- 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 ... and updates to working DRGs and SOI/ROM for final coding and DRG assignment. + Prepares reports for any...regard to audits and denials and subsequently adjusts to potential trends when reported. + Attends meetings and provides… 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 ... and updates to working DRGs and SOI/ROM for final coding and DRG assignment. + Prepares reports for any...regards to audits and denials and subsequently adjusts to potential trends when reported. + Attends meetings and provides… more
- Northern Light Health (Unity, ME)
- …providers and staff. + Monitors daily practice provider schedules + Monitors provider billing / coding . + Monitors Provider chart note completions + Assists with ... of Northern Light Health physician practices, the physician practice manager is committed to the constant pursuit of excellence...department. + Is an active member of the Provider Coding Improvement Task Force. + Attends quarterly Provider … more
- UPMC (Pittsburgh, PA)
- …the analysis of care and services related to clinical guidelines, coding requirements, regulatory requirements, and resource utilization. This role also acts ... to analysis of controlled substance prescribing and utilization to identify potential clinical care issues; prepayment review of claims, and prepayment review… more
- UPMC (Pittsburgh, PA)
- …to internal staff. - Perform dental chart reviews to assess compliance with dental coding and billing regulations. - Utilize standard coding guidelines, ... audits and investigations highly preferred. Under the direction of the manager , the Special Investigations Unit (SIU) Investigator is responsible for investigating… more
- Carle Health (Urbana, IL)
- …(RCST), Information Technology (IT) departments to optimize the patient experience, coding , and billing outcomes. + Facilitates technological changes and ... Develops new processes to enhance and streamline work related to registration, coding , billing , compliance, and regulatory standards. Provides subject matter… more
- Stanford Health Care (Palo Alto, CA)
- …of treatment records. + Displays a thorough understanding of radiation oncology billing and coding . Reviews treatment/ simulation documentation and billing ... effectively and efficiently using lean methodologies. Communicates appropriate issues to Operations Manager for proper handling and potential escalation. Acts as… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …multiple tasks/projects simultaneously SKILLS/ABILITIES: + Proficiency level understanding of Medical Billing , ICD and CPT coding preferred. + Strong ... you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential...Summary: Revenue Cycle Specialist performs a wide spectrum of billing functions to minimize accounts receivable and enhance collection… more
- Sharp HealthCare (Chula Vista, CA)
- …Centricity Insurance Verification (IF). If patient unable to provide insurance, search for potential coverage through MCA for SRS/SCMG and MPV (or Portal) for ... potential Medicare or Medi-Cal.Use Coordination of Benefits (COB) standards...or Medi-Cal.Use Coordination of Benefits (COB) standards to prioritize billing order of insurance plans.Medicare patients - Medicare Secondary… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 11/13/2025 **Requisition Number** PRN43591B **Job Title** Manager , Audit **Working Title** Regulatory Compliance Administrator - Hybrid/Remote ... and unscheduled inpatient, outpatient, and professional audits and projects related to billing and payment integrity, workflow, and duties in order to ensure… more