- Elevance Health (Ashburn, VA)
- …/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. + Knowledge ... spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role… more
- Fairview Health Services (St. Paul, MN)
- …including professional services, hospital billing outpatient services, hospital billing inpatient services. Coding Documentation Liaisons analyze clinical ... **Job Overview** **Job Overview:** Fairview is looking for a Coding Documentation Liaison to join our team! Coding...Conducts formal meetings and/or team meetings in lieu of Manager as designated. + Successfully develops and strategizes project… more
- Penn Medicine (Philadelphia, PA)
- …protocol. + Understands how scheduling, appointment generation effects the charge process. + Keeps manager aware of potential issues / problems as they arise. + ... + Prints and works the missing charge report. Alerts manager to issues. + Proactively identifies and works practice...management. + Understands the specifics of in-patient / out-patient billing and procedural coding . + Understands and… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the direction of the Manager , Professional Billing & Coding , the Billing & Collections Rep I is responsible to review and process ... and CCI edits flagging the charges routing to the billing system. They are expected to make updates and...to validate and accurately complete the claims identified with potential new payor plan coverage added to the patient's… more
- Northwell Health (Lake Success, NY)
- …as, but not limited to Health Insurance Portability and Accountability Act (HIPAA), coding and billing , Conflicts of Interests (COI) or other compliance ... program(s). Plans and implements research coding and billing and financial audits and...hourly rate listed is a good faith determination of potential base compensation that may be offered to a… more
- Guthrie (Sayre, PA)
- …payer-specific appeal timelines and protocols + Collaborate with clinical, utilization management, billing , HIM, and coding teams to resolve medical necessity ... Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management...in healthcare or insurance with responsibility in revenue cycle billing , reimbursement and denial mitigation. Must possess excellent working… more
- Robert Half Finance & Accounting (Emmett, ID)
- …improvement tools and implement corrective actions + Train providers and staff on coding and billing updates, especially for Critical Access Hospitals + Ensure ... a growing healthcare organization to hire a Revenue Cycle Manager for a high-impact leadership role based in Emmett,...+ Proven experience in healthcare revenue cycle management, including billing , coding , and compliance + Strong knowledge… more
- University of Washington (Seattle, WA)
- …+ Auditing and monitoring provider clinical productivity, tracking billing , revenue, and coding trends with an eye for potential errors and opportunities for ... currently has an outstanding opportunity for a **Clinical Revenue Manager ** . The Clinical Revenue Manager position...provider clinical productivity, tracking billing , revenue, and coding trends with an eye for potential … more
- Mallinckrodt Pharmaceuticals (Bridgewater, NJ)
- …all Keenova approved promotional speakers have an in-depth understanding of billing / coding , logistics and payer coverage. Qualifications: Education & Experience ... Job Title Field Reimbursement Manager (New Jersey) Requisition JR000015581 Field Reimbursement ...MAC for all Keenova products. + Knowledgeable on Medicare billing / coding and appeal process. ASP, WAC as… more
- J&J Family of Companies (Orange, CA)
- …expertise with both pharmacy and medical/buy & bill benefits (as applicable), coding , and billing . + Reimbursement or relevant managed care experience ... state experience + Advanced degree and/or relevant certifications in prior authorization and/or billing and coding + Strong market access acumen as it relates… more