- TEKsystems (Honolulu, HI)
- Description Key Responsibilities + Claims Auditing: + Reviewing medical claims to verify accurate coding , correct benefit payments, and adherence to contract ... may depend on your job classification and length of employment . Benefits are subject to change and may be...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Intermountain Health (Salt Lake City, UT)
- …with third party payers. + Knowledge of care management. + Knowledge of health insurance related products. + Working understanding of coding , episode of care and ... Identifies patient populations using specific screening criteria including psychosocial screen, medical record review or through referrals for service per department… more
- Truman Medical Centers (Kansas City, MO)
- …of expertise. + Experience with 837i and HIPAA transaction sets such as ICD/CPT/HCPC coding , revenue codes, ICD-10 and knowledge of medical terminology. + Good ... for positions and apply.** Patient Accounts Representative (Hybrid) 101 Truman Medical Center **Job Location** Truman Support Center Kansas City, Missouri… more
- Weill Cornell Medical College (New York, NY)
- …to patient appointment to ensure smooth check-in. + Verifies patient insurance eligibility and obtains necessary pre-authorization numbers, if required, prior to ... experience using computerized appointment scheduling systems (EPIC preferred) and/or electronic Medical Record (eMR) system (ideally EPIC-Care). + Knowledge of CPT,… more
- PNC (Pittsburgh, PA)
- …UI developers within Agile crews (Scrum/Kanban). . Conduct code reviews, set coding standards, and ensure technical excellence. . Design and implement event-driven ... CI/CD pipelines (Jenkins, Git, Gradle). . Ensure code quality (SonarQube), secure coding practices, and strong security analysis. . Deploy applications using Docker,… more
- Prometheus Federal Services (VA)
- …utilizing ICD-O-3, ICD-10-CM, AJCC TNM 8th ed. (Tumor, Nodes, Metastasis), SEER Program Coding and Staging Manual, Solid Tumor Rules, and STORE Manual as well as ... other required standard setter coding manuals + Comply with reporting requirements of the...Rocky Mountain, Vista, etc.) + Proficient with various electronic medical record systems + Demonstrates knowledge and proficiency of… more
- Centene Corporation (Springfield, IL)
- …HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving ... as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding . Supports the development and… more
- Centene Corporation (Indianapolis, IN)
- …HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving ... as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding . Supports the development and… more
- Humana (Springfield, IL)
- …the Provider Relations team with appropriate claims submission processes and requirements, coding updates, and common billing errors to reduce claims denials and ... review, overpayment, appeal/dispute functionality, virtual credit card payment program/process, and medical record management that can be relayed to the provider. +… more
- Stony Brook University (East Setauket, NY)
- …selected candidate must meet the following requirements:** + Successfully complete pre- employment physical examination and obtain medical clearance from Stony ... not limited to:** + Prepare and submit hospital claims. Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied claims, improper payments… more