- Children's Mercy Kansas City (Kansas City, MO)
- …so that we can improve the lives of children beyond the walls of our hospital . Overview The Coding & Reimbursement Specialist position is filled by a ... Federal and State coding mandates, guidelines and departmental and hospital policies and procedures. The Coding & Reimbursement... hospital policies and procedures. The Coding & Reimbursement Specialist will perform all job functions in a… more
- Medtronic (Minneapolis, MN)
- …and inquiries regarding coding, coverage and payment from field sales, field reimbursement , and external physician and hospital providers. Leverage coding and ... industry experience, or experience in payer/provider/ health system healthcare economics and reimbursement + Knowledgeable in US hospital -based medical device … more
- Atlantic Health System (Morristown, NJ)
- …Detail: + Effectively analyzing Organizational AR to ensure proper and prompt reimbursement . + Analyze hospital claim data to identify contractual underpayments ... contractual issues. + Compile queries and complex data sets to analyze payor reimbursement using Epic reporting tools. + Maintain Payor Trend Analyst and Valid Payor… more
- Amgen (Chicago, IL)
- … committee structure, P&T process, treatment and discharge protocols, DRG and hospital reimbursement process for all assigned accounts and communicates with ... policies + Accountable for ensuring formulary adoption in targeted / assigned hospital accounts to help drive appropriate utilization of approved CV products; works… more
- Amgen (Boston, MA)
- … committee structure, P&T process, treatment and discharge protocols, DRG and hospital reimbursement process for all assigned accounts and communicates with ... policies + Accountable for ensuring formulary adoption in targeted / assigned hospital accounts to help drive appropriate utilization of approved CV products; works… more
- University of Michigan (Ann Arbor, MI)
- …+ Experience with documenting audits for code appropriateness. + Solid understanding of hospital reimbursement technology. + Ability to stay abreast of Federal ... Senior Billing Clerk/Patient Account Representative to join our Medicare Advantage Hospital Billing Team. Responsible for accurate claim submission, resolve complex… more
- Trinity Health (Livonia, MI)
- … Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement . Utilizes encoder software applications, which includes all ... HACs and PSIs or other indicators that could impact quality data and hospital reimbursement . Codes Inpatient health records utilizing encoder software and… more
- UPMC (Altoona, PA)
- …into the Hospital 's computer system to expedite data collection, billing, and Hospital reimbursement . + Critical to this position is the ability to gather ... have a working knowledge of the managed care environment, third-party reimbursement , hospital and community services, and hospital and healthcare policies.… more
- Beth Israel Lahey Health (Boston, MA)
- …3. Actively seeks additional clinical documentation from the physician to optimize hospital reimbursement when appropriate. 4. Works collaboratively with RN Case ... government payers. Partners with the health care team to ensure reimbursement of hospital admissions is based on medical necessity and documentation is… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …three (3) years' of healthcare experience in Managed Care Contracting, Hospital Reimbursement , Professional Reimbursement , Denials, and/or ... 3. Ten (10) years' of experience in Managed Care Contracting, Hospital Reimbursement , Professional Reimbursement , Denials, and/or Underpayments/Overpayments… more