Serving as a subject matter expert and provides guidance to RCM Specialists. * Collaboration with ... Comprehensive Medical, Dental, & Vision Benefits * Employer Funded Pension Plan, vested after five ...
Serving as a subject matter expert and provides guidance to RCM Specialists. * Collaboration with ... Comprehensive Medical, Dental, & Vision Benefits * Employer Funded Pension Plan, vested after five ...
Clinical Coding Educator
Bluefield, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Bluefield, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Chase City, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Chase City, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Jonesville, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Jonesville, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Springfield, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Springfield, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Wytheville, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Wytheville, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Colonial Beach, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Colonial Beach, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Powhatan, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Powhatan, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Mount Crawford, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Mount Crawford, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
South Hill, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
South Hill, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Winchester, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Winchester, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Alexandria, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Alexandria, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Triangle, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Triangle, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Arlington, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Arlington, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Glen Allen, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Glen Allen, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Tazewell, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Tazewell, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Salem, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Salem, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Emporia, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Emporia, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Abingdon, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Clinical Coding Educator
Abingdon, VA · On-site +1
AHIMA or AAPC CPC (Certified Professional Coder) Certification * 3 or more years of medical coding ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Remote R1 Rcm Medical Coding information
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Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 13 hours ago
Carilion Clinic rating
7.0
Based on 206 frontline employees who took The Breakroom Quiz
401st of 864 rated healthcare providers
Job description
Employment Status:Full timeShift:Day (United States of America)Facility:2331 Franklin Rd - RoanokeRequisition Number:R159966 Invasive Coding Analyst - Ortho (Open)
How You'll Help Transform Healthcare:The Invasive Coding Analyst identifies and analyzes denials, determines solutions and implements corrections to result in accurate processing/payment of claims. Investigates denial and coding issues as it relates to services provided and associated charges. May require a strong working knowledge of multiple payers knowing payer specific policies and procedures in order to serve as subject matter expert. Makes important decisions and determination by the payers for claims. Works in a fast-paced, office environment with high productivity and accuracy standards that requires focus and concentration on tedious details and research. Investigate and identify errors in billing, coding or procedures relating to patient accounts.
Collaboration with leadership in recommending solutions to management related to insurance issues, departmental procedures, and operations.
Retrieves and analyzes denial reports and provides recommendations based on findings.
Collaboration with leadership in recommending solutions to management related to insurance issues, departmental procedures, and operations.
Retrieves and analyzes denial reports and provides recommendations based on findings.
The Invasive Coding Analyst
- May act as coding and billing expert and resource.
- Assists with denial reviews and creation of denial trending reports for management.
- Identifies coding-related revenue and reimbursement improvement opportunities for Orthopaedic Services and reports these findings to management.
- Consults with and provides education to physicians regarding clinical documentation as it relates to coding requirements.
- Investigate and identify errors in billing, coding or procedures relating to patient accounts.
- Conducts analysis of complex accounts. Determines actions and completes action steps to resolve accounts.
- Serving as a subject matter expert and provides guidance to RCM Specialists.
- Collaboration with Orthopaedic Leadership in recommending solutions to management related to insurance issues, departmental procedures, and operations.
- Reports any erroneous processing trends by payer to management.
Education: High School education required.
Experience: Minimum of 3 years of demonstrated proficiency in coding required.
Licensure/certification: RHIT, RHIA, CCA, CCS, CPC, or CPC-H required.
Other Minimum Qualifications: Effective oral and written communication skills. Must be a team player with intiative, organizational skills, analytical abilities, detail oriented and have the ability to work independently. Maintains working knowledge of computer systems used for healthcare operations. Must be proficient with Word, Excel and researching the web for coding and billing information. Must be able to provide own transportation for travel to other Carilion work sites.
This job description is only meant to be a representative summary of the major responsibilities and accountabilities performed by the incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
Recruiter:
EMILY ALLENRecruiter Email:
efallen@carilionclinic.orgFor more information, contact the HR Service Center at 1-800-599-2537.
Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.
For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies
Benefits, Pay and Well-beingat Carilion ClinicCarilion understands the importance of prioritizing your well-being to help you develop and thrive. That's why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life - at work and when you're away.
When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself.Below are benefits available to you when you join Carilion:
- Comprehensive Medical, Dental, & Vision Benefits
- Employer Funded Pension Plan, vested after five years (Voluntary 403B)
- Paid Time Off (accrued from day one)
- Onsite fitness studios and discounts to our Carilion Wellness centers
- Access to our health and wellness app, Virgin Pulse
- Discounts on childcare
- Continued education and training
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About Carilion Clinic
Sourced by ZipRecruiter
This is Carilion Clinic ... An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious. Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute. Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Roanoke, VA, US
Year founded
1899