- Humana (Nashville, TN)
- …across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and ... coding , HEDIS and STARs performance, operational improvements and other areas as they relate to provider performance, member experience, market growth, provider… more
- Intermountain Health (Billings, MT)
- …appropriate protocol and following ACR guidelines. + Demonstrates proficiency on all clinical equipment within the department. + Completes and annotates a medically ... a minimal amount of time. + Follows appropriate protocol for medical necessity, coding and charging, obtaining consents if necessary, documenting any events that may… more
- UCLA Health (Los Angeles, CA)
- …adhering to UCLA Purchasing policies and procedures + Ensuring the correct coding of transactions and providing supporting documents as needed + Promptly identifies, ... effectively in writing and verbally with diverse stakeholders, including vendors and clinical managers. + Exhibits strong organizational skills and the ability to… more
- TEKsystems (Canoga Park, CA)
- …+ Prepare medical records for review by medical directors and provide clinical recommendations. + Ensure compliance with managed care authorization requirements and ... experience (preferred for faster onboarding; transitioning to custom system "Ria"). + Coding knowledge: ICD-10 and CPT (CPC certification highly desirable). + Strong… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Practice ManagerDepartment: Clinical Network Location: Massena Outpatient Clinics Hours Per Week: 40Schedule: Monday - Friday 8a-4p SUMMARY: Provides ... and financial control of assigned practice, including demographic information, coding , charges, statistical information, and month-end data; prepare annual budget… more
- CVS Health (Harrisburg, PA)
- …document analytic leads or referrals to send for investigative review. + Review company clinical and payment policies to determine the impact of the scheme on Aetna ... experience. + Healthcare background. + Experience with internal claims data and healthcare coding . + Must be able to travel to provide testimony if needed. +… more
- Hartford HealthCare (Hartford, CT)
- …in English *Preferred Requirements* *Education* * Associate or bachelor's degree in a clinical or business field *Experience* * 2 years of relevant experience in a ... Office software. * Knowledge of medical terminology insurance requirements and medical billing/ coding . * Ability to travel independently to satellite offices with or… more
- Harmony United Psychiatric Care (Tampa, FL)
- …team of mental health professionals includes psychiatrists, clinical psychologists/neuropsychologists, board-certified psychiatric nurse practitioners, certified ... offered + General medical terminology + Introduction to insurance billing and coding + HIPAA compliance and patient privacy + And other responsibilities pertinent… more
- CVS Health (Austin, TX)
- …experience or health insurance experience + Health care related experience in clinical , managed care or quality management + Understanding of CPT/CPTII/ICD9/ICD10 ... coding and medical terminology **Education** Bachelor's Degree or equivalent experience in Healthcare **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …health system in the country, our 220-acre main campus, and our network of clinical sites across Michigan. We are a tight-knit community of healers who witness the ... validation of paper and electronic health records. + Gain exposure to coding workflows, deficiency tracking, and provider query processes. + Support data integrity… more