Inpatient Coding Analyst - Disputes & Claims Investigations
$60k - $130kStout Risius Ross, LLC
Stout Risius Ross, LLC is seeking a healthcare consultant to contribute to coding audits and claims analysis. You will review inpatient medical records for coding accuracy and support forensic analyses. The position requires strong coding experience and an analytical mindset. The ideal candidate holds a Bachelor's degree and an active coding credential. Compensation ranges from $60,000 to $130,000 annually, with eligibility for bonuses. Join a team that values quality and integrity. #J-18808-Ljbffr Stout Risius Ross, LLC
$60k - $130k
...complex healthcare consulting engagements involving coding audits, disputes, claims analysis, and investigations. You will deliver high‑quality accuracy in coding... ...recommendations. By applying deep expertise in inpatient coding, reimbursement systems, and compliance,...ClaimsWork at officeLocal area$90k - $115k
As an Analyst in Hilco Global Investigations & Dispute Resolution practice, you will support engagement teams on a range of investigative, forensic accounting, financial analysis, and dispute-related matters. You will work closely with more senior professionals to conduct...SuggestedWork at office$90k - $115k
Hilco Corporate Finance, LLC, seeks an Analyst to join their Global Investigations & Dispute Resolution practice. The ideal candidate will support investigation teams by conducting research, analyzing financial data, and helping in the development of client-ready materials...Suggested$38.02 - $55.18 per hour
...charge capture functionality, coding, and EHR documentation. The Senior Business Analyst will work collaboratively with... ...Reviews EHR charge information, claim data, and insurance correspondence... ...and participates in compliance investigations as needed. • Translates...ClaimsHourly payFull timeWork at officeShift work- ...Nurse Analyst The Nurse Analyst is responsible for collecting, analyzing... ...in the evaluation and creation of investigative strategies and case objectives; evaluate... ...assessment instruments; ICD-9/10 coding; CPT coding; and, Medicaid claims/utilization data....ClaimsWork experience placementWork at office
- ...assigned Complex Outpatient (CO) and/or Inpatient health records to determine the... ...Modification (ICD-CM) diagnosis and procedure codes, Current Procedural Terminology (CPT) /... ...facilitate coding in a timely fashion). Investigates claims denials and/or appeals as directed....ClaimsTemporary workLocal areaImmediate startRemote workFlexible hours
$27.47 - $43.27 per hour
...circumstances of each case. Summary: The Revenue Integrity Analyst uses advanced knowledge of coding, CDM, charge capture, and auditing to solve complex... ...within the assigned Epic Account, Charge Review, and Claim Edit Work queues while solving edits related to...ClaimsHourly payFull timeShift work$75k - $90k
...Description Data Science Analyst AArete is one-of-a-kind when it comes to consulting... ...engineering tools such as Claude Code, GitHub Copilot, or similar platforms to... ...especially with payer, provider, clinical, claims, revenue cycle, population health, or healthcare...ClaimsTemporary workWork experience placementWork at officeFlexible hours- ...academic health-care system at UChicago Medicine as an Inpatient Coder - Clinical Data Analyst in the Medical Records department . This is a... ...Data Analyst, under general direction, is responsible for coding and abstracting diagnoses and procedures from inpatient...Full timeInterim roleRemote workWork from homeShift work
$100k - $150k
...Position Summary As a Research Analyst, you will be an integral member of the Manager... ...Bloomberg, Morningstar, Bipsync, FactSet) Coding or data analytics experience is a strong... ..., you may be barred from filing a claim under the provisions of the Workers' Compensation...ClaimsWork at officeLocal areaRemote work2 days per week- ...Hospital Revenue Cycle Operations Process inpatient and outpatient hospital billing, including claim submission and follow-up Perform... ...follow up on unpaid or underpaid claims Investigate and resolve claim denials, coding issues, and billing discrepancies Ensure...ClaimsTemporary work
- ...VBA, macros, formulas, data visualization, etc.), PowerPoint, and coding/querying skills, with SQL experience preferred. Advanced... ...business acumen and strategic thinking. Knowledge of underwriting, claims, insurance finance/actuarial concepts, regulatory environment, product...ClaimsLocal area
- ...insurance, is seeking a Catastrophe Risk Analyst . In this role, you’ll play a critical part... ...large datasets (e.g., exposure data, claims data, hazard data) to assess model performance... ...(RMS, Verisk, AIR, etc.). Strong coding and data analysis skills (e.g., Python, R...ClaimsLive in
$70k - $75k
...world class service — both pre- and post-claims. Ascot exists to solve for our clients’ brightest... ...unit, the Associate Actuarial Data Analyst, Reserving will work on critical “run the... ..., template creation, tool support, and coding. The Associate Data Analyst will be responsible...ClaimsTemporary workWork experience placementWork at officeLocal areaFlexible hours$92k - $95k
...translate complex analytical outputs into clear stories for both technical and non‑technical audiences Deep understanding of claims billing processes and code sets (e.g., ICD‑10, CPT, HCPCS), including knowledge of how these elements are applied in analytics Working knowledge...ClaimsApprenticeshipEasy work$26.44 - $36.06 per hour
...Perform activity related to coding of medical records, resolve coding... ..., and decisions. Act as Inpatient Coding Auditor, ensuring a minimum... ...during audits before claims are rebilled. Analyze and present... ...6 per hour. Position Level : Analyst Country : United States of America...ClaimsHourly payPermanent employmentWork at officeDay shift$26.44 - $36.06 per hour
...engagement across the enterprise. The Inpatient Coding Auditor will be responsible for the... ...corrective action is initiated before the claim is rebilled to the insurance.... ...implemented in the future. Position Level Analyst Country United States of America...ClaimsHourly payPermanent employmentWork at officeLocal areaImmediate startRemote workFlexible hoursDay shift- Position Summary The Inpatient Coding Auditor will be responsible for the auditing of inpatient... ...and initiate corrective actions before claims are rebilled. Analyze and present summary... ...AHIMA/ACDIS standards. Position Level Analyst Country United States of America...ClaimsPermanent employmentWork at officeDay shift
- ...in Chicago is hiring a Customer Care & Dispute Specialist to manage invoice discrepancies... ...timely cash flow. This role involves investigating root causes of disputes and working closely... ...with various teams to resolve customer claims effectively. The ideal candidate will have...Claims
$20 - $28 per hour
Description: Job Title: Investigator I Job Location : Chicago, IL Job Type: Part-Time, Billable Hours, Non-exempt Reports To... ...join our team! This role involves conducting thorough insurance claims investigations, which include performing scene investigations...ClaimsHourly payWeekly payPart timeWork at officeWork from homeFlexible hours- Description Becker & Company is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect... ...investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability...ClaimsFlexible hours
- ...address any concerns regarding medical claims, payments, patient balances and insurance... ...including rejected or denied insurance claims, coding errors, and underpayments. Provide... ...issues to supervisor for further investigation. Provide feedback on recurring billing...Claims
- Reporting Data Analyst Onsite Location Alpharetta, GA; Charlotte, NC; Chicago... ...such as Guidewire (Policy, Billing, Claims), Genius, and SAP. • Strong SQL skills... ...reporting assumptions. • Support UAT and investigate data discrepancies between source...ClaimsWork at officeLocal areaRemote workRelocation3 days per week
$99k - $232k
...messages, highlighting and summarising key points. Uphold the firm's code of ethics and business conduct. As a PwC Healthcare Consulting... ...communication to clients / leaders; Analyzing clients medical claim data to understand historical trends and suggest opportunities...Claims$17 - $19.5 per hour
...Compensation (IWCC) and commercial insurance claims. You will take ownership of the revenue... ...and paper claims with 100% accuracy. Coding Integrity: Review patient records to ensure... ...and manage the formal appeal process for disputed payments. AR & Payment Posting:...ClaimsFull timeWork at officeMonday to Friday$84k - $107k
...global risk management program, with an initial primary focus on claims administration and tactical risk processes for a global food... ..., logistics, and safety practices) to support effective claim investigation and loss prevention follow-up. ~ Ability to operate in a...ClaimsTemporary workRemote workWorldwideFlexible hours2 days per week$150k - $400k
...strength in healthcare, government investigations, litigation, corporate transactions,... ...Significant experience handling False Claims Act (FCA) investigations, qui tam... ...and abuse allegations, reimbursement disputes, billing and coding issues, Anti‑Kickback Statute matters...ClaimsPermanent employmentWork at officeLocal areaFlexible hours$20.5 - $23 per hour
...functions for all medical and/or dental claims for PCC Community Wellness Center, to ensure... ...rendered services through proper claim coding and physician charting Partner with Enrollment... ...Remain abreast on FQHC/ 340B/ inpatient and dental industry changes, proactive with...ClaimsHourly payFull timeLocal area$24.04 per hour
...Debit Card Dispute Specialist Org Structure : Job Posting Location Melrose... ...Specialist hourly (non-exempt) position investigates and resolves debit card and Zelle disputes... ...procedures. Process Zelle dispute claims. Ensure claims are processed according to...ClaimsHourly payFull timeRemote workMonday to Friday$85k - $200k
...a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical,... ...experience and knowledge related in coding, revenue cycle and clinical operations... ...to advanced understanding of in claims processing procedures, state and federal...ClaimsRemote work
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