ncci

Martin is a leading, tech-enabled insurance advisory firm celebrating over 30 years of excellence. We partner with national, regional, and local insurance carriers and Managing General Agents (MGAs) across the U.S. to solve their most critical challenges. Our expertise spans Product Development, Actuarial Services, Regulatory Compliance, State Filings, and...

Who We Are Since 1923, NCCI has been committed to fostering a healthy workers compensation system. We are the nation’s trusted source for accurate, objective workers compensation information. At NCCI, we recognize that our employees are the reason our legacy endures today. We’re motivated by the opportunity to do challenging and interesting work, and our...

Community Health Systems, Inc. seeks a Remote Physician Pro Fee Coder specializing in Cardiology to review, analyze, and assign CPT, HCPCS, and ICD-10 codes for professional services from provider documentation. You will ensure proper sequencing and modifiers, comply with NCCI edits and LCD/NCD guidelines, perform coding audits, and collaborate with...

Albany Med Health System is seeking a Professional Coder for remote work in Health Information Management. The coder will review, analyze, and validate CPT and ICD-10 codes and charges to ensure compliance with federal/state regulations and payer guidelines. Responsibilities include accurate coding, understanding NCCI edits and RVUs, auditing denials, and...

Martin is a leading, tech-enabled insurance advisory firm with 30+ years in the U.S. market. As a Workers’ Compensation Specialist, you will own the full lifecycle of rate, rule, and form filings across NCCI and independent bureaus, including complex programs and state-specific considerations. You will act as a trusted advisor to carriers and MGAs,...

Embedded Shishya is seeking a senior auditor manager for a 100% remote, U.S.-based role. You will lead the audit team responsible for outpatient payment integrity, covering facility, ambulatory surgery, ED, observation, and professional claims. The ideal candidate will demonstrate strong leadership and analytical skills, with expertise in CPT, HCPCS, NCCI...

MSIG USA seeks a Workers' Compensation Specialist to coordinate bureau changes, manage regulatory filings, and monitor legislative developments across multiple states. You will liaise with Product Development, Underwriting, Actuarial, Compliance, Legal, and Operations to keep products compliant, competitive, and efficiently implemented. The role requires...

The Ohio State University is seeking an Inpatient Coding Quality Analyst (Auditor) to validate ICD-10-CM/PCS coding accuracy and DRG/APR-DRG outcomes through targeted and random audits of inpatient records. The role requires expert knowledge of CMS IPPS, NCCI, and payer-driven edits, along with the ability to educate coding staff and support denial...

Pie Insurance is seeking a Premium Auditor II in the United States to conduct comprehensive premium audits across diverse industries via mail, phone, and virtual platforms. The role involves reviewing payroll records, tax returns, and financial documents to ensure accurate policy coverage and regulatory compliance. Responsibilities include applying NCCI...

Remote | Full-Time Preferred (Part-Time Considered – Minimum 20 Hours/Week) GeBBS Healthcare Solutions is seeking an experienced Single Pathway Same Day Surgery Coder with expertise in Orthopedic Surgery coding. This position is responsible for accurately assigning both professional and facility codes from a single medical record review , ensuring...

Pie Insurance is seeking a Premium Auditor II in the United States to conduct comprehensive premium audits across diverse industries via mail, phone, and virtual platforms. The role involves reviewing payroll records, tax returns, and financial documents to ensure accurate policy coverage and regulatory compliance. Responsibilities include applying NCCI...

ICW Group is seeking a Senior Field Premium Auditor to analyze and conduct in-field premium audits, ensuring accurate exposures and premium charges. You will review policyholder payroll records, apply company standards, and deliver exceptional customer service throughout the audit process.Ideal candidates have 3–5 years of field audit experience, a...

Outpatient Coder Required Skills & Experience - 3+ years of recent outpatient coding experience. Acute care facility outpatient coding, including: wound care, cardiac rehabilitation, and making radiology edits. Ability to maintain productivity while maintaining accuracy. Experience with NCCI/CCI code edits. Active AHIMA/AAPC Credentials Ability to...

Pie Insurance is hiring a Premium Auditor I in the United States. The role conducts standard premium audits for routine businesses across multiple entities via mail, phone, and virtual platforms. It requires reviewing payroll records, tax returns, and financial documents to ensure accurate coverage and regulatory compliance, applying NCCI/PAAS...

Location: Eden Prairie, Minnesota, United StatesCompany: UnitedHealth GroupPosted: UnitedHealth Group seeks a Certified Sr. (IP) Acute Edits Medical Coder to work remotely from anywhere in the U.S. You will determine and record correct codes for treatments, ensuring documentation aligns with policies and guidelines.You will provide feedback to physicians and...

Description Job Title: Premium Auditor Department: Premium Audit Reports to: Premium Audit Manager Position Summary: The Premium Auditor is responsible for conducting workers compensation premium audits both remotely and at the insured’s location or independent accounting firm in a timely and cost-effective manner. This position also serves as a...

ESSENTIAL FUNCTIONS Monitor coding backlogs, turnaround times, unresolved encounters, missing documentation, and workflow exceptions. Reconcile coding work queues, surgery schedules, missing slips, EFS/charge capture systems, and other applicable workflows. Serve as a senior coding resource for complex procedural, surgical, specialty, and...

NCCI in Boca Raton, FL, seeks a Chief External Relations Officer to guide regulatory relations, stakeholder engagement, and external affairs across the enterprise. This executive leads the Regulatory and Customer Operations divisions, partners with regulators, carriers, legislators, and industry bodies, and shapes strategy to enhance value and...

Company Overview MSIG USA continues to grow! Company Overview: MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc., one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise,...

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating...