- Elevance Health (Hanover, MD)
- …and service issues. + Provides explanations to providers regarding contract compliance , company procedures and policies, etc. + Recruits, orients and provides ... Network Services Specialist or as a Trainer; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills,… more
- PNC (Houston, TX)
- …a regular basis. Some responsibilities may be performed remotely, at the manager 's discretion. PNC will not provide sponsorship for employment visas or participate ... documentation for completeness and accuracy, and interprets information for correct coding and adherence to established policies and procedures. + Handles various… more
- System One (Reston, VA)
- …implementation of multiple applications. Performs and leads the detail technical design, coding , code review and testing of new applications and enhancements of ... large systems for tens of thousands of users. Ensures compliance to the dev/sec/ops practices and policies. Understanding of...software testing and analysis. + 25% Supports the Project Manager as the technical team lead on the project.… more
- GovCIO (Frankfort, KY)
- …of system and development deployment as well as responsible for meeting software compliance standards. May design graphical user interface (GUI) to meet the specific ... **decision-making and problem-solving** mindset. + Ability to **balance hands-on coding with team leadership** . + Passion for continuous...Virtual video interview conducted via video with the hiring manager and/or team + Camera must be on +… more
- Molina Healthcare (Omaha, NE)
- …appropriate and correct clinical decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) ... experienced appeal LVN, RN and administrative staff. **JOB QUALIFICATIONS** **Required Education ** Graduate from an Accredited School of Nursing. Bachelor's degree… more
- PNC (Birmingham, AL)
- …a regular basis. Some responsibilities may be performed remotely, at the manager 's discretion. **Job Description** + Under limited guidance, completes a variety of ... documentation for completeness and accuracy, and interprets information for correct coding and adherence to established policies and procedures. + Handles various… more
- Marshfield Clinic (Marshfield, WI)
- …cancer conferences, Quality Assurance and Quality Control (QA/QC), and medical coding . **JOB QUALIFICATIONS** ** EDUCATION ** _For positions requiring education ... Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened… more
- Johns Hopkins University (Middle River, MD)
- …appeals to a higher-level specialist. + Informs the supervisor / Production Unit Manager of issues or problems associated with non-payment of claims. _Professional & ... Knowledge of various payer processing and submission guidelines. + Familiarity with compliance of HIPAA rules and regulations in the dissemination of patient… more
- Amentum (Hillsboro, OR)
- …SALARY RANGE** **: 37.00 - $43.00** (Salary to be determined by the education , experience, knowledge, skills, and abilities of the applicant internal equity, and ... to the customer on all work orders while assuring compliance to codes, regulations and industry standards. + Recommends...of the customer. + Other duties as assigned by Manager or Supervisor. **Minimum Requirements:** + High school diploma… more
- Amentum (Portland, OR)
- …SALARY RANG** **E: $45.00 - $48.00** (Salary to be determined by the education , experience, knowledge, skills, and abilities of the applicant internal equity, and ... to the customer on all work orders while assuring compliance to codes, regulations, and industry standards. + Recommends...of the customer. + Other duties as assigned by Manager or Supervisor. **Minimum Requirements:** + High school diploma… more