- Community Health Systems (Franklin, TN)
- …role in determining CHS's reimbursement potential while ensuring adherence to compliant coding standards and corporate policies for accurate billing . **Essential ... to include diagnosis clarification based on clinical indicators and coding specificity requirements. + Consults the Manager ,...and coding specificity requirements. + Consults the Manager , Corporate Coding or other available resources… more
- Mohawk Valley Health System (Utica, NY)
- …The Pharmacy Revenue Cycle Specialist supports comprehensive Pharmacy-related billing , charge integrity, and reimbursement operations across inpatient, outpatient ... and infusion pharmacy services. Reporting to the Pharmacy 340B Business Manager , this role is responsible for identifying, analyzing, and resolving revenue… more
- Guthrie (Sayre, PA)
- …school diploma or equivalency required. CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Minimum 3 ... by audit and education. 6. Identifies and promptly reports payer, system or billing issues. Works with Applications Analyst, Supervisor, Manager and/or Director… more
- Rochester Regional Health (Rochester, NY)
- …and financial control of assigned practice, including demographic information, coding , charges, statistical information, and month-end data; prepare annual budget ... analytical skills required - including, but not limited to, professional billing experience, proficiency in Micro Soft Excel, financial management, personnel… more
- CVS Health (Salem, OR)
- …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
- Northwell Health (Lake Success, NY)
- …and managing expectations of diverse stakeholders (eg, IT, clinical operations, finance, coding , billing , external vendors). + Risk & Issue Management: Proactive ... identification, assessment, mitigation, and escalation of project risks and issues specific to RCM processes. + Schedule & Budget Management: Proficiency in developing and tracking project schedules, managing budgets, and ensuring projects stay on track… more
- CareFirst (Baltimore, MD)
- …of practice of Utilization Management and reimbursement methodologies and treatment coding . + Manages policies and procedures of inpatient and outpatient services. ... of services and approved claims. + Prepares retrospective reviews, case appeals, billing coordination, and clinical support. + Manages the analysis of utilization… more
- BronxCare Health System (Bronx, NY)
- …communication. * Tracking of all Neurosurgey procedures; along with providing guidance on coding and billing . * Assist with managing budget for defined area; ... provides cost-effective use of resources, to provide care. * Participates in and represents the Department of Surgery and Nursing at corporate administrative professional forums and meetings. * Ensures compliance with standards of regulatory agencies,… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …and provider interactions. + Keep up to date with reimbursement process, billing / coding nuances, insurance plans, payer trends, financial assistance programs, ... $54,400.00 - USD $61,800.00 /Yr. Submit a Referral (https://careers-connectiverx.icims.com/jobs/3287/sr.-case- manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834382591) Share on News Feed LocationUS-PA-Pittsburgh ID2025-3287 Category… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- … coding and mapping for laboratory test ordering, reporting, billing , and workload recording considering compliance principles. Analyzes emerging trends, software ... and technology and adopts appropriate methods for local programs to meet agency goals. Serves as the local expert for national software developers for the testing and validation of software packages. Responsible for compliance with regulatory agency… more