- The County of Los Angeles (Los Angeles, CA)
- …tracking and follow-up by staff to obtain all pending reports required to complete coding and billing of cases for timely hospital reimbursement and facility ... work of a group of technical staff engaged in coding and auditing patient medical records in a County...liaison for all audits. Submits specific audits to the Compliance department to get approval. Input all audit requests… more
- Commonwealth Care Alliance (Boston, MA)
- …Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims ... large claims data sets to provide analysis and reports on existing provider billing patterns as compared to industry standard coding regulations, and make… more
- Zelis (St. Petersburg, FL)
- …inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and billing guidelines as it relates to the Itemized Bill Review ... you are. Position Overview At Zelis, the Clinical Dispute Analyst role is responsible for the resolution of facility...guidelines and various healthcare programs + Understanding of hospital coding and billing rules + Clinical skills… more
- Arkansas Children's (Little Rock, AR)
- …Payer Contract Specialist collaborates closely with and supports Revenue Cycle, Physicians, Compliance , Coding , and Finance departments to identify and address ... teams to resolve issues.** **Regulatory Awareness** **Basic knowledge of healthcare billing , coding , and payer policies.** **\#AC2025** **Required Education:**… more
- Sharp HealthCare (Santee, CA)
- …filling out appropriate information (QC, resource, technical modifiers, billing modifiers, coding of exam, technologist/student/RN/Radiologist).Complete no ... + CommunicationCommunicates pertinent system issues to the Lead/Supervisor/PACS Manager/Systems Analyst or vendor on a timely basis.Communicate equipment, employee,… more
- Baystate Health (Springfield, MA)
- …appropriate reimbursement. **4)** Initiates insurance reimbursement inquiries to appropriate compliance analyst for additional appeal opportunities, denial ... Initiates charge corrections as needed, based on eligibility updates, Coding Department instructions or Reimbursement Inquiry resolutions. **6)** Accurately records… more
- Community Health Systems (Chesterton, IN)
- …regulatory compliance , including adherence to HIPAA guidelines. + Collaborates with coding , billing , and clinical teams to resolve discrepancies in patient ... **Benefits** As an HIM Analyst at Northwest Health - LaPorte Medical Group...of patient health information, auditing health records, and ensuring compliance with regulatory requirements. This role helps maintain the… more
- Penn Medicine (Bala Cynwyd, PA)
- …and alternative care settings. Under the direction of the Director of Hospital Compliance , Government Audit and Appeals, receives, reviews, and enters data into the ... entry and organization of documents related to government audits, to include coding and medical necessity reviews. Logs medical record requests and audit results,… more
- Houston Methodist (Houston, TX)
- …appropriate controls and tools are in place to monitor performance and compliance within regulatory requirements. **PEOPLE ESSENTIAL FUNCTIONS** + Serves as the ... the Physician Organization's Centralized Business Office (PO CBO) and the Single Billing Office (SBO) **SERVICE ESSENTIAL FUNCTIONS** + Performs root cause analysis,… more
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