- Sutter Health (Roseville, CA)
- …A broad knowledge base of post-acute levels of care and associated regulatory compliance requirements. + General understanding of coding and DRG assignment ... retrospective utilization management review using the department's accepted criteria for ambulatory , acute, and post-acute patients to confirm medical necessity is… more
- Mount Sinai Health System (Elmhurst, NY)
- …captured in a timely and complaint manner. Work with the Faculty Practice Group Compliance Manager and Administrator to ensue all FPG revenue is captured. ... High School Diploma. Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT 4 coding certification obtained by completion of a certificate course with CPC /… more
- Northern Light Health (Presque Isle, ME)
- …regulatory compliance for the department. The Medical Group Practice Manager (Orthopedics) will serve as a critical liaison between hospital leaders, surgical ... Type: Full Time Hours Per Week: 40.00 Summary: The Medical Group Practice Manager (Orthopedics) is the primary leader for the Orthopedic Department and is… more
- Henry Ford Health System (Troy, MI)
- Reporting to the CDM Manager , the CDM Analyst is responsible for supporting and maintaining the Charge Description Master (CDM), including being responsible for the ... operational efficiencies. 5. Collaborates with EPIC Application teams, Reimbursement, Compliance , and SMEs to maintain/update/test the CDM and appropriate EAP… more
- Community Health Systems (Fort Smith, AR)
- …and submitting primary and secondary insurance claims, ensuring accuracy, compliance , and timely reimbursement. This role utilizes electronic claims management ... and secondary insurance claims accurately and in a timely manner, ensuring compliance with payer guidelines and regulatory requirements. + Reviews and resolves claim… more
- Henry Ford Health System (Troy, MI)
- …utilizing standard optimized workflow, and reducing organization risk by upholding compliance standards. Under limited supervision from the Manager , Revenue ... GENERAL SUMMARY: Reporting to the Manager , Revenue Integrity, the Revenue Integrity Specialist identifies...leadership and other HFH personnel. + Knowledge of medical coding (facility and professional), related medical terminology, use of… more
- Bassett Healthcare (Oneonta, NY)
- …high-quality patient experience takes place by providing administrative support to ambulatory patient care teams through excellent customer service, attention to ... you?") as observed by Supervisor and as noted in compliance reports Ends calls by asking patient if there...including completing Open Referrals and/or referral tracking queue. Alerts Manager or Supervisor of referrals that are unable to… more
- University of Colorado (Aurora, CO)
- … clinical setting. + Participates as needed in chart review and clinical coding compliance activities. + Assists in the supervision of Advanced Practice ... leadership. + Is the dyad partner with the Practice Manager . + Serves as the clinical leader for quality...escalated patient, provider, and staff complaints. + Ensures provider compliance with University of Colorado School of Medicine and… more
- Defense Health Agency (Fort Irwin, CA)
- …Data System (MODS) and the Medical Protection system (MEDPROS). Reviews chart for coding compliance and ensures all procedures are documented to obtain accurate ... tools, and behavioral health intake surveys. Participates in promoting patient compliance with health activities in accordance with RESPECT-Mil. Coordinates and… more
- Henry Ford Health System (Detroit, MI)
- …application. The Sr. Application Analyst takes general direction from their supervisor or manager . The Sr. Application Analyst may in some instances also serve as a ... and/or changes to align with best practices, standardization, integration needs/requirements, compliance and/or regulatory policies. * Uses human factors and error… more