- Molina Healthcare (Grand Island, NE)
- …include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for ... is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence.… more
- CVS Health (Lincoln, NE)
- …Qualifications** * 2-4 years of experience healthcare field, medical/health setting, medical billing and coding * Experience in call center or customer ... service environment * Works independently and competently, meeting deliverables and deadlines while demonstrating an outgoing, enthusiastic and caring presence telephonically * Demonstrates ability to meet daily metrics with speed, accuracy and a positive… more
- Pine Acres Rehabilitation & Care Center (Plattsmouth, NE)
- …therapy outcomes, regulatory compliance, and resident satisfaction. + Maintain accurate documentation, billing , and coding for all services in compliance with ... facility and payer policies. + Ensure therapy equipment is properly cleaned, maintained, and safely used in accordance with infection control and safety standards. + Provide clinical supervision and performance feedback to Physical Therapy Assistants in… more
- Pine Acres Rehabilitation & Care Center (Plattsmouth, NE)
- …communication, swallowing safety, and cognitive-linguistic function. + Maintain accurate documentation, billing , and coding of services per facility and payer ... requirements. + Collaborate with the interdisciplinary team to ensure coordinated care, discharge planning, and optimal resident outcomes. + Monitor and report key performance indicators for the speech therapy program, ensuring compliance and quality outcomes.… more
- Pine Acres Rehabilitation & Care Center (Nebraska City, NE)
- …facility. Complies with facility policies and procedures for appropriately documenting, billing and coding for residents receiving occupational therapy. Provides ... resident information needed for the resident assessment instrument according to facility policy such as functional abilities and goals, functional status, range of motion, self-care activities, occupational therapy minutes and distinct calendar days, etc.… more
- Molina Healthcare (Omaha, NE)
- …projects, and other state specific audit projects and deliverables related to accurate billing and coding . This role also works with the Health Plan ... Risk/Quality leaders to strategically plan for supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of training for all CDA team members as well as company Risk… more
- CVS Health (Lincoln, NE)
- …States: **Texas, Ohio, New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of ... Aetna's policies and procedures **Education** + Bachelor's degree preferred/specialized training/relevant professional qualification **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $54,300.00 -… more
- Pine Acres Rehabilitation & Care Center (Nebraska City, NE)
- …the facility. Complies with facility policies and procedures for appropriately documenting, billing and coding for residents receiving speech language pathology ... and audiology services. Provides resident information needed for the resident assessment instrument according to facility policy such as signs and symptoms of swallowing disorders, speech and hearing patterns, cognitive patterns, Brief Interview for Mental… more
- Molina Healthcare (Grand Island, NE)
- …standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form). * Advanced understanding of key managed care ... concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Advanced… more
- Molina Healthcare (Bellevue, NE)
- …standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form) + Demonstrated understanding of key managed care ... concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. *… more