- UnitedHealth Group (Phoenix, AZ)
- …Unit (UHC IU) is a valuable national leader for UnitedHealthcare. The Medical Director oversees a coding team, ensuring accurate and efficient healthcare ... payments, accurate appeal outcomes, and collaborates with clinical and coding teams across UnitedHealthcare and Optum, as well as UHG business leaders and… more
- Commonwealth Care Alliance (Boston, MA)
- … Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration ... Duties & Responsibilities: Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding… more
- Datavant (St. Paul, MN)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... and HCC is a plus. You Will: Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and...results for review by the facility or CCS HIM director . Review disagreements on APC/DRG changes with the appropriate… more
- BayCare Health System (Raleigh, NC)
- …Flexible Days: Sunday - Thursday OR Tuesday - Saturday The Advanced Inpatient Coding Specialist is a PRN remote position. This position requires 3 years' Inpatient ... Coding experience and a Certified Coding Specialist...monitors bill hold reports. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …New England states (ME, NH, VT, MA, RI, CT) Reporting to the Director of Billing Compliance, the Senior Billing Compliance Reviewer ensures the integrity, accuracy, ... and targeted monitoring. This role conducts complex, risk-based audits across coding , charge capture, and documentation to assess adherence to government, payer,… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …as well as clinical and administrative leadership. Partner with clinical providers, coding /HIM, revenue integrity, pharmacy, nursing, research billing, and ... New England states (ME, NH, VT, MA, RI, CT) Reporting to the Director of Billing Compliance, the Billing Compliance Reviewer plans and executes risk-based audits,… more
- Christus Health (San Antonio, TX)
- Description Summary: Under the direction of the Manager, Director , or other senior personnel, the Project Manager determines user demands, establishes work ... project activities, and associated costs, coordinate and participate in analysis/design/ coding activities, ensure that system changes are fully tested, ensure… more
- Christus Health (Canton, TX)
- …data processing and space planning. * Works in conjunction with Regional Director and corporate Marketing Department in practice development. * Ensures the effective ... forms to improve efficiency of workflow. * Supervises the clinical and non- clinical areas to ensure timely...financial reimbursement, billing and collections, CPT, ICD9 and HCPCS coding and medical group operations, as well as managed… more
- Penn Medicine (Philadelphia, PA)
- …employees shape our future each day. Are you living your life's work? Position: Director Revenue Cycle Management Entity: Clinical Practices of the University of ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Public Consulting Group (Lansing, MI)
- …Organizational Relationships Reports directly to the ASO Project Manager / Sr. Director of Operations Key Qualifications and Education Requirements Claiming or ... coding certification desired, preferably with a nationally recognized certify...System), and ICD-10-CM (Internal Classification of Diseases, 10th Edition, Clinical Modification) as it affects the client and/or agency.… more
