- UCLA Health (Los Angeles, CA)
- …Understanding of RADV and audit processes, required + Detailed knowledge and understanding of ICD-10, CPT and CPT ( II ), and HCPCS coding systems required + ... Knowledge of Medicare Advantage STARS/HEDIS program and NCQA technical specifications, required + Six or more years of clinic or IPA and/or managed care experience, preferred + Knowledge of Medicare Advantage billing/claims submission and other related… more
- Sutter Health (Vallejo, CA)
- …or certificate. **CERTIFICATION & LICENSURE:** + CPTI-Certified Phlebotomy Technician I + OR CPT II -Certified Phlebotomy Technician II + Candidates holding ... alternative licenses such as RN, LVN, CLS, or MLT may also be considered based on departmental needs. **Job Shift:** Varied **Schedule:** Per Diem/Casual **Shift Hours:** 8 **Days of the Week:** Variable **Weekend Requirements:** As Needed, Once a Month, One… more
- AdventHealth (Maitland, FL)
- …understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10 CPT , CPT , HCPCS II , DRG and revenue codes + Demonstrates ... proficiency with various reimbursement methodologies including Per Diem, DRG, fee schedules, and percent of charge + Recommends contractual payment term changes that achieve net revenue targets developed by the Regional Managed Care Directors and Contract… more
- Baptist Memorial (Memphis, TN)
- …understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10 CPT , CPT , HCPCS II , DRG and revenue codes. + Demonstrates ... proficiency with various reimbursement methodologies including Per Diem, DRG, fee schedules, and percent of charge. + Recommends contractual payment term changes that achieve net revenue targets developed by the Regional Managed Care Directors and Contract… more
- Somatus (Mclean, VA)
- …care gap. + Collaborate with the coding department to monitor use off codes such as CPT II , ICD-10, HCPCS, etc., are identified and submitted to health plans and ... CMS for all members. + Ensure daily/monthly call volume targets are being met. + Ensure daily/monthly gap targets are being met. + Train and evaluate HEDIS Supervisor performance. _Please note this job description is not designed to cover or contain a… more
- Somatus (Mclean, VA)
- …care gap. + Collaborate with the coding department to monitor use off codes such as CPT II , ICD-10, HCPCS, etc., are identified and submitted to health plans and ... CMS for all members. + Ensure daily/monthly call volume targets are being met. + Ensure daily/monthly gap targets are being met. + Train and evaluate HEDIS Coordinator performance. _Please note this job description is not designed to cover or contain a… more
- Ansible Government Solutions (Loma Linda, CA)
- …school diploma or equivalent + Phlebotomy certification from an accredited agency (ie CPT I/ II licensing in California) + Completion of an approved phlebotomy ... training course (or equivalent) + American Heart Association (AHA) CPR/Basic Life Support (BLS) + Minimum of 1 year of experience within the last 3 years as a patient service technician/phlebotomist + 2-3 years of phlebotomist experience in an acute care… more
- AdventHealth (Maitland, FL)
- …of medical coding systems affecting the adjudication of claims to include ICD-9/10, CPT , HCPCS II , DRG and revenue codes + Demonstrates proficiency with ... various reimbursement methodologies including, Per Diem, DRG, fee schedules, and percent of charge + Demonstrates extensive knowledge of both commercial and governmental payers for modeling and analyzing contract proposals + Recommends contractual payment term… more
- Ansible Government Solutions (Bakersfield, CA)
- …school diploma or equivalent + Phlebotomy certification from an accredited agency (ie CPT I/ II licensing in California) + Completion of an approved phlebotomy ... training course (or equivalent) + American Heart Association (AHA) CPR/Basic Life Support (BLS) + Minimum of 1 year of experience within the last 3 years as a patient service technician/phlebotomist + 2-3 years of phlebotomist experience in an acute care… more
- Ansible Government Solutions (Blythe, CA)
- …school diploma or equivalent + Phlebotomy certification from an accredited agency (ie CPT I/ II licensing in California) + Completion of an approved phlebotomy ... training course (or equivalent) + American Heart Association (AHA) CPR/Basic Life Support (BLS) + Minimum of 1 year of experience within the last 3 years as a patient service technician/phlebotomist + 2-3 years of phlebotomist experience in an acute care… more
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