ZipRecruiter

Log In

Ishe

61 jobs near Columbus, OH

ISHE

Coding Quality Analyst

Plymouth, MN · On-site

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 ...

ISHE

Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care ...

ISHE

$12.50 - $16.50/hr

Maximus is currently hiring Customer Service Specialists to join our team! This position is responsible for supporting our Health Texas project by providing customer care and benefit enrollment ...

ISHE

Supervise the creation of new CALI lessons by finding new authors, training them in the process and software, acting as editor and proofreader on their content and publishing to the CALI website.

ISHE

The Independent Sales Representative - Golf is responsible for driving sales within their respective territory. Additionally, this position is responsible for managing the visitation schedule ...

ISHE

Associate Attorney

Phoenix, AZ · On-site

ASSOCIATE ATTORNEY Real Estate and Civil Litigation | Remote Gottlieb Law is a growing Arizona real estate and civil litigation firm seeking two associate attorneys to join its team. The successful ...

ISHE

$261K - $295K/yr

Saint Alphonsus Medical Group (SAMG) is a physician led and accountable 650+ provider multispecialty group with an excellent opportunity for a general non-invasive cardiologist. Join a 20-physician ...

ISHE

NY · On-site

$39.60 - $59.86/hr

Optum NY, (formerly Optum Tri-State NY) is seeking a Pathways Physician to join our team remotely. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a ...

ISHE

We are seeking a talented Senior Proposal Specialist to join our Strategic Bid Center at Mercer. This role is a hybrid role requiring 3 days in the office and be based within one of our US Mercer ...

ISHE

The purpose of the role is to ensure PMA's compliance with regulatory requirements regarding PMA's key business partners - its producers. The role is responsible for onboarding, appointing and ...

ISHE

Physical Therapist

Eagle, ID · On-site

$1.5K - $2.0K/wk

Physical Therapist (Part-Time with Full-Time Potential) Location: Eagle, Idaho Join a Practice That Values Clinical Excellence and Work-Life Balance Are you a passionate physical therapist who ...

ISHE

$39.60 - $59.86/hr

Get ready to put your training into practice with the Physician Pathways Program at Optum. Optum is seeking career-minded final-year Otolaryngology Residents and Fellows ready to get a head start on ...

ISHE

Per Diem Radiology Resident - Atrius Health

Boston, MA · On-site

$39.90 - $59.86/hr

Atrius Health, part of the Optum family of businesses, is seeking a Per Diem Radiology Resident to join our team. Optum is a clinician-led care organization that is changing the way clinicians work ...

previous pagenext page

Showing results 21-40

Coding Quality Analyst

Plymouth, MN • On-site

ISHE
See more jobs at ISHEexternal

Other

Posted 11 days ago

Key responsibilities

  • Conduct reviews of records identified as suspicious or potentially fraudulent using current coding reference materials.

  • Document decisions made during reviews through notations and enter notes into appropriate company systems.

  • Coordinate with team members to understand trends and schemes related to billing issues and coding trends.

Job description

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Coding Quality Analyst position is full time 40hours/week Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 5pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities
  • Conducts reviews on records that have been identified as suspicious and/or potentially fraudulent, utilizing most current reference materials to include, but not limited to: Current Procedural Terminology (CPT), Internal Classification of Disease (ICD-9/ICD 10) and Healthcare Common Procedure Coding System (HCPCs) guidelines
  • Documents Decisions on reviews through notations and enters notes in appropriate company systems
  • Ability to discuss and present decisions made to appropriate internal and external individuals/groups
  • Coordinate with team members to understand trends and schemes related to billing issues/coding trends

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications
  • High School Diploma/GED
  • Active and unrestricted coding certification from AHIMA (CCS, CCS-P or RHIT) or AAPC (CPC)
  • 2+ years of coding experience in CPT medical coding
  • 2+ years of medical record auditing experience
  • Ability to work full time 40hours/week Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 5pm CST. It may be necessary, given the business need, to work occasional overtime
  • Must be 18 years of age or older
Preferred Qualifications
  • Behavioral Health experience
  • Experience with fraud, waste, abuse, and error
  • Knowledge of CMS 1500 and UB04 data elements
  • Encoder Pro familiarity
Telecommuting Requirements
  • Ability to keep all company sensitive documents secure (if applicable)
  • Required to have a dedicated work area established that
#J-18808-Ljbffr

Apply