- Hartford HealthCare (Farmington, CT)
- …of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees ... the system.*__* *_Position Summary:_* The Quality Revenue Cycle Billing and Auditor Specialist is responsible for ensuring accuracy, compliance, compliance and… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …may include audits designed to review the adequacy of medical record documentation to support claims as well as inquiries into suspected or reported deviation ... services, including coding accuracy, documentation sufficiency, charge capture, modifiers, and claim edits. Audits to be performed are identified based on the… more
- Eaton Corporation (Fayetteville, NC)
- …with warranty claim processing. **In this function you will:** A. Support the analysis and solution of quality problems, disposition of non-conforming material, ... and business considerations. **What you'll do:** The Quality Technician will support the analysis and solution of quality problems, processing/disposition of… more
- Trinity Health (Albany, NY)
- …ICD-10-CM codes for diagnoses assigned in the EHR by the providers to claims being submitted for their services. Using billing system work queues and natural ... language processing (NLP) tools to support addressing HCC codes for Risk Adjustment before a claim is submitted to payers. . Demonstrate a solid understanding of… more
- Covenant Health Inc. (Knoxville, TN)
- …Analyzes all correspondence regarding insurance denials for the revenue integrity auditor to take appropriate action. Prepares necessary documentation for insurance ... appeals process, ensuring timely follow through. Processes claim adjustments for leadership approval and posts payments as...coordinates insurance appeals. + Provides assistance to auditors and support staff as it relates to front end and… more
- Quality Technology Services, LLC (Overland Park, KS)
- …or more professional certifications such as Certified Information Systems Auditor (CISA), Certified Information Security Manager (CISM), Certified Information ... Systems Security Professional (CISSP), Certified Internal Auditor (CIA), or similar certifications **Knowledge, Skills & Abilities:** + Knowledge of common industry… 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,...covers the duties of receptionist. + Provides backup clerical support to various departments. + Researches, prioritizes, and follows… 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)
- …including performing effective risk assessments and meeting with institutional management to support the development of the annual audit plan. + Oversee a portion ... to ensure effective utilization in completing assigned projects. + Provide day-to-day support for assigned staff, eg create open lines of communication, provide… more
- UGI Corporation (King Of Prussia, PA)
- …will have a background in corporate governance, real estate and litigation support , with exceptional organizational skills and a proactive approach to legal ... support . The employee is expected to provide paralegal ...assist with drafting corporate resolutions and secretary's certificates. Handle auditor request letters. + Real Estate: Assist on right… more