- University of Southern California (Alhambra, CA)
- …& systems such as PBAR and nThrive/MedAssets/XClaim in a manner to assure claims drop timely with appropriate codes. Performs other coding department related duties ... abstracted UB-04 & OSHPD data elements prior to billing interface and claims submission. + Works cooperatively with HIM Coding Support and/or Clinical Documentation… more
- General Dynamics Information Technology (Fairfax, VA)
- …(AAPC) - American Academy of Professional Coders (AAPC), Certified Coding Specialist (CCS) | American Health Information Management Association (AHIMA) - American ... Party activities. **Roles and Responsibilities** + Reviews and analyzes medical claims to determine accuracy, completeness and compliance with insurance policies,… more
- General Dynamics Information Technology (Fairfax, VA)
- …**Experience:** 2 + years of related experience **Job Description:** TRAINING SPECIALIST Make meaningful contributions that fuel critical outcomes for some of ... the most complex government, defense, and intelligence projects. Join GDIT as a Training Specialist for a career where your growth is just as important as the… more
- Horizon Services, Inc. (Hayward, CA)
- …to the executive team. + Collaborates with Learning and Staff Development Specialist to train managers on writing job descriptions, conducting behavioral and ... staff have been onboarded per our protocols and reports on this periodically. + Review , improve and update on an ongoing basis the on-boarding process to enhance the… more
- Rochester Regional Health (Rochester, NY)
- … Review : Conduct detailed reviews of denied or underpaid claims , prepare appeal letters, gather supporting documentation, and collaborate across departments ... Hours: 37.5 SCHEDULE: Monday-Friday 8AM-4PM SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process, submitting claims … more
- Elevance Health (Hanover, MD)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines… more
- Army National Guard Units (Camp Dodge, IA)
- …Pay Program, Active Duty Medical Extension (ADME) Program, MOS Medical Review Board (MMRB) Program, Medical Disqualification Program, Follow up Health Care ... Program, Medical Claims Processing Program, Medical Travel and Orders Program, Medical...Serves as the advisor to the Supervisory Human Resources Specialist on issues of health care, sources of healthcare,… more
- University of Michigan (Ann Arbor, MI)
- …appropriate, by applying expert knowledge, expertise, and experience. Acting as a specialist in the complex Michigan Medicine credentialing process has the authority ... (NCQA), Accreditation Commission for Health Care (ACHC), and Utilization Review and Accreditation Commission/American Accreditation Health Care Commission (URAC) to… more
- New York State Civil Service (Watertown, NY)
- …the Regional Construction Engineer while serving as the Regional Contracts Specialist , Regional Change Order Specialist , Regional SiteManager Coordinator, and ... other tasks as needed.Load Rating Engineer duties include: perform, review and prioritize load ratings, coordinate with inspectors to...program to gather data for FOIL requests and small claims * * Capital contract ADP Plan reviews and… more
- Prime Healthcare (Mesquite, TX)
- …seeking a Medical Biller , sometimes referred to as a Hospital Billing Specialist , Patient Accounts Representative or Insurance Billing Specialist . As our ... Medical Biller, you will manage patient billing and insurance claims in our Physician Group or Hospital . The...Duties and Responsibilities (includes, but not limited to): + Review patient charts and code insurance information for accurate… more