- University of Rochester (Rochester, NY)
- …but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, ... by effectively managing the assigned functional area and serving as the team's coding specialist . This role acts as a subject matter expert on team functions and… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more ... it most, we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy … more
- LA Care Health Plan (Los Angeles, CA)
- …relevant coding elements. Audits can include inpatient, outpatient, and professional claims . Serves cross functionally with Utilization Management, Medical ... insurance business, industry terminology, and regulatory guidelines. Working knowledge of claims coding and medical terminology. Solid understanding of standard… more
- City of Chicago (Chicago, IL)
- **Description:** BID/JOB ANNOUNCEMENT ** MEDICAL SERVICES COORDINATOR - CPD** **OFFICE OF PUBLIC SAFETY ADMINISTRATION** ** Medical Section** **Number of ... Under supervision, works in the Office of Public Safety Administration's Medical Services' Section (MS) coordinating the administrative case management functions for… more
- SUNY Morrisville (Syracuse, NY)
- …provides in-person classroom instruction to adult learners preparing for the Certified Medical Reimbursement Specialist (CMRS) examination through the American ... aligned with CMRS competencies. Teach core topics including: + Medical terminology and anatomy + Insurance claims ...+ Medical terminology and anatomy + Insurance claims processing + Coding systems (ICD-10-CM, CPT, HCPCS) +… more
- HCA Healthcare (Manchester, NH)
- …purpose and integrity. We care like family! Jump-start your career as a Medical Staff Services Coordinator today with Catholic Medical Center. **Benefits** ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...the risk manager to review and evaluate an applicant's claims history and National Practitioner Data Bank or other… more
- Oak Orchard Health (Brockport, NY)
- …5+ years' experience working with coding and billing, required. + Certified Medical Billing Specialist / Medical Coder highly preferred. Comprehensive ... making a difference in someone's life. We have 8 medical offices located in communities throughout Western NY and...billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports,… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …Our team of qualified professionals provides compassionate care by: + Maintaining high medical integrity + Fostering a team spirit among staff + Creating friendly, ... Manager (HIM) is responsible for the overall management of the Medical Records Department, including the development and implementation of health information… more
- The County of Los Angeles (Los Angeles, CA)
- …laws at the level of Los Angeles County class of Chief Environmental Health Specialist or higher. *The two (2) years of supervisory experience must have included ... AND CERTIFICATE(S) REQUIRED: 1. Certification as a Registered Environmental Health Specialist issued by the State of California, Department of Public Health… more
- WellSpan Health (Chambersburg, PA)
- …Function: Under the direction of the Coding Manager, functions as a medical coder for the Health Information Management Department to review, retrieve, collect, ... guidelines with 95% accuracy or higher. 7. Works cooperatively with the medical staff and other healthcare professionals in obtaining documentation to complete … more