- Emory Healthcare/Emory University (Atlanta, GA)
- …receivable, that includes but not limited to areas such as charge capture, coding and edit management, timely billing, account follow up and liquidation, denials ... integration model and implementation for consolidating these functions across the clinical departments in efforts to build centralized support services. +… more
- The Cigna Group (Bloomfield, CT)
- …business. This role will matrix with internal leadership within trend, formulary, clinical , knowledge solutions, sales & account management, and supply teams. The ... Loss Ratio (MLR) / member profitability projections + Formulary Strategy + Clinical Analytics around prescription drugs pipeline products + Out of Pocket Cost… more
- Community Health Systems (Bullhead City, AZ)
- …Director, Practice Management is responsible for the operational, financial, and clinical oversight of physician practices within the healthcare system. This role ... bodies, and healthcare laws governing physician practice management, billing, coding , and patient privacy. + Collaborates with physicians, hospital administrators,… more
- Northwell Health (New York, NY)
- …coordinates daily operations and overall accountability of staff; supports clinical staff, administratively. 4.Reviews operational reports and collaborates with the ... performance; supervises, hires, trains, disciplines and evaluates the performance of non- clinical staff; identifies staffing needs and skill mix, and manages… more
- CenterWell (Boynton Beach, FL)
- …in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical Leadership. ... patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow… more
- Novant Health (Wilmington, NC)
- …population. We offer a collaborative and supportive work environment. What You'll Do Clinical Duties + Take and record patient vital signs (blood pressure, pulse, ... Check patients in and out + Verify insurance information and process billing or coding tasks + Manage medical records and ensure HIPAA compliance + Answer phones,… more
- Catholic Health Initiatives (Omaha, NE)
- …Document medical findings, diagnoses, and treatment plans. + Ensure compliance with coding and billing regulations. + Diagnostic Procedures: + Order and interpret ... in quality assurance and improvement initiatives. + Review and analyze clinical outcomes for continuous improvement. + Implement changes to enhance patient… more
- CenterWell (Atlanta, GA)
- …+ Less than 3 years of hands-on healthcare experience in a clinical setting, preferably within the Medicare population + Proficient with medical terminology ... in Healthcare or Business Administration + Knowledge of ICD 10 and CPT coding + Referral experience + Medical Assistant or Professional State Certifications related… more
- Novant Health (Rock Hill, SC)
- …Detailed knowledge of multiple payors billing requirements. Familiarity of coding requirements for practice specialty. + Additional skills preferred: Proficient ... Novant Health? + Competitive benefits package + Career advancement opportunities + Clinical and non- clinical positions available + Tuition reimbursement + We… more
- US Tech Solutions (Columbia, SC)
- …or services, and appeals. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization ... internal/external staff regarding medical reviews, medical terminology, coverage determinations, coding procedures, etc. in accordance with contractor guidelines. Responds… more