- Elevance Health (Mendota Heights, MN)
- …accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by recognizing aberrant coding ... medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …for post-pay review to verify the accuracy of claims reimbursement, clinical significance, coding , and billing in accordance with the Plans' provider agreements ... Professional Auditor will be a subject matter expert regarding coding and billing . The Professional Auditor, under.... The Professional Auditor, under the direction of Audit manager , will collaborate with a variety of business units… more
- Penn Medicine (Lancaster, PA)
- …understanding of practice operations including: scheduling; registration; authorization referral and billing coding functions. + Ensure smooth daily operation of ... Involve appropriate parties in practice analysis and decision-making; proactively identify potential effects or impact of decisions and develop contingency plans as… more
- ProMedica Health System (Defiance, OH)
- …Summary:** As a member of the ProMedica Physician Group team, the Office Manager leads daily operations for the practice. You supervise, direct, and oversee the ... + Proficient in medical terminology + Strong knowledge base of physician billing office practices, with demonstrated knowledgeof ICD-10 and CPT coding … more
- Fresenius Medical Center (Cicero, IL)
- …+ Accountable for completion of the Annual Standing Order Review and ICD coding . + Checks correspondence whether electronic, paper or voice mail, and responds as ... appropriate. + Directs information gathering as required supporting billing and collection activities. + Responsible for efficient utilization of medication,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …proper and timely payment to provider and member satisfaction. * Identifies potential discrepancies in provider billing practices and intervenes for resolution ... Cross and Blue Shield of Minnesota Position Title: Care Manager PreService & Retrospective Location: Remote Career Area: Health...agreements, and a variety of health plan products. * Coding experience (eg ICD-10, HCPCS, and CPT). Compensation and… more
- WellSpan Health (Chambersburg, PA)
- Position Function: Under the direction of the Coding Manager , functions as a medical coder for the Health Information Management Department to review, retrieve, ... Excellence 1. Thinks critically; utilizes sound judgment; promptly reports potential risks. 2. Maintains state of art knowledge of...Reporting and Chain of Command - Reports to the Coding Manager . In his/her absence, reports to… more
- Penn Medicine (Lancaster, PA)
- …understanding of practice operations including: scheduling; registration; authorization referral and billing coding functions. + Ensure smooth daily operation of ... Involve appropriate parties in practice analysis and decision-making; proactively identify potential effects or impact of decisions and develop contingency plans as… more
- Excellus BlueCross BlueShield (Rochester, NY)
- … billing of services and appropriateness of care, interviewing potential witnesses, developing corrective action plans, developing correspondence to impacted ... this position is responsible for the accurate and thorough clinical investigation of potential fraud, waste and abuse (FWA) for all lines of business. The scope… more
- Covenant Health Inc. (Knoxville, TN)
- …state, and federal regulations to ensure compliance. + Keeps current on coding guidelines and communicates to Health Information Manager . Implements corrective ... with federal, state, and private rules and regulations on data collection, coding , and reimbursement. CDI is responsible for provider education as needed, is… more