NewCoder Quality Auditor Ensemble Health PartnersCoder Quality AuditorCarson City, NVRemote$57,400–$99,000Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts.
NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorCarson City, NVRemote$57,400–$99,000The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
CODER OUTPATIENT PROFESSIONAL Carson Tahoe Regional HealthcareCODER OUTPATIENT PROFESSIONALCarson City, NVThe Clinical Coding Specialist Level I assigns compliant, complete, and accurate ICD diagnosis codes for the hospital component of outpatient ancillary services, based upon the clinical documentation provided within the medical record. Clarify with the appropriate provider and HIM analysts all incomplete, ambiguous, and / or conflicting clinical documentation when further specificity is needed for accurate and complete diagnosis(es) code assignment.
Coder II Healthcare Outcomes Performance CompanyCoder IIReno, NevadaDemonstrates knowledge of sequencing diagnoses and procedure codes outlined in the ICD-10-CM Official Coding Guidelines, Uniform Hospital Discharge Data Set, CMS guidelines, and other resources as applicable. Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures.
CODER OUTPATIENT PROFESSIONAL SURGERY ER Carson Tahoe Regional HealthcareCODER OUTPATIENT PROFESSIONAL SURGERY ERCarson City, NVActive; Minimum of one of the following credentials: AHIMA RHIA or AHIMA RHIT or AHIMA CCS or CCS-P or AAPC CASCC or AAPC CGSC or AAPC COC or AAPC CPC or AAPC CIRCC or AAPC CANPC or AAPC CCVTC or AAPC CCC. As an intermediate level clinical coding specialist, assigns compliant, complete, and accurate APC's, ICD diagnosis codes, CPT/HCPCS procedure codes, E/M facility and Professional level codes, and modifiers.
CODER OUTPATIENT PROFESSIONAL SURGERY ER PER DIEM Carson Tahoe Regional HealthcareCODER OUTPATIENT PROFESSIONAL SURGERY ER PER DIEMCarson City, NVActive; Minimum of one of the following credentials: o AHIMA RHIA or AHIMA RHIT or AHIMA CCS or CCS-P or AAPC CASCC or AAPC CGSC or AAPC COC or AAPC CPC or AAPC CIRCC or AAPC CANPC or AAPC CCVTC or AAPC CCC. As an intermediate level clinical coding specialist, assigns compliant, complete, and accurate APC's, ICD diagnosis codes, CPT/HCPCS procedure codes, E/M facility and Professional level codes, and modifiers.
Professional Services Coder Renown HealthProfessional Services CoderReno, NVOther responsibilities include: Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers. Review documentation (and returned accounts) to verify and correct place of service, billing and service providers, or other missing data elements (ie: NDC, or number of units) Uses CCI edit software to check bundling issues, modifier appropriateness, and LCDs/NCDs for medical necessity.
CODER INPATIENT PER DIEM Carson Tahoe Regional HealthcareCODER INPATIENT PER DIEMCarson City, NVAs senior level coding specialist, assigns compliant, complete and accurate coding MS-DRG's, ICD-10-CM diagnosis codes, ICD-10-CM procedure codes, and Present on Admission (POA) indicators for the hospital inpatient, and LTACH on services based upon the clinical documentation provided within the medical record. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations.
CODER INPATIENT Carson Tahoe Regional HealthcareCODER INPATIENTCarson City, NVAs senior level coding specialist, assigns compliant, complete and accurate coding MS-DRG's, ICD-10-CM diagnosis codes, ICD-10-CM procedure codes, and Present on Admission (POA) indicators for the hospital inpatient, and LTACH on services based upon the clinical documentation provided within the medical record. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations.
Medical Review Nurse (RN) Molina Healthcare IncMedical Review Nurse (RN)Reno, NVReevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. REQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.
NewMedical Coding Specialist Reno Orthopedic CenterMedical Coding SpecialistReno, NVFor surgical cases, you may also communicate with vendors regarding implants, manage inventory and purchase orders, and enter related charges into the practice management system to ensure accurate, compliant, and efficient billing operations. We prioritize work-life balance by fostering a supportive, team-oriented environment where workloads are managed realistically, schedules are respected, and personal well-being is valued.
Coding Lead Renown HealthCoding LeadReno, NVLicense(s): Certification(s): CCS or RHIA/RHIT with a minimum of four years of facility coding experience is required Computer / Typing: Must possess, or be able to obtain within 90 days,the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-9-CM/ ICD-10-CM diagnostic codes and procedural codes to obtain optimal reimbursement from all payer types, including Medicare/Medicaid, and private insurance payers.
Supervisor of Coding Renown HealthSupervisor of CodingReno, NVIncumbent must be trained in the anatomy and physiology of the human body and disease processes in order to understand the etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and prognosis of diseases and procedures to be coded and to provide direction and mentoring of staff to ensure their understanding of coding principles and correct coding initiatives. The incumbent performs ICD-9-CM/ICD-10-CM/PCS and CPT coding, coordinates HIM initiatives to ensure accurate reimbursement in the Revenue Cycle, monitors productivity, and performs retrospective reviews for coding accuracy and educational opportunities.
Manager of Coding Renown HealthManager of CodingReno, NVThis position is responsible for developing, planning, maintaining, and coordinating orientation programs and in-services for staff development competency validation programs and rotations for coding trainees This position faces the major challenges of fostering positive relationships between physicians, the community, and the organization with the purpose of maintaining cost-effective and high-quality documentation; designing and coordinating educational programs; complying with state, federal and governing body regulations; and working cooperatively with other departments to achieve goals of the organization. This position is responsible for the day-to-day management of coding staff to ensure timely coding/entry of ICD.9/ICD.10, and CPT codes, This position oversees the coding and workflows of daily unbilled accounts through work queues to ensure timely coding/billing and compliance.
Claims Resolution Specialist University Health Services IncClaims Resolution SpecialistRENO, NVOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries.
Special Investigations Unit Investigator CareOregon IncSpecial Investigations Unit InvestigatorNV$72,765–$88,935 / yearStrong research, investigative and problem-solving skills Strong communication skills, including written, verbal and listening skills Effective computer skills, including MS Office Suite Strong interpersonal and motivational skills Ability to think logically and creatively without undue influence from personal biases Ability to operate with a high degree of professionalism and confidentially Ability to plan, organize, manage, and monitor work projects Ability to facilitate learning opportunities in a variety of informal and formal settings Ability to make presentations to small and large groups. Ability to bend and speak clearly for at least 3 hours/day Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to see, read and hear and for at least 6 hours/day Ability to perform repetitive finger and wrist movement for at least 3-6 hours/day Ability to work effectively with diverse individuals and groups.
Investigations Unit Investigator, Senior CareOregon IncInvestigations Unit Investigator, SeniorNV$90,225–$110,275 / yearCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). Help identify potential areas of FWA vulnerability and risk; assist department leadership in developing and implementing corrective action plans for resolution of problematic issues and provide general guidance on how to avoid or deal with similar situations in the future.
NewCODING DIAGNOSTICIAN Carson Tahoe Regional HealthcareCODING DIAGNOSTICIANCarson City, NVRemoteAssigns and audits compliant, complete, and accurate APC's, ICD-9-CM diagnosis codes, CPT/HCPCS procedure codes, E/M facility level codes, and modifiers for the hospital outpatient and inpatient services to include Cardiac Catheterization, Lab, and Electrophysiology, along with the technical codes. Seeks out missing information and creates complete records, including items such as disease and procedure codes, point of origin code, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)NV$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
SUPERVISOR CODING Carson Tahoe Regional HealthcareSUPERVISOR CODINGCarson City, NVWe serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations. The Outpatient Coding Supervisor provides oversight and direction for the activities of the Outpatient Coding team of the Health Information Management Department to meet the quality, utilization, and financial needs of the organization.
NewInvestigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)NV$43,888–$93,574 / yearExperience with Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research. Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.
NewInvestigator, Special Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)NV$46,988–$122,400 / yearDemonstrated proficiency in Microsoft Office Suite (including Excel, specifically with pivot tables), database search tools, and use of the Intranet/Internet to research information. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.