- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Medical Coder to to assign procedure,diagnosis codes for insurance billing, review claims data, research and corresponds with insurance companies in an effort to ... obtain accurate reimbursement for healthcare claims . . Duties include but are not limited to:...Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA) + Experience: A minimum of 1 year… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate ... reimbursement for healthcare claims . This person will also be responsible for analyzing,...Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA) + Experience: A minimum of 1 year… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... discussions with Medical Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new clinical staff, as needed. + Mentors (to others… more
- Johns Hopkins University (Baltimore, MD)
- …+ Represent department on assigned Institutional committees + Mentor and guide internal auditor staff in the execution of their assigned projects. + Demonstrate a ... Leadership of complex audits covering health plan functions such as claims processing, premium billing, encounter data, utilization management, risk adjustment,… more
- St. Luke's University Health Network (Allentown, PA)
- …The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure ... coding determination made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist with supporting… more
- UGI Corporation (King Of Prussia, PA)
- …records and assist with drafting corporate resolutions and secretary's certificates. Handle auditor request letters. + Real Estate: Assist on right of way reviews, ... access agreements. + Litigation: Assist on discovery responses, filings for small claims , managing internal litigation docket and review filings as necessary, state… more
- Elevance Health (Los Angeles, CA)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... you will make an impact:** + Assists higher level auditor /lead on work as assigned, including performing special audits and targeted audits as requested by internal… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …position must be willing and able to 1) review and process grantee monthly claims ; 2) pay approved invoices; 3) reconcile daily warrant or check registers; 4) update ... are followed; 8) perform site visits; 9) process and pay victim compensation claims ; and 10) complete other duties as assigned by management. Requirements &… more
- The County of Los Angeles (Los Angeles, CA)
- …requirements for Federal, State, and/or Special Programs to determine if claims for reimbursement conform to applicable rules and regulations and result ... Health Services or Mental Health, departmental administration and by the Auditor -Controller when necessary. Writes policy and procedure manuals pertinent to… more
- The County of Los Angeles (Los Angeles, CA)
- …permanent appointment to Health Care Financial Analyst. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under Federal, State ... requirements for Federal, State, and/or Special Programs to determine if claims for reimbursement conform to applicable rules and regulations and result… more