• Case Manager - PRN

    Houston Methodist (The Woodlands, TX)
    …informing physicians of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital . + Secures reimbursement for ... are medically necessary and communicates clinical information to payors to ensure reimbursement . The CM PRN helps drive change by identifying areas where performance… more
    Houston Methodist (08/08/25)
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  • Care Facilitator- Per Diem- Canton-Potsdam…

    Rochester Regional Health (Rochester, NY)
    …care; identifies clinical resources required to achieve optimal patient outcomes and appropriate reimbursement for the hospital . + Documents level of care and ... Job Title: Care Facilitator Department: Case Management Location: Canton-Potsdam Hospital with floating to other hospital locations Hours Per Week: Per Diem… more
    Rochester Regional Health (07/25/25)
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  • Case Manager Certified - Transition in Care

    Houston Methodist (Cypress, TX)
    …informing physicians of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital . + Secures reimbursement for ... stay are medically necessary, communicating clinical information to payors to ensure reimbursement . In addition to performing the duties of a CM, this position… more
    Houston Methodist (08/27/25)
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  • Patient Access Specialist - Afternoon Shift

    Trinity Health (Ann Arbor, MI)
    …of birth, diagnosis, procedure, date, and physician signature to minimize risk to hospital reimbursement . Accurately uses the patient search feature to find the ... diagnosis, procedure, date, and physician signature to minimize risk to hospital reimbursement . Accurately uses the patient search feature to find the correct… more
    Trinity Health (09/17/25)
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  • Physician Advisor

    AdventHealth (Orlando, FL)
    …capture for physician/ hospital performance profiling, E&M payment, pay-for-performance and hospital reimbursement . Educate hospital physicians on ICD-10 ... multi-specialty medical group + Comprehensive Employee Benefits such as Educational Reimbursement + CREATION Health employee wellness and lifestyle programs +… more
    AdventHealth (09/04/25)
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  • Outpatient ED OBS and Hospital OBS Coder…

    Datavant (Springfield, IL)
    …the performance of job responsibilities. + Communicate with co-workers, management, and hospital staff regarding clinical and reimbursement issues. + Function in ... In need of a PRN Observation coder that can code both ED OBS and Hospital OBS cases. MUST have heavy injection and infusion coding experience. Must have experience… more
    Datavant (08/27/25)
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  • Director of Care Management - Mount Sinai Queens…

    Mount Sinai Health System (Long Island City, NY)
    …management and discharge planning to facilitate the case management process and maximize reimbursement to the hospital . Must be able to navigate through a ... Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties...."The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in… more
    Mount Sinai Health System (07/24/25)
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  • Coder III Complex Outpatient…

    Trinity Health (Livonia, MI)
    …HCPCS codes, modifiers, internal edits and claim edits that could impact hospital reimbursement . Interprets bundling and unbundling guidelines (NCCI edits) as ... be proficient on identifying NCCI, LCD/NCD edits to ensure accurate hospital reimbursement . Current experience utilizing encoding/grouping software and Computer… more
    Trinity Health (08/01/25)
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  • Dir Net Revenue & Reimb

    Covenant Health Inc. (Knoxville, TN)
    …Administration, or related field. Minimum Experience: Minimum 7 years of experience in hospital reimbursement or revenue cycle management, with at least 3 years ... Overview Director of Net Revenue & Reimbursement , Accounting and Finance Full Time, 80...times. Position Summary: The Director of Net Revenue & Reimbursement is responsible for leading Covenant Health's reimbursement more
    Covenant Health Inc. (08/28/25)
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  • Sup, Rev Cycle Mgmt, Hospital

    University of Rochester (Rochester, NY)
    …staff to understand and adhere to contract language by payer for appropriate reimbursement to the hospital and ensure the accuracy of account reconciliation. ... knowledge of all current third-party coverage, federal and state billing, and reimbursement and compliance regulations and procedures. + Serves as a contact to… more
    University of Rochester (09/19/25)
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