Inpatient Coding Analyst - Disputes & Claims Investigations
$60k - $130kStout Risius Ross
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
$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
...on that foundation, Hilco Global is expanding its Global Investigations & Dispute Resolution practice. This growing practice advises clients... ...build a premier practice. Position Overview As an Analyst in Hilco Global Investigations & Dispute Resolution practice...SuggestedWork at officeLocal area$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- ...Medicine , as a Revenue Integrity Analyst in the Revenue Cycle... ...Supporting the departments to investigate/identify new revenue... ...in regards to compliance in coding, billing, and proper documentation... ...billing edits designed to prevent claims delays & denials and non-...ClaimsFull timeWork experience placementRemote workWork from homeMonday to FridayFlexible hoursShift 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. This position...ClaimsWork experience placementWork at office
- ...POSITION SUMMARY: The Data Analyst is responsible for delivering... ...client eligibility and claims files. This includes EDI mapping... ...~ Support the review, investigation, and resolution of data discrepancies... ..., data warehousing, and coding languages ~ Basic experience...ClaimsWork experience placementWork at officeRemote workWork from home
$87k - $195k
...actionable insights is core to our success. A Manager within our Disputes, Claims, and Investigations group will work on consulting assignments across a... ...key issues and relevant data. Supervise and mentor Analysts and Associates, supporting skill development and fostering...ClaimsWork at officeLocal areaFlexible hours$85.1k - $161.58k
...-oriented Senior Business Data Analyst to enhance our data quality review... ...issues within enrollment, claims, risk score, and other healthcare data sources Investigate and document root causes of data... ...in the following areas: Coding in SQL and/or Python Querying...ClaimsFull timeTemporary workWork experience placementWork at officeRemote workFlexible hours- ...Medicaid and third-party insurance claims for services delivered across... .... This role ensures accurate coding, timely submission,... ...standard processing periods. Investigate and resolve billing discrepancies... .... Resolve denied or disputed claims by consulting with Medicaid...ClaimsWork 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
- ...GENERAL SUMMARY/BASIC PURPOSE OF JOB: The Revenue Integrity Analyst is a key role in instilling a culture of revenue cycle... ...Integrity Analyst will assist with chargemaster (CDM) integrity, code assignment, claim editing, the development, training and education of process...ClaimsContract workWork experience placement
- The University of Chicago Medicine is seeking a Clinical Data Analyst - Inpatient Coder to code and abstract diagnoses and procedures from medical records. This role is crucial for optimal reimbursement and quality reporting. Applicants should hold an associate or bachelor...Remote jobPart time10 hours per weekFlexible hoursShift workWeekend workWeekday work
- ...Data Analyst Looking for a data-driven individual who can analyze big data and create... ...development and experience with medical claim data. This individual will provide support... .... Responsibilities: Utilize SQL coding skills to extract, manipulate, and analyze...Claims
$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$125k - $130k
Consulting Senior Analyst - Provider Revenue Excellence Job ID: 104601 Atlanta... ...transformation experience, including patient access, coding, Clinical Documentation Improvement (CDA)... ...learning ~ Strong analytical skills in claims, productivity, access, and volume data to...ClaimsHourly payApprenticeshipWork at officeEasy work- ...CPC AHIMA or AAPC membership Part time, 20 hours/week The HB Coding Analyst reflects the mission, vision, and values of Northwestern... ...95% accuracy Resolves NCCI, NCD/LCD or other outpatient edit claim failures as assigned Meets established minimum coding productivity...ClaimsRemote jobPart timeLocal areaRelocation package
- ...insurance, is seeking a Catastrophe Risk Analyst. In this role, you'll play a... ...Analyze large datasets (e.g., exposure data, claims data, hazard data) to assess model... ...platforms (RMS, Verisk, AIR, etc.). ~ Strong coding and data analysis skills (e.g., Python, R...ClaimsLive in
- ...insurance, is seeking a Senior Catastrophe Risk Analyst. In this role, you'll play a... ...large datasets (e.g., exposure data, claims data, hazard data) to assess model... ...platforms (RMS, Verisk, AIR, etc.). ~ Strong coding and data analysis skills (e.g., Python, R...ClaimsLive in
- ...academic health‑care system at UChicago Medicine as an Inpatient Coder - Clinical Data Analyst in the Medical Records department. This is a remote, work... ...Analyst, under general direction, is responsible for coding and abstracting diagnoses and procedures from inpatient...Full timeInterim roleRemote workWork from homeShift work
$120k - $215k
...market analyses. Draft, review, and finalize expert reports, written analyses, presentations, and graphical exhibits for litigation and dispute proceedings. Direct and participate in document review and analysis processes, synthesizing case documentation, testimony, court...ClaimsLocal areaFlexible 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
- ...POSITION SUMMARY The Medical Plan Building Analyst (Plan Building Analyst) analyzes plan... ...ESSENTIAL FUNCTIONS Accurately code self-funded and fully insured groups... ...documentation to ensure the correct processing of claims when manual intervention is required...ClaimsWork experience placementRemote workWork from home
- ...We are looking for a contract Senior Data Analyst to join a project that is projected to... ...support for operational areas including claims, policy, client, and underwriting data. Identify... ...datasets. Proficiency in at least one coding language such as Python or R . Experience...ClaimsFull timeContract workTemporary workWork experience placement
$120k - $215k
...Draft, review and finalize expert reports, written analyses, presentations, and graphical exhibits prepared for litigation and dispute proceedings. Direct and participate in document review and analysis processes, including synthesis of case documentation, testimony...ClaimsLocal areaFlexible hours$95.17k - $149.56k
...Inpatient DRG Validator (Acute Care) **Virtual: ** _ _ This role enables associates to work... ...and generating high quality recoverable claims for the benefit of the company, for all lines... ...documentation to evaluate issues of coding and DRG assignment accuracy. Specializes...ClaimsFull timeTemporary workWork experience placementLocal area1 day per week$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$78.32k - $128.16k
...Investigator II Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering... ...and client funds paid on fraudulent claims. How you will make an impact Claim reviews for appropriate coding, data mining, entity review, law enforcement...ClaimsTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week$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
...Job Overview The Inpatient Coding Auditor will audit inpatient coders and offshore audit teams to ensure coding accuracy standards are met... ...correct identified errors, and initiate corrective action before claims are rebilled. Conduct analysis and present summaries of...ClaimsHourly payPermanent employmentWork at officeLocal areaFlexible hoursDay 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
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