Talent.com
Behavioral Health Coding Auditor

Behavioral Health Coding Auditor

VirtualVocationsMilwaukee, Wisconsin, United States
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Coding and Compliance Auditor-Behavioral Health.

Key Responsibilities :

Perform operational and financial audits of provider claims to identify overpayments and resolve root cause issues

Adjust claim payments and adjudicate claims according to established recovery guidelines

Identify potential recovery projects and report findings to management

Required Qualifications :

Bachelor's Degree or equivalent combination of education, training, and related experience

5+ years of experience in Behavioral Health claims processing or health insurance

At least 3 years of work related to medical billing and coding

CPC or CCS certification preferred

Successful completion of pre-employment background check

serp_jobs.job_alerts.create_a_job

Coding Auditor • Milwaukee, Wisconsin, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
ABA Intake Admin Assistant

ABA Intake Admin Assistant

VirtualVocationsRacine, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for an ABA Intake & Authorizations Admin Assistant - Spanish Speaking.Key Responsibilities Facilitate the client onboarding process and ensure accurate documentation and comm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Patient Screening Specialist

Patient Screening Specialist

VirtualVocationsRacine, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for a Patient Screening Specialist to efficiently screen, schedule, and guide patients through the clinical trial process. Key Responsibilities Conduct phone screenings to ass...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Healthcare Credentialing Coordinator

Healthcare Credentialing Coordinator

VirtualVocationsMilwaukee, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for a Healthcare Credentialing Coordinator, part-time and remote.Key Responsibilities Manage the credentialing and re-credentialing process for healthcare providers, ensuring...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Prior Authorization Specialist

Prior Authorization Specialist

VirtualVocationsRacine, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for a Prior Authorization Specialist to manage the initiation and processing of prior authorization requests. Key Responsibilities Initiate, process, and oversee clinical revi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
RN Clinical Appeals Reviewer

RN Clinical Appeals Reviewer

VirtualVocationsMilwaukee, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for an IBR Clinical Appeals Reviewer - Remote.Key Responsibilities Analyze and respond to IBR Appeals inquiries Perform medical record reviews and prepare written appeals C...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
CareScout Connection Specialist

CareScout Connection Specialist

VirtualVocationsRacine, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for a CareScout Connection Representative.Key Responsibilities Provide support to customers and their families through compassionate conversations during their care journey ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Pennsylvania Licensed Clinical Appeals Reviewer

Pennsylvania Licensed Clinical Appeals Reviewer

VirtualVocationsRacine, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Appeals Reviewer.Key Responsibilities Process appeals while ensuring compliance with regulatory milestones Review medical records for documentation and billin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Licensed Physician Reviewer

Licensed Physician Reviewer

VirtualVocationsRacine, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for a Physician Reviewer - Utilization Review.Key Responsibilities Conduct timely medical reviews to ensure compliance with quality parameters Make clinical determinations b...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Health Information Analyst

Health Information Analyst

VirtualVocationsRacine, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for a Health Information Discharge Analyst I.Key Responsibilities Reviews inpatient records to ensure completion of discharge summaries and identifies deficiencies Updates d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
CPC Certified Multispecialty Coder

CPC Certified Multispecialty Coder

VirtualVocationsRacine, Wisconsin, United States
serp_jobs.job_card.part_time
A company is looking for a Part-time Multispecialty Coder - Physician.Key Responsibilities Code E / M for multispecialty physician outpatient and inpatient charges Code office-based procedures whe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
HEDIS Coding Quality Auditor

HEDIS Coding Quality Auditor

VirtualVocationsMilwaukee, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for a Coding Quality Auditor, HEDIS.Key Responsibilities Conduct clinical quality audits and identify issues for quality improvement within the HEDIS project Collect and org...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Senior Healthcare Data Analyst

Senior Healthcare Data Analyst

VirtualVocationsRacine, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Healthcare Data Analyst.Key Responsibilities Analyze medical and pharmacy claims to develop and maintain data products Apply advanced models and queries to reso...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Licensed RN Clinical Appeals Reviewer

Licensed RN Clinical Appeals Reviewer

VirtualVocationsRacine, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for an IBR Clinical Appeals Reviewer who will analyze and respond to client and hospital claim review appeal inquiries. Key Responsibilities : Analyze scope and resolution of I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
HCS-D Certified Coding Specialist

HCS-D Certified Coding Specialist

VirtualVocationsRacine, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for a Coding Specialist (HCS-D Certification Required).Key Responsibilities Conducts thorough reviews of medical records to assign appropriate ICD codes Adheres to coding gu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Health Claims Examiner

Health Claims Examiner

VirtualVocationsRacine, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for a Health Claims Examiner I.Key Responsibilities Review medical documents to ensure completeness and validity for claim adjudication Determine covered services and calcul...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
California Licensed Review Nurse

California Licensed Review Nurse

VirtualVocationsMilwaukee, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for a Pre-Service Review Nurse RN to work remotely in the Pacific or Mountain Time Zones.Key Responsibilities Conduct utilization management, including Prior Authorization Re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Texas Licensed Utilization Review Specialist

Texas Licensed Utilization Review Specialist

VirtualVocationsMilwaukee, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Review Specialist to monitor and ensure the effective use of outpatient services.Key Responsibilities Establish and maintain methods for ensuring medical ne...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
South Carolina Licensed RN Reviewer

South Carolina Licensed RN Reviewer

VirtualVocationsRacine, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for an RN Medical Reviewer II to perform medical reviews and support medical claims processing.Key Responsibilities Conduct medical claim reviews for complex services and det...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours