- Albany Medical Center (Albany, NY)
- …by the Quality Manager, including writing appeal letters and following trends in denials . They inform management of trends and needs for improvement related ... Salary Range: $60,367.47 - $90,551.20 The Outpatient Senior Medical Coding Specialist (Specializing in Ambulatory Surgery) will be responsible for performing coding… more
- UnityPoint Health (Cedar Rapids, IA)
- …+ Shift: 40 Hours Per Week + Job ID: 168048 Overview The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key ... clinical outcomes and patient and provider satisfaction. The UM Specialist provides the Utilization Management function for...to quality care, effective utilization of resources and pursues denials of payment and referrals in a timely, legible… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- Summary This position is located in the Health Information Management (HIM) section at the Sioux Falls VA Medical Center. MRTs (Coder) are skilled in classifying ... efforts are conducted to ensure the accuracy of billing denials and prevention against fraud and abuse and to...practices with regular reports to the medical staff and management Work Schedule: Monday-Friday 8:00am to 4:30pm Telework: Not… more
- Veterans Affairs, Veterans Health Administration (Nixa, MO)
- Summary This position is located in the Health Information Management (HIM) section at the Boise VA Medical Center. MRTs (Coder) are skilled in classifying medical ... the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. Applies… more
- University of Rochester (Rochester, NY)
- …Plastic Surgery practice, PSS job duties, divisional scheduling guidelines, and office management processes. The Lead Physician Support Specialist is responsible ... internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Lead Physician Support Specialist oversees and directs the burn PSS staff in the Plastic… more
- Point32Health (MA)
- …we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Claims Specialist performs timely and accurate processing of claims inventory as ... by the Claims Supervisor. Using analytical and problem solving skills, the Claims Specialist fully researches and resolves all complex issues and problem codes for… more
- Catholic Health Initiatives (Lufkin, TX)
- …**_License / Certification:_** Coding Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) ... compliance with established guidelines. Communicates professionally with providers, practice management , and other stake holders either verbally or in writing.… more
- City of New York (New York, NY)
- …services in the article 28 Health specialty Clinics, Article 36, and other Care Management service areas provide by DOHMH to meet NYS Article 6 requirements. DOHMH ... working alongside a team of talented health insurance billing specialist , you will perform health insurance billing activities and...CMS and other third-party insurance guidelines.- - Monitor EDI denials in a timely manner. - Prepare and batch… more
- Hartford HealthCare (Farmington, CT)
- …managers to adjust operations accordingly to meet objectives** . Collaborate with HIM Management Team to ensure medical record denials associated with record ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …functions. Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve clinical, financial, and ... utilization goals through effective management , communication, and role modeling. Functions as the internal resource on issues related to the appropriate utilization… more