- Humana (Salt Lake City, UT)
- …across team. Holds team members accountable for following established policies. The Manager Risk Adjustment ensures coding is accurate and properly supported ... part of our caring community and help us put health first** The Manager , Risk Adjustment conducts quality assurance audits of medical records and ICD-9/10 diagnosis… more
- University of Utah (Salt Lake City, UT)
- …PRN43595B **Job Title** Compliance Officer **Working Title** Regulatory Compliance Manager - Hybrid/Remote **Career Progression Track** F **Track Level** **FLSA ... and creation. + Monitors and assists in drafting required documentation related to compliance processes. + Works to identify...those years in a health care setting or equivalency; coding certification ( CPC , ACS , CCS -P/H,… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** The Revenue Integrity Program Manager is a critical role responsible for optimizing hospital and professional ... existing tools to evaluate CDM requests with a focus on regulatory coding , compliance, and adherence to SHC internal guidelines regarding CDM maintenance, standard… more
- Northwell Health (Lake Success, NY)
- …standards, and regulatory approvals. + Reviews data, such as claims detail, coding and medical record documentation to determine compliance with appropriate ... limited to Health Insurance Portability and Accountability Act (HIPAA), coding and billing, Conflicts of Interests (COI) or other... coding and documentation requirements. + Drafts reports detailing audit findings and… more
- Guthrie (Sayre, PA)
- Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management of all payer denials, appeals, and audit processes within the health ... of claim denials, effective appeal strategies, and proactive audit response. The manager leads a team of specialists, coordinates with internal departments, and… more
- Regeneron Pharmaceuticals (Seattle, WA)
- **Field Reimbursement Manager (FRM), Ophthalmology - Seattle (PNW)** The Field Reimbursement Manager is a critical front-line member of the Regeneron ... (ex. Regional Directors and Medical Specialists) to educate physician offices in coverage/ coding of Regeneron products and support patient access to care. + Guide… more
- Robert Half Management Resources (Richmond, VA)
- Description We are looking for an experienced Accounts Payable Manager to join our team in Richmond, Virginia. In this long-term contract position, you will play a ... and adherence to company policies. * Collaborate with the existing Accounts Payable Manager to handle high transaction volumes effectively. * Train and mentor team… more
- Insight Global (Maitland, FL)
- Job Description The Manager of Clinical Documentation Improvement (CDI) leads the strategic planning, implementation, and oversight of the CDI program at Advent ... Health. This role focuses on enhancing the quality and completeness of clinical documentation to ensure accurate coding , patient safety, measurable outcomes, and… more
- UNC Health Care (Hillsborough, NC)
- …with billing and coding professionals, as applicable, to ensure compliance with coding and documentation requirements. 9. Longitudinal Care as part of the ... Acute Care setting (Preference given to candidates with Care Manager experience) + Have the interest and drive to...to expand your knowledge and experience in a Care Manager career at UNC Health in Hillsborough If this… more
- University of Washington (Seattle, WA)
- **Job Description** The Senior Clinical Risk Manager 's primary responsibility is to proactively manage adverse events, including the identification and management of ... within UW Medicine and the University Schools. The Senior Clinical Risk Manager works in close collaboration with UW Medical Directors, Chief Nursing Officers,… more