• Medicare/Medicaid Claims Reimbursement Specialist

    Commonwealth Care Alliance (Boston, MA)
    …and Quality Assurance, this role is responsible for the end-to-end review , analysis, and resolution of complex reimbursement issues - including underpayments, ... fee schedules, All-Payer Rate Setting regulations, and CMS payment methodologies (eg, DRG , APC, RBRVS). + Support provider appeal reviews and internal payment… more
    Commonwealth Care Alliance (08/31/25)
    - Related Jobs

  • Med Records Coder III

    University of Rochester (Albany, NY)
    …accordance with applicable coding rules and policies (eg ICD-10, CPT-4, HCPCS, DRG ). Analyzes, enters and manipulates database. Responds to or clarifies internal ... FUNCTIONS** + Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M,… more
    University of Rochester (08/31/25)
    - Related Jobs

  • RN Stroke Program Coordinator

    HCA Healthcare (Orange Park, FL)
    …analysis, and completion of diagnoses working with medical coders to include CPT and DRG / ICD codes based on stroke and other Neurosciences selected diagnoses. The ... path, we encourage you to apply for our Coordinator Stroke Program opening. We review all applications. Qualified candidates will be contacted by a member of our… more
    HCA Healthcare (08/30/25)
    - Related Jobs

  • Clinical Documentation Improvement Specialist

    South County Hospital (Wakefield, RI)
    …physicians, nursing staff, coding staff and other members of the health care team and review of all clinical data in the health care record. Reports to : Manager ... health care team., + Excellent Clinical Background + Strong oral and written communication skills + Strong MS office skills + Knowledge of coding and MS Drg 's, ICD9 more
    South County Hospital (08/30/25)
    - Related Jobs

  • Utility Designer 3 | Make Ready Engineering…

    The Davey Tree Expert Company (Richfield, OH)
    …completed to other involved parties. * Obtain necessary permits for designs. * Review and correct data errors in utility databases. * Develop solutions based on ... by law. Utility Asset Management is a division of Davey Resource Group, Inc. ( DRG ), a Davey company. Davey has been employee-owned since 1979. Our engineering, field… more
    The Davey Tree Expert Company (08/28/25)
    - Related Jobs

  • Design Technician II

    The Davey Tree Expert Company (Kent, OH)
    …On Site **Req ID:** 215187 **Position Overview** **Davey Resource Group, Inc., " DRG ",** is seeking hard working, experienced person(s) with a strong background in ... + Meet and communicate with internal team members and external clients to review ongoing design work and provide project updates. + Utilize knowledge of engineering… more
    The Davey Tree Expert Company (08/28/25)
    - Related Jobs

  • Coding and Audit Specialist - Part Time

    Community Health Systems (Springdale, AR)
    …system. + Successfully groups diagnoses and procedure codes into the appropriate DRG . + Successfully groups diagnoses and procedure codes into the appropriate APC. ... and coding questions. + Consistently follows the CHS post bill discharge summary review policy and procedure. + Consistently works on the bill error and edit… more
    Community Health Systems (08/28/25)
    - Related Jobs

  • Supervisor, Revenue Cycle - Transactions…

    Scripps Health (San Diego, CA)
    …to improve accuracy and meet production/patient satisfaction targets. * Generate and review reports to track performance outcomes, perform root cause analysis to ... government health insurance and billing guidelines, ACA requirements, understanding of DRG 's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers are… more
    Scripps Health (08/28/25)
    - Related Jobs

  • Sr Medical Economics Analyst

    AdventHealth (Maitland, FL)
    …Prepares and presents analytics or project results to key stakeholders for review and decision-making. + Evaluates and understands contract language related to ... claims and managed care concepts such as risk adjustment, capitation, FFS, DRG , APG, APCs and other payment mechanisms Experience in modeling financial impact… more
    AdventHealth (08/28/25)
    - Related Jobs

  • AI/ML Health Data Science Senior Consultant

    Guidehouse (Atlanta, GA)
    …subject matter expert support across multiple client engagements; develop and review presentations, briefings, and memos, and reports. Identify client needs and ... with standards-based health data code sets and value sets, such as ICD-10, DRG , and CPT + Experience with commercial health datasets, eg, claims, encounters, risk… more
    Guidehouse (08/25/25)
    - Related Jobs