manage, organize, prioritize, multi-task and adapt to changing priorities
Knowledge of health information systems for computer application to medical records
Knowledge of ICD-10-CM & CPT-4 coding conventions to code medical record entries; abstract information
Coding Quality Associate Jobs
By R1 RCM, Inc. At , Remote
Works with the Regional Manager to identify areas of educational need based on audit results
Must have proficient MS Office computer skills, specifically in Excel and knowledge of various coding software/platforms and EMRs
A minimum of seven (7) years of hospital inpatient coding experience is required
Extensive knowledge of ICD-10-CM/PCS classification system and MS- DRG and APR-DRG methodologies is required
In-depth knowledge of medical terminology, human anatomy/physiology, pharmacology, and pathology is required
Expert and up-to-date knowledge of industry Official Coding and Reporting Guidelines along with CMS and other agency directives for ICD-10 coding
Coding Quality Auditor (Fully Remote)
By Cleveland Clinic At , Cleveland, 44195 $27.65 an hour
Specific training related to CPT procedural coding and ICD-10 diagnostic coding through continuing education programs/seminars and/or community college preferred.
In depth knowledge of ICD-10-CM/PCS coding principles, CPT coding principles, DRG assignment, APC assignment, and modifier assignment.
Working knowledge of human anatomy and physiology, disease processes.
Demonstrated knowledge of medical terminology.
Knowledge of auditing concepts and principles.
A minimum of 5 years professional coding experience required.
It Quality Analyst (Remote)
By Tandym Group At Rockville, MD, United States
Solid problem solving and time management skills
Maintain current knowledge of relevant technologies, as assigned
5+ years of related Software Testing & 508 accessibility experience
Hands-on experience working with 508 tools - JAWS, Web Accessibility Evaluation Tool (WAVE) and Color Contrast Analyser (CCA)
Excellent communication skills (written and verbal)
Test and remediate web applications for Section 508 compliance
Coding & Charging Specialist (Remote)
By Mercy At , Chesterfield, 63017
Education: A.S. from an accredited Nursing or Health Information Management program or associated healthcare discipline or commensurate clinical experience.
*This is a Remote Position*
We're bringing to life a healing ministry through compassionate care.
What Makes You a Good Match for Mercy?
Onbase Business Systems Analyst - National Remote
By UnitedHealthcare At , Dallas, 75202
Experience with the principals of document indexing and management (document types, document group types, keywords, autofill keyword sets)
Experience with using Microsoft Excel (pivot tables, create, edit, formula management)
2+ years of experience with gathering business requirements and implementing projects or procedures based upon those requirements
Facilitating all requirement - gathering activities
Bachelor’s Degree (or higher) OR 3+ years of equivalent work experience
1+ years of experience with presenting complex technical solutions to business in a digestible and understandable manner
Coding Associate, Remote Jobs
By Broward Health Corporate At , Fort Lauderdale
Demonstrates coding proficiency by passing a comprehensive coding test administered by the Health Information management Department
Must have at least one year of Coding experience to be considered.
**Position is REMOTE but only in the state of Florida**
High School Diploma and some training in coding.
Thank you for your interest in Broward Health. Broward Health is an EO/AA procurer of goods/services, M/F/D/V.
Analyst, Quality Support, Remote
By Talentify.io At United States
Strong relationship-building and performance management skills
Excellent organizational and time management skills
Flexible work environment with the option to work remotely and from our headquarters in Bethesda, MD
Gain exposure and mentoring within the business side of the U.S. healthcare system
Opportunity to work with different types of health insurance and incentive structures
Collaborate with a growing company in the healthcare industry
Operations Quality Analyst (100% Remote)
By LanceSoft, Inc. At United States
•Have experience in auditing and quality review specific to service coordination activities.
Bachelor’s Degree or equivalent experience.
•Function as a key subject matter expert for all Community Health Choices Service Coordination activities.
•Support the Community Health Choices Service Coordination team in identifying issues for quick remediation.
•Assist in analysis oftarget audits as required.
•Utilize various technology applications related to quality review data collection and analysis. (Excel/Access/Word)
Coding & Reimbursement Spec - Remote
By UVA Health At Virginia, United States
In addition to the above job responsibilities, other duties may be assigned.
COVID Vaccination Requirement and Guidelines
Assigns all pertinent.ICD-10-CM/PCS diagnosis and.ICD-10-CM/PCS/CPT-4 procedure codes based on official inpatient and outpatient coding guidelines.
The University of Virginia, i
Coordinator Professional Coding Quality/Education Full Time Remote
By Henry Ford Health At , Troy, Mi
Minimum of three (3) years of coding experience required.
Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
At least five (5) years of specialty coding experience, preferred.
education and training, the health system has trained nearly 40% of physicians currently practicing
in the state and also provides education and training for other health professionals including nurses,
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
Quality Coordinator - Naven Health - Remote National
By Naven Health At , Tallahassee, Fl
Basic Education and/or Experience Requirements
Other duties as assigned by the Manager of Quality
1yr of related healthcare quality experience
Strong communication skills - verbal, written and presentation
Excellent verbal and written communication skills within emails
Answering phones and typing skills
Quality Research Analyst (Remote)
By ICF At , Reston, Va $56,467 - $95,993 a year
Supporting quality assurance tasks, particularly designing internal evaluation of services, building data infrastructure, data management and analysis, and data storytelling/visualization.
Assisting with or conducting interviews and focus groups, including management of recruitment, logistics, note-taking, and reporting.
Experience applying analytic skills in a working environment (such as merging, cleaning, manipulating datasets)
Excellent verbal, oral, interpersonal and written communication skills, including experience with developing and delivering presentations and technical writing
Partnering with teams to define key performance indicators, business intelligence and data reporting requirements
Bachelor's degree in, Education, Public Policy, Social Science, data science or related discipline required.
Operations Quality Analyst -100% Remote
By LanceSoft, Inc. At United States
•Have experience in auditing and quality review specific to service coordination activities.
•Function as a key subject matter expert for all Community Health Choices Service Coordination activities.
•Support the Community Health Choices Service Coordination team in identifying issues for quick remediation.
•Assist in analysis oftarget audits as required.
•Utilize various technology applications related to quality review data collection and analysis. (Excel/Access/Word)
•Identify audit trends and provide recommendations.

Are you an experienced Coding Quality Analyst looking for a unique opportunity to work remotely from anywhere in the country? We are looking for a detail-oriented individual to join our team and help ensure the accuracy and quality of our coding processes. You will be responsible for reviewing coding accuracy, identifying discrepancies, and providing feedback to ensure accuracy and compliance. If you have a passion for quality assurance and a commitment to excellence, this could be the perfect job for you!

Overview:

The Coding Quality Analyst – National Remote is responsible for ensuring the accuracy and quality of medical coding for a variety of healthcare organizations. This position requires a high level of knowledge in medical coding and the ability to work remotely.

Detailed Job Description:

The Coding Quality Analyst – National Remote is responsible for reviewing medical coding for accuracy and compliance with applicable regulations and guidelines. This position requires a thorough understanding of medical coding principles and practices, as well as the ability to work remotely. The Coding Quality Analyst – National Remote will be responsible for performing coding audits, providing coding education and training, and providing coding support to healthcare organizations.

What is Coding Quality Analyst – National Remote Job Skills Required?

• Thorough knowledge of medical coding principles and practices
• Ability to work remotely
• Excellent communication and organizational skills
• Ability to work independently and as part of a team
• Proficiency in Microsoft Office applications
• Knowledge of applicable regulations and guidelines

What is Coding Quality Analyst – National Remote Job Qualifications?

• Bachelor’s degree in Health Information Management or related field
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification
• At least two years of experience in medical coding
• Knowledge of medical terminology and anatomy

What is Coding Quality Analyst – National Remote Job Knowledge?

• Knowledge of medical coding principles and practices
• Knowledge of applicable regulations and guidelines
• Knowledge of medical terminology and anatomy
• Knowledge of Microsoft Office applications

What is Coding Quality Analyst – National Remote Job Experience?

• At least two years of experience in medical coding
• Experience in coding audits
• Experience in providing coding education and training

What is Coding Quality Analyst – National Remote Job Responsibilities?

• Review medical coding for accuracy and compliance with applicable regulations and guidelines
• Perform coding audits
• Provide coding education and training
• Provide coding support to healthcare organizations
• Maintain accurate records and documentation