- Datavant (Annapolis, MD)
- …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... APR-DRG **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. +… more
- Cleveland Clinic (Cleveland, OH)
- …terminology and anatomy/physiology + Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS-P), Registered Health Information ... respected healthcare organizations in the world. As a Reimbursement Specialist , you are responsible for policies and protocols related...you are responsible for policies and protocols related to coding and billing to ensure compliance . You… more
- Commonwealth Care Alliance (Boston, MA)
- …Working under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance , Payment Integrity and Analytics + Direct and relevant… more
- Globus Medical, Inc. (Collegeville, PA)
- …Summary** **:** Reporting to the Supervisor, Patient Access, the Patient Access Specialist will focus on providing payer coverage support to customers from the ... appeals support, detailed claims review, and hotline support. The Patient Access Specialist will be responsible for providing payer coverage expertise and support… more
- Trinity Health (Syracuse, NY)
- …denial processes. **EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:** Certified Coding Specialist , Accredited Record Technician (or eligible), ... July 1997 Revised: October 2009 Revised: August 2011 **General Performance Criteria: Coding Specialist ** **Expectations** **Exceeds Meet Below** . Reviews the… more
- New York State Civil Service (West Babylon, NY)
- …Agency Parks, Recreation & Historic Preservation, Office of Title Contract Management Specialist 1/Trainee 1/2 (NY HELPS) - Long Island Occupational Category Other ... provider and to Albany. * Review complex purchase requisitions for compliance with appropriate rules, regulations and agency policies and appropriateness within… more
- Kaniksu Community Health (Sandpoint, ID)
- …to Land this Gig: + High School Diploma or equivalent required. + Certified Coding Specialist qualification or equivalent preferred. + Minimum 2 years of ... accessible, quality healthcare in your community? We're seeking a Revenue Cycle Specialist to join our finance team. In this mission-driven role, you'll manage… more
- Sonora Quest (Phoenix, AZ)
- …requirements of essential job functions. Trains new employees to ensure compliance with all policies and standard operating procedures. Responsible for working ... management to develop learning materials and necessary tools for Revenue Specialist 's ongoing success. Provides quality assurance and professional development to… more
- ADP (Louisville, KY)
- **I. POSITION SUMMARY:** The Payroll Relationship Specialist is responsible for the set up and delivery of all aspects of client payroll integration. The ability to ... office set up. The expectation is that the payroll specialist will drive the conversation with the client and...will lead to potential financial exposure, as well as, compliance related issues with regard to the qualification of… more
- TEKsystems (West Des Moines, IA)
- …patient population. + You need to have experience collaborating with other clinicians, coding staff, and CDI leaders on medical records/charting to help improve data ... integrity. + Epic experience is also required. + The Clinical Documentation Specialist (CDS) is responsible for performing concurrent review of medical records to… more