- Stanford Health Care (Palo Alto, CA)
- …and guidelines related to professional or facility and documentation, charging, coding and billing, including federal and state regulations and guidelines, CMS ... documentation and inaccurate procedural billing. + Performs concurrent review of hospital bills to document non-billed, underbilled, and overbilled items/services. +… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …will abstract data from complex patient records, applying AIS and ICD-10 injury coding for accurate entry. You'll work closely with the Trauma Registry Supervisor ... and high accuracy. Strong proficiency in AIS and ICD-10 coding , excellent organizational skills, and a commitment to data...+ Two years' experience working in an acute care hospital setting that demonstrates attainment of the requisite job… more
- Geisinger (Danville, PA)
- …program that adheres to regulations and industry standards, focusing on hospital and professional billing compliance. This role involves overseeing auditing ... activities to ensure compliance with federal guidelines and regulations related to coding and billing, managing a team of auditors, conducting risk analysis, and… more
- University of Miami (Medley, FL)
- …fax, telephone, and general medical records e-mail in compliance with hospital requirements. + Monitor dictation/transcription services for accuracy and completeness ... including reports and interface work queues. + Complies with the hospital requirements, Joint Commission for Accreditation of Healthcare Organizations, State… more
- Insight Global (Nottingham, MD)
- …for an Outpatient Facility Claim Follow Up Representative to support a large hospital system in the Maryland/DC area. This person is responsible for managing ... specifically for Blue Cross Blue Shield, claim activity, for three acute hospital centers in Washington, DC. This role focuses on resolving underpayments, denials,… more
- Hartford HealthCare (Norwich, CT)
- …to become part of Connecticut's most comprehensive healthcare network. Since 1893, Backus Hospital has been the primary source of healthcare services for much of ... trauma center in New London and Windham counties and are the only area hospital with LIFE STAR helicopter services. We deliver and coordinate a continuum of… more
- Mount Sinai Health System (New York, NY)
- …Unit, 518 - PFS 633 Third Avenue - MSH, Mount Sinai Hospital **Responsibilities** + Build, maintain, and update the Professional Charge Description Master ... update systems, and align charging workflows. + Support the implementation of new coding changes and ensure overall Professional CDM compliance. + Builds new charges… more
- UNC Health Care (Morrisville, NC)
- …**Summary** : The Program Manager will be assigned to support the Hospital Compliance or Physician Compliance Department. Under the supervision and direction of ... within UNC Health: + Leads the day-to-day operations of UNC Health's Hospital Compliance or Physician Compliance program, ensuring that all activities are aligned… more
- City and County of San Francisco (San Francisco, CA)
- …and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, ... services. Under general supervision, 2112 Medical Records Technician assists in analyzing, coding , and compiling all medical records on patients treated at City and… more
- Martin's Point Health Care (Portland, ME)
- …specific inpatient and outpatient medical services, notification of emergent hospital admissions, completes inpatient concurrent review, establishes discharge plans, ... ensure members receive the appropriate level of care, prevent or reduce hospital admissions where appropriate. Job Description Key Outcomes: + Review prior… more
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