- CVS Health (Hartford, CT)
- …affordable, convenient, and comprehensive manner. Combining the assets of our health insurance products and services with CVS Health's unrivaled presence in local ... and OCPO for Health Affordability and SAI to review medical cost trends and working across lines of business...+ Experience with and knowledge of CPT and HCPCS coding guidelines and principles. + Understanding of clinical guidelines,… more
- Centene Corporation (Frankfort, KY)
- …claim analysis, or fraud investigation experience. Knowledge of Microsoft Applications medical coding , claims processing, and data mining preferred. ... in Business, Criminal Justice, Healthcare, related field or equivalent experience. 3+ years of medical claim investigation, medical claim audit, medical … more
- CenterWell (Daytona Beach, FL)
- …+ Monitor and manage data analytics, scorecards, cost & utilizations, HCC coding , and NPS Scores, focusing on patient satisfaction and performance improvement. + ... to Market President. **Dyad Partnership** : + Collaborate with the Associate Medical Director to achieve shared goals, ensuring consistent communication and unified… more
- Fallon Health (Worcester, MA)
- …School Diploma; College degree (BS or BA) or equivalent preferred **License/Certifications:** Medical Terminology or Medical Coding helpful **Experience:** + ... we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for… more
- AdventHealth (Port Charlotte, FL)
- …RD, Wesley Chapel, 33544 **The community you'll be caring for** **:** AdventHealth Medical Group West Florida Rollover PDO with service year increases in accrua ... Practice Manager is responsible for the day-to-day operational success of the assigned medical practice(s). A Practice Manager has a one or two practice locations… more
- ChenMed (Decatur, GA)
- …other related duties as assigned. **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of medical terminology, CPT, HCPCS and ICD coding preferred + An inept ... this role works directly with our patient population and their families, insurance representatives and outside vendors, physicians, clinicians and other medical … more
- Mount Sinai Health System (New York, NY)
- …2 years healthcare billing experience required. Familiarity with CPT and ICD ( coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1. ... to supervisor. 4. Reviews correspondence and rejection data from insurance carriers; posts rejections and performs reconciliations. 5. May...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Sedgwick (Pascagoula, MS)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Associate **PRIMARY PURPOSE** : To analyze reported ... and industry best practices. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Adjusts medical -only claims and minor lost-time workers compensation claims under close… more
- WMCHealth (Kingston, NY)
- …link Job Details: Job Summary: HealthAlliance Hospital, part of the Westchester Medical Center Health Network (WMCHealth), is seeking a Board Certified / Board ... hospitalized patients on an as-needed basis. + Work closely with the hospital's medical staff to ensure coordinated, high-quality patient care. + ICU Coverage +… more
- Nuvance Health (Danbury, CT)
- …emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate status is assigned. Assures patient ... level within the care continuum. Provides clinically based concurrent review of the medical record to assess and procure accurate and complete documentation of the… more