- Sutter Health (Sacramento, CA)
- …practices, and procedures. + Knowledge of managed care payment/ reimbursement methodologies (eg, Medicaid/Medi-Cal, Medicare , fee-for-service, ... glad you are interested in joining Sutter Health! **Organization:** SSC-Sutter Senior Care **Position Overview:** Hybrid position with report requirements in… more
- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** The remote Senior Coder acts as a lead coder for their designated team. This position will train staff on department policies, ... procedures, systems and correct coding requirements. The Sr. Coder additionally will audit Coders, fill in for out-of-office Coders, and make recommendations to… more
- Centene Corporation (Tallahassee, FL)
- …reviews. + Provide claims operations expertise for RFPs, RFIs, and audit readiness. + Lead process improvement initiatives in collaboration with cross-functional ... required. 3+ years management experience required. Regulatory knowledge of Medicare , Medicaid, and/or Marketplace required; experience with multiple products… more
- Stanford Health Care (Palo Alto, CA)
- …works closely with all members of the Stanford Health Care Executive and Senior Leadership Teams. The Corporate Controller is one of the primary executives ... responsible for reporting to the Board of Directors, Audit , Compliance and Enterprise Risk Committee and Finance &...and approve the issuance of monthly financial package to senior management including CEO, CFO and COO. Provide expertise… more
- Option Care Health (Bannockburn, IL)
- …Direct experience applying knowledge of Medicare , Medicaid, and Managed Care reimbursement guidelines. + Proficiency with audit software or other governance, ... and abuse, including but not limited to HIPAA, Anti-Kickback, Stark, Medicare /Medicaid reimbursement . + Experience evaluating information to determine compliance… more
- Catholic Health Services (Rockville Centre, NY)
- …why Catholic Health was named Long Island's Top Workplace! Job Details The Senior Financial Analyst reports to the Reimbursement team within the Corporate ... complex data analysis. The ideal candidate possesses in-depth knowledge of Medicare /Medicaid reimbursement , managed care contracts, and healthcare finance. Key… more
- Guthrie (Sayre, PA)
- …from the agencies and ensure timely submissions, as well as communicating external audit findings with senior leadership, providers and/or staff, as appropriate ... Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in...Works closely with the Compliance Officer and Compliance coding Audit Coordinator to perform audits outlined in the work… more
- CenterWell (Atlanta, GA)
- …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 340 centers across ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care we want to help those in...with PTO Management + Assisting with CME time and reimbursement requests + Assisting with completion of performance reviews… more
- Mount Sinai Health System (New York, NY)
- …the organization and bridges the gap between clinical care and medical billing and reimbursement . This position will report to the Senior Director. This role ... cycle, ensuring that patient care translates into accurate and timely reimbursement , safeguarding the financial well-being of the organization and contributing to… more
- Beth Israel Lahey Health (Charlestown, MA)
- …team tasked with handling all commercial and government clinical appeals and audit processes. The Clinical Analyst will perform high-level clinical appeal for ... to denial initiatives. Provides support for projects in which senior managers are involved. * Assist in the tracking...* Assist in the tracking and review of payer audit and denial results. Prepare appeal requests as appropriate.… more