- 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
- 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
- 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
- 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
- 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
- Stanford Health Care (San Jose, CA)
- …of treatment records. + Displays a thorough understanding of radiation oncology billing and coding . Reviews treatment/ simulation documentation and billing ... from prescribed treatment delivery and reports all deviations to the Operations Manager . + Uses C*I*CARE principles and techniques to provide explanations for… more
- Sharp HealthCare (Santee, CA)
- …information (contrast, fluoroscopy, QC, resource, technical modifiers, billing modifiers, coding of exam, technologist/student/RN/Radiologist).Complete ... weekends. **What You Will Do** Under the direction of the Manager /Supervisor/Ops Coordinator is responsible for directing day-to-day activities of the department;… 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 ... from prescribed treatment delivery and reports all deviations to the Operations Manager . + Uses C*I*CARE principles and techniques to provide explanations for… more
- Arnot Health (Elmira, NY)
- …in various areas is needed/and or coding in various areas. ICD9/CPT coding certifications or prior billing experience. High School graduate or equivalent. ... 7. Demonstrates insurance knowledge. 8. Demonstrates knowledge of ICD-9 coding / CPT / HCPCs to ensure Arnot Health...members. 21. May perform other duties as requested by supervisor/ manager which contributes to the smooth operation of the… more
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