- Baylor Scott & White Health (Dallas, TX)
- …in revenue cycle functions including registration, charge entry, order entry, current coding systems, billing and medical terminology. Ability to communicate ... for day-to-day operations of the Charge Integrity department. The Charge Integrity Manager performs duties of high complexity, judgment, and scope under the… more
- Highmark Health (Pierre, SD)
- …with claims data **LICENSES AND CERTIFICATIONS** **Required** + None **Preferred** + Medical Coding **SKILLS** + Agile Application Development + Business ... operations of the healthcare management analytics function with the Medical Policy department. The incumbent retains responsibility for development, implementation… more
- Albany Medical Center (Albany, NY)
- …policies and procedures + Supports compliance/improvement processes in relation to coding and documentation requirements + Manages payroll and personal leave time ... + Assures credentialing status of office and medical staff + Completes purchasing and tracking of Department/Division...3-5 years experience in supervision and management of a medical practice. Physical Demands + Standing - Occasionally +… more
- Choice Hotels (Scottsdale, AZ)
- …largest lodging franchisors, has an exciting new opportunity as our Senior Manager , Software Engineering for our Advanced Technology Activation Team (AT‑AT) in the ... when it matters? We invite you to apply today for our Senior Manager , AT‑AT role and #MakeItYourChoice. Your Responsibilities + Lead and develop a high‑performing… more
- Humana (Salt Lake City, UT)
- …first** The Manager , Risk Adjustment conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for ... Holds team members accountable for following established policies. The Manager Risk Adjustment ensures coding is accurate...as well as internal policies and guidelines while analyzing coding information and medical records. May participate… more
- Guthrie (Sayre, PA)
- …timelines and protocols + Collaborate with clinical, utilization management, billing, HIM, and coding teams to resolve medical necessity and coding -related ... Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management...+ Primary Denial Rate + Authorization Denial Raate + Coding Denial Rate + Medical Necessity Denial… more
- University of Utah (Salt Lake City, UT)
- …PRN43595B **Job Title** Compliance Officer **Working Title** Regulatory Compliance Manager - Hybrid/Remote **Career Progression Track** F **Track Level** **FLSA ... those years in a health care setting or equivalency; coding certification ( CPC , ACS , CCS -P/H,..., ACS , CCS -P/H, RHIA ); knowledge of medical auditing, Federal healthcare program policies and requirements (including… more
- Regeneron Pharmaceuticals (Seattle, WA)
- …Develop collaborative relationships with Regeneron colleagues (ex. Regional Directors and Medical Specialists) to educate physician offices in coverage/ coding of ... **Field Reimbursement Manager (FRM), Ophthalmology - Seattle (PNW)** The Field...if you:** + Previous experience working with billing and medical claims personnel in various health care settings, including,… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Authorization Office Manager will be responsible for the day-to-day insurance authorization oversight of both outpatient and inpatient rehab therapy ... monitoring of changes in insurance and reimbursement requirements inclusive of coding and treatment authorization and making recommendations to optimize compliance.… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** The Revenue Integrity Program Manager is a critical role responsible for optimizing hospital and professional ... existing tools to evaluate CDM requests with a focus on regulatory coding , compliance, and adherence to SHC internal guidelines regarding CDM maintenance, standard… more
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