- Excellus BlueCross BlueShield (Rochester, NY)
- …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... Conduct/NYS Education Department, Office of Professional Discipline and/or internal referral for quality review by the applicable business area. + Acts as primary… more
- YMCA of Greater Seattle (Seattle, WA)
- …position, and hours of work and days are Monday through Friday, 8:30 am to 5 :00 pm Occasional evening and weekend work may be required as job duties demand. What ... monthly spend-downs, validate federal and state invoices for allowability and coding , and maintain the grants compliance and reporting calendar. + Maintain… more
- Textron (Fort Worth, TX)
- …conduct software certification SOI audits alongside military customers, Bell software quality , and other stakeholders\. With minimal supervision, produce SOI audit ... and communicate effectively with other teams including system safety, quality , configuration management, systems engineering, data management, program management,… more
- Albany Medical Center (Albany, NY)
- …Under the direction of the Director of Pharmacy the Pharmacy Revenue Integrity Auditor will serve as a pharmacy liaison and interface with finance, billing, revenue ... decisions + Develop policies, guidelines, and procedures for pharmaceutical coding , billing, pricing, charging, and denial management to maximize reimbursement… more
- HCA Healthcare (Nashville, TN)
- …using Capturis data and other relevant emission source data + Perform coding reviews of utilities consumption and service cost fluctuations using Capturis data ... initiatives + Ensures an effective control system supporting energy data quality standards + Drives capability maturation through process and technology enhancements… more
- Chenega Corporation (Washington, DC)
- …where there is a robust employee benefits program, management engagement, quality leadership, an atmosphere of teamwork, recognition for performance, and promotion ... the financial management system and reports, identify errors in coding structures, develop corrective recommendations, and provide OBFM management recommendations.… more
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