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Sep 20 Sr. Premium Auditor PMA Companies Schaumburg, IL

written communication skills.Familiarity of NCCI Workers Compensation and ISO manuals.Demonstrate proficiency in Windows applications; Excel, Word and PowerPoint.A valid drivers... more

Sep 19 Post Pay Compliance - Coder Blu-alliance Minneapolis, MN

utilize CMS and CPT coding guidelines, NCCI edits and Medica’s prescribed policies to assure appropriate payment. Required: •Strong personal computer skills: Microsoft Office... more

Sep 19 Coder II - Remote Outpatient Detroit Medical Center Detroit, MI

assesses and addresses all edits (OCE, NCCI, 3M). Assesses appropriateness of APC, APG and ASC assignment. Reviews all accounts returned for medical necessity diagnoses issues and... more

Sep 19 Premium Auditor - San Gabriel Valley Lowry & Associates San Fernando, CA

Description: 1) Know and understand WCIRB , NCCI & ISO guidelines for classification of businesses and employees so as to meet quality standards set forth by our clients 2)... more

Sep 18 Premium Audit Reviewer Mcguffey & Associates Madison, MS

US. We subscribe to PAAS and follow NCCI guidelines. We are an NCCI subscriber. Job Description: The minimum education for this position is a High School Diploma. Candidate must... more

Sep 16 Insurance - Field Premium Auditor Midwest Technical Inspections Eau Claire, WI

and completed audit reports must follow NCCI and ISO Manual Rules, except where deviation is allowed by client or state exemption. The reports will be transmitted electronically. more

Sep 16 Insurance - Field Premium Auditor St. Louis Midwest Technical Inspections St Louis, MO

and completed audit reports must follow NCCI and ISO Manual Rules, except where deviation is allowed by client or state exemption. The reports will be transmitted electronically. more

Sep 15 Premium Auditor - Remote Physical Lowry & Associates Dallas, TX

Description: 1) Know and understand WCIRB , NCCI & ISO guidelines for classification of businesses and employees so as to meet quality standards set forth by our clients 2)... more

Sep 15 Senior Field Auditor -Premium Audit Chartisinsurance San Francisco, CA

policies. Experienced with CA WCIRB and NCCI rules and regulations. Excellent communication skills. Overnight travel up to 20% maybe required. College degree ideally with an... more

Sep 15 Premium Auditor Lowry & Associates Tucson, AZ

Description: 1) Know and understand WCIRB , NCCI & ISO guidelines for classification of businesses and employees so as to meet quality standards set forth by our clients 2)... more

Sep 14 Regional Coder Trn Atlanta, GA

reimbursement structures, applicable coding (NCCI or other standardized) edits, and general knowledge of both Local Coverage Decisions (“LCDs”) and National Coverage Decisions... more

Sep 13 Workers Compensation Sr. Underwriter OptaComp Florida Blue Jacksonville, FL

(preferred skills): Understanding of NCCI rules and regulations Experience working with Florida workers’ compensation Experience working with dividend plans and other loss... more

Sep 10 Post Pay Compliance Coder Medsearch Minneapolis, MN

utilize CMS and CPT coding guidelines, NCCI edits and prescribed policies to assure appropriate payment. Required: •Strong personal computer skills: Microsoft Office including... more

Sep 09 Charge Integrity Coordinator Execu|search Group Jersey City, NJ

to ensure correct coding principles, current NCCI rules, NCD and LCD coverage ... to correct coding principles, current NCCI rules, LCD coverage determinations and... more

Sep 09 Workers' Compensation Sr. Underwriter OptaComp- Jacksonville, FL

(preferred skills): Understanding of NCCI rules and regulations Experience working with Florida workers compensation Experience working with dividend plans and other loss... more

Sep 09 Premium Auditor - Phoenix Metro Area Lowry & Associates Phoenix, AZ

Description: 1) Know and understand WCIRB , NCCI & ISO guidelines for classification of businesses and employees so as to meet quality standards set forth by our clients 2)... more

Sep 04 Premium Auditor Sr Insurance Company of the West Lake Mary, FL

insureds as needed.* Communicates with NCCI/ WCIRB regarding classification and technical issues.* Provides mentoring to less experienced field auditor.* Assists Director of Field... more

Aug 29 Statistical Analyst III Zurich North America Schaumburg, IL

of statistical bureaus e.g. ISO, MA CAR, NCCI 5. Creates coding requirements for new products and programs. Monitors effectiveness and makes changes as necessary. Job... more

Aug 26 Coding Supervisor Lifespan Providence, RI

ed. PREFERRED: Will consider applicant with at least 3 years recent experience in radiation oncology coding and billing. Must be able to work fluently in Mosaic and undersatnd... more

Aug 26 Clinical Coding Specialist II-Outpatient Coding Lifespan Providence, RI

and appropriate resolutions of claim edits (NCCI, NCD, OCE, etc.) Confer with physician for clarification as needed. Monitors outpatient uncoded report to ensure timely coding and... more

Aug 25 Crane Sales and Technical Services Ness and Campbell Crane Bothell, WA

meet or exceed NCCI’s standards for prospecting calls, appointments, presentations ... work habits and NCCI’s Safety Program and NCCI Company values. • Maintain contact with... more

Aug 24 Unit Stat Processor Growing Financial Industry Company Cleveland, OH

on Compensation Insurance (NCCI) and other workers compensation Bureaus • Run expected unit reports each month • Print unit stat cards from premium system to be entered... more

Aug 20 Field Premium Auditor Zurich North America Texas

3. Must have working knowledge of NCCI Workers Compensation and ISO General Liability rules, manuals and industry practices. 4. Strong Excel Skills PREFERRED QUALIFICATIONS... more

Aug 13 Professional Coder, Orthopedic Surgery Tenet Healthcare El Paso, TX

documentation requirements for CPT and NCCI edits Provides comprehensive high-end summaries of audit findings with recommendations for improvement. Ability and desire to take... more

Aug 05 Coder II Remote Inpatient - Pediatric Exp Preferred Detroit Medical Center Detroit, MI

assesses and addresses all edits (OCE, NCCI, 3M). Assesses appropriateness of APC, APG and ASC assignment. Reviews all accounts returned for medical necessity diagnoses issues and... more

Jul 08 Professional Services Coder II - Grade 594 (Stockton or Walnut Creek)(263061) Kaiser Permanente Stockton, CA

CPT and HCPCS code book, CPT Assistant, NCCI Edits, OSHPD and Kaiser Permanente's organizational and institutional coding guidelines. A Professional Services Coder II assigns... more

Jul 07 Regional Coder - Southern States Region Tenet Healthcare Dallas, TX

reimbursement structures, applicable coding (NCCI or other standardized) edits, and general knowledge of both Local Coverage Decisions (“LCDs”) and National Coverage Decisions... more

Jul 03 CDM (Charge Description Master) Analyst Professional Revenue Integrity (1401647) Boston Medical Center Boston, MA

re. - Knowledge of accurate sources for updating all applicable code sets (CPT/HCPCS, ICD-9, etc.) inclusive of associated edits such as NCCI. - Possess effective time... more

Jun 24 Senior Premium Auditor Zurich North America Dallas, TX

Must have working knowledge of NCCI Workers Compensation and ISO General Liability rules, manuals and industry practices. 4. Strong Excel Skills PREFERRED- APA/CPCU... more

More Job Postings from the Web
Sep 21 Senior Field Auditor AIG Philadelphia, PA

Experienced with PA. and CA WCIRB and NCCI rules and regulations. Excellent communication skills. Overnight travel up to 25% maybe required. College degree ideally with an... more

Sep 20 Career Opportunities: IR Hospital Outpatient Coder II | Health Information Management (34607) University of Arizona Medical Center Arizona

setting. Knowledgeable in coding and billing NCCI edits. Knowledge of 3M. Demonstrated ability to apply ED, Interventional Radiology, Ambulatory Surgery coding principles. more

Sep 20 IR Hospital Outpatient Coder II | Health Information Management University of Arizona Health Network Arizona

setting. Knowledgeable in coding and billing NCCI edits. Knowledge of 3M. Demonstrated ability to apply ED, Interventional Radiology, Ambulatory Surgery coding principles. more

Sep 19 Medical Reimbursement Specialist Austin Gastroenterology Austin, TX

on ANSI Reason Code, medical chart review, NCCI, payer policy, eligibility, etc., prepare appeals, perform write off actions or assign financial responsibility to next party,... more

Sep 19 Premium Audit Specialist Markel Omaha, NE

Compensations Insurance (NCCI) test audit requirements Position Requirements: * B.S or B.A. degree strongly preferred * 1 to 2 years of business or account experience preferred *... more

Sep 18 Statistical Analyst III Zurich Na Schaumburg, IL

of statistical bureaus e.g. ISO, MA CAR, NCCI 5. Creates coding requirements for new products and programs. Monitors effectiveness and makes changes as necessary. *Job... more

Sep 18 Regulatory Analyst Travelers Indemnity Company Hartford, CT

to business units. Manage bureau (ISO, NCCI, SAA) associated filings and related issues. Develop and maintain extensive personal contacts with state insurance department staff. more

Sep 17 APC Edit Analyst Boca Raton Regional Hospital Boca Raton, FL

correct identified encoder APC/OCE, NCCI and other payer coding edits during the claim edit review process prior to submission to the payer. * Expected to identify incorrect... more

Sep 17 Workers Compensation Field Inspector (Field Underwriter) NCCI Augusta, GA

At NCCI Holdings, Inc., we realize our greatest asset is our team of more than 900 ... issues and general industry trends. Assists NCCI staff and regulators with classification... more

Sep 17 Accounts Receivable Specialist-Primary Care/Family Practice Insperity Irving, TX

for billing Knowledgeable in NCCI edits   Benefits: We value our employees time and efforts. Our commitment to your success is enhanced by our competitive compensation and an... more

Sep 17 Claims Coordinator New Century Health Brea, CA

problem–solver with good time management skills.Ability to work independently or as part of a team. Must be familiar with Medicare NCCI edits.Knowledge of HMO and fee for... more

Sep 17 Underwriting Representative - Midwest team Brickstreet Mutual Insurance Naperville, IL

using appropriate BrickStreet, NCCI, state specific and industry rules, ... assemble policies. Effectively utilizes NCCI rules and guidance to ensure proper policy... more

Sep 16 Regional Coder - Southern States Region Addison Kenway Atlanta, GA

reimbursement structures, applicable coding (NCCI or other standardized) edits, and general knowledge of both Local Coverage Decisions (“LCDs”) and National Coverage Decisions... more

Sep 15 Sr. Administrative Assistant- Purchasing NCCI Holdings Boca Raton, FL

At NCCI Holdings, Inc., we realize our greatest asset is our team of more than 900 professionals working together every day to make our company the leading provider of workers... more

Sep 15 Actuarial Analyst Amtrust North America New York City, NY

tools and information available from ISO, NCCI and other rating and data collection agencies Business knowledge should include, but not be limited to basic accounting, finance,... more

Sep 13 Remote Professional Services Coder Altegra Health Florida

CPT and HCPCS code book, CPT Assistant, NCCI Edits, and OSHPD Responsibilities: * Reviewing physician reports and appending appropriate CPT, HCPCS Level II, ICD-9 codes, and... more

Sep 12 Medical Biller / Certified Professional Coder Baltimore, MD

AMA documentation requirements for CPT and NCCI edits Provides comprehensive high end summaries of audit findings with recommendations for improvement Ability and desire to take... more

Sep 12 Medical Biller / Certified Professional Coder Quadrant Baltimore, MD

documentation requirements for CPT and NCCI edits Provides comprehensive high-end summaries of audit findings with recommendations for improvement. Ability and desire to take... more

Sep 11 Business Analyst Hire IT People Boston, MA

provider disclosures, overpayments, NCCI, etc.). Collaborate with Business Analyst (BAs) to evaluate all business needs, define system impact, document changes, and Co- sponsor... more

Sep 10 Programmer - Developer NCCI Boca Raton, FL

At NCCI Holdings, Inc., we realize our greatest asset is our team of more than 900 professionals working together every day to make our company the leading provider of workers... more

Sep 10 Medical Coder Medix Florham Park, NJ

Follow correct coding principles, current NCCI rules, LCD coverage determinations as well as current and accepted compliance standards- Identifies unbundled procedures according... more

Sep 09 Sr Remote Coder El Camino Hospital Mountain View, CA

assignment methodology with emphasis in NCCI edits. MS-DRG analytics review with emphasis in APR-DRG focus on severity of illness and risk of mortality preferred. Ability to... more

Sep 09 Collection Analyst - Special Projects Children's Hospital of Philadelphia Philadelphia, PA

ts, remittance advices, insurance denial communication, payor payment processes, payor clinical policies, hospital coding, Medicare and Medicaid NCCI edits, and... more

Sep 08 Regulatory Product Analyst - Workers Comp Chubb Group of Insurance Companies New Jersey

product forms from a Chubb, NCCI and individual state basis. • Ability to understand and ... CPCU or relevant experience at Chubb, NCCI and/or another carrier desired... more

Sep 08 Professional Fee Coder UW Medicine Seattle, WA

to ensure they are consistent with NCCI and MPFSB standards. * Utilizes appropriate methods to ensure all documented professional services are submitted in a timely manner. *... more

Sep 08 Reimbursement Specialist, Health Care, 1-3 Yrs Exp, Days (Billing, Accounting) Nemours Jacksonville, FL

CPT, ICD9, HCPCS, CMS guidelines, NCCI and anesthesia reference materials. Demonstrate professional conduct with both internal and external customers. Ability to recognize and... more

Sep 08 Post-Pay Compliance-Coder Humera Minnetonka, MN

utilize CMS and CPT coding guidelines and NCCI edits prescribed policies to assure appropriate payment. This is a long term contract assignment that will last approximately 3... more

Sep 08 Medical Billing Specialist Accountemps Hopkins, MN

will utilize CMS and CPT coding guidelines, NCCI edits and Medicas prescribed policies to assure appropriate payment. Required: Strong personal computer skills: Microsoft Office... more

Sep 08 Reimbursement Specialist Nemours Foundation Jacksonville, FL

CPT, ICD9, HCPCS, CMS Guidelines, NCCI and Anesthesia reference materials. 3. Demonstrate professional conduct with both internal and external customers. 4. Ability to recognize... more

Sep 08 CODER II Job Texas Health Arlington, TX

encoding system including knowledge of NCCI and OCE billing edits; Advanced working knowledge of the full range of ICD9 diagnosis codes, procedures, MS-DRGs assignment and POA;... more

Sep 07 Supv, Revenue Cycle Ops Emory Healthcare Atlanta, GA

ired: CCS-P, CPC, RHIA, RHIT, CCS, CPC-H; Advanced Knowledge of medical terminology, anatomy and physiology, billing regulations, Medicare & NCCI guidelines, insurance... more

Sep 04 Customer Service Specialist-Class NCCI Holdings Boca Raton, FL

At NCCI Holdings, Inc., we realize our greatest asset is our team of more than 900 ... Guides and directs customers navigating NCCI on-line tools Required Education,... more

Sep 04 Customer Service Specialist-Mods NCCI Holdings Boca Raton, FL

Explains features and benefits of NCCI products and services (e.g. Risk ... Workstation, webinars, etc.) available on NCCI.com. Required Education, Experience... more

Sep 04 Senior Manager, Workers’ Compensation TriNet Bradenton, FL

modifications and NCCI data reporting. - Pricing of all new business based on the ... knowledge of NCCI basic manual classification codes and the placement of workers into... more

Sep 03 Large Account Underwriter Compwest Insurance Lansing, MI

agencies. Maintain familiarity with NCCI and other underwriting resource materials. Participate in direct meetings with policy holders and agents to present/ sell terms and... more

Aug 28 Coder- Revenue Cycle ( 19 hours a week or less ) Job UTMB Health Galveston, TX

also validate labs are billed according to NCCI and LCD guidelines and if not provide feedback to the Provider. - Works coding related charge review and claim edits daily to... more

Aug 28 Medical Claim Review Nurse - RN Non-remote Molina Healthcare Spokane, WA

To provide expert knowledge in CMS, NCCI, AMA and other nationally published guidelines for correct coding and billing accuracy. Essential Functions• Evaluates medical records... more

Aug 28 Underwriting Compliance Manager-Corporate Underwriting-P&C Insurance Carrier Executive Recruiting Solutions Englewood, NJ

Monitoring the Rating Organizations (ISO, NCCI), Developing endorsements and policy forms, and Working with the NAIC and State Insurance Departments. You will also be involved... more

Aug 26 Actuarial Trainee American International Group New York City, NY

other pricing analyses • Monitor NCCI and ISO bureau filings and activities and report on relevant information. • Provide information on rates and pricing to relevant actuarial... more

Aug 26 Actuarial Trainee Chartis New York City, NY

other pricing analyses • Monitor NCCI and ISO bureau filings and activities and report on relevant information. • Provide information on rates and pricing to relevant actuarial... more

Aug 15 Professional Coder, Orthopedic Surgery Tenet Health El Paso, TX

documentation requirements for CPT and NCCI edits Provides comprehensive high-end summaries of audit findings with recommendations for improvement. Ability and desire to take... more

Aug 15 Research Actuary NCCI Florida

about the requirements for this opening. NCCI is seeking a credentialed actuary who ... is professionally demanding yet collegial. NCCI has the advantage of having the nation's... more

Aug 15 Health Data Analyst Kforce Inc. El Dorado Hills, CA

on industry standard editing (NCCI, ME, MUE, ICD9. ICD10, CPT, HCPCS, etc.) for appropriate application in ClaimCheck system in accordance with payment policies and regulatory... more

Aug 14 Professional Coder, Orthopedic Surgery Greater Dallas Healthcare Enterprises El Paso, TX

documentation requirements for CPT and NCCI edits Provides comprehensive high-end summaries of audit findings with recommendations for improvement. Ability and desire to take... more

Aug 14 Insurance Account Manager Branch Banking and Trust Company Pleasanton, CA

changes. n Calculate CA, NCCI and other non-NCCI state test experience modification factors for BB&TIS –CA. n Document client deliverables in the BB&T Agency System... more

Aug 12 Coder III (Remote) - "Inpatient" Coding Texas Health Resources Texas

encoder (knowledge/management of NCCI/OCE billing edits); IP Coder: Expert working knowledge of full range of ICD9 diagnosis codes, procedures, MS-DRG assignment and POA; Ability... more

Aug 12 Insurance Account Manager BB&T Human Systems Pleasanton, CA

modification changes.n Calculate CA, NCCI and other non-NCCI state test experience modification factors for BB&TIS –CA.n Document client deliverables in the BB&T Agency... more

Aug 10 Premium Auditor Insurance Services Group of the Southeast Florida

and a working knowledge of state, NCCI and ISO guidelines is required. Additional skills required include superior communication skills, excellent computer skills (Excel, Word,... more

Aug 06 Associate Actuary NCCI Florida

is professionally demanding yet collegial. NCCI has the advantage of having the nation's ... * Familiarity with workers compensation or NCCI methodologies * Advanced knowledge of... more

Jul 30 Fraud Waste and Abuse Coding Auditor Meridian Health Plan Michigan

of Medicare/Medicaid, ICD-9, CPT-4, and NCCI Guidelines. Utilizes other reputable resources (CPT® Assistant, industry associations and organizations) in audit determinations. *... more

Jul 29 Associate Actuary - Research NCCI Boca Raton, FL

is professionally demanding yet collegial. NCCI has the advantage of having the nation's ... Familiarity with workers compensation or NCCI methodologies Advanced knowledge of... more

Jul 23 Direct Hire Remote Inpatient Coder Codingaid Remote, OR

APC assignment methodology with emphasis in NCCI edits. MS-DRG analytics review with emphasis in APR-DRG focus on severity of illness and risk of mortality preferred. Ability to... more

Jul 22 Manager Revenue Integrity (1402403) Boston Medical Center Boston, MA

ware. * Knowledge of accurate sources for updating all applicable code sets (CPT/HCPCS, ICD-9, etc.) inclusive of associated edits such as NCCI. * Possess effective time... more

Jul 15 Data Entry Operator Keytech Hartford, CT

ering Workers Compensation Posting Notices and mailing to our Insureds. • Entering proof of coverage into Workers Compensation NCCI database. • Processing Auto filings upon... more

Jul 07 Regional Coder - Southern States Region Conifer Health Solutions Dallas, TX

reimbursement structures, applicable coding (NCCI or other standardized) edits, and general knowledge of both Local Coverage Decisions (“LCDs”) and National Coverage Decisions... more

Jun 30 Field Premium Auditor FCCI Insurance Group Ridgeland, MS

ability to travel within assigned territory involving occasional overnight stays * Samples of your work product * Excellent knowledge of NCCI and ISO rules and classifications *... more

Jun 19 Account Administrator Lockton Companies Dallas, TX

modification, and orders worksheets from NCCI for unit associates Coordinates custom binding orders for new and renewal policies Processes forms for new business as requested by... more

Jun 10 Coder/PRN St. Vincent Charity Medical Center Cleveland, OH

edit resolution. Understanding of the OPPS, NCCI edits, APG’s, ChargeMaster and BWC billing guidelines are a plus. Ability to communicate with all levels of customers including... more

Jun 10 Coder/PRN Sisters of Charity Health System Cleveland, OH

edit resolution. Understanding of the OPPS, NCCI edits, APG’s, ChargeMaster and BWC billing guidelines are a plus. Ability to communicate with all levels of customers including... more

Jun 05 Premium Auditor Sr Icw Group Lake Mary, FL

Communicates with NCCI/ WCIRB regarding classification and technical issues. • Provides mentoring to less experienced field auditor. • Assists Director of Field Audit Services and... more

May 22 Data Analyst NCCI Holdings Boca Raton, FL

issues impacting NCCI’s data providers and NCCI products and services. Responsible for ... researching issues to determine if NCCI systems issues are contributing to the... more

May 15 Professional Services Coder II Codebusters Pasadena, CA

CPT and HCPCS code book, CPT Assistant, NCCI Edits, OSHPD. A Professional Services Coder II assigns codes for professional services rendered in the following settings: Hospital,... more

May 09 Coder Analyst AMS Consulting Services Conyers, GA

e UB04 claim form• General knowledge of payer requirements / regulations• Familiarity with or ability to research in the NCCI Policy Manual and Medicare ManualsAHIMA or AAPC... more

Apr 25 Coding Supervisor Asante Health System Medford, OR

POA, professional coding and NCCI edits; the ability to independently conduct regulatory and coding clinic guidance research and follow-through with education of coding staff; the... more

Apr 17 Medical Coding Analyst Senior Blue Shield of California El Dorado Hills, CA

on industry standard editing (NCCI, ME, MUE, ICD9. ICD10, CPT, HCPCS, etc.) for appropriate application in McKesson ClaimCheck system in accordance with BSCA payment policies and... more

Apr 02 Licensed Practical Nurse-Medical MHM Services Gardner, MA

LPNs We are currently seeking LPNs at NCCI Gardner. We are hiring PRN LPN positions on all shifts. This is an ideal way to get your foot in the door if you are looking for a more... more

Mar 20 Trainer for OP Coders Health Information Partners Georgia

will be familiar with OPPS system and NCCI edits and have prior auditing and/or training experience using 3M? Encoder.? Candidates will pass a pre-employment coding proficiency... more

Mar 07 Customer Service Specialist-Classification NCCI Holdings Boca Raton, FL

At NCCI Holdings, Inc., we realize our greatest asset is our team of more than 900 ... Guides and directs customers navigating NCCI on-line tools. Required Education,... more

Feb 14 Coding Supervisor Life Span Providence, RI

ed. PREFERRED: Will consider applicant with at least 3 years recent experience in radiation oncology coding and billing. Must be able to work fluently in Mosaic and undersatnd... more

Dec 16 Staff Underwriting Specialist Society Insurance Fond Du Lac, WI

Council on Compensation Insurance (NCCI) and Wisconsin Compensation Rating Bureau (WCRB). Creates and maintains underwriting guidelines; responsible for updating underwriting... more

Nov 14 Sr Revenue Integrity Analyst Huntington Hospital Pasadena, CA

etc.) inclusive of associated edits such as NCCI. General understanding of multiple reimbursement systems including IPPS, OPPS, and Fee Schedule. Knowledge of CMS/Medicare... more

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