- Centene Corporation (Omaha, NE)
- …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 (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
- Guthrie (Sayre, PA)
- …knowledge in the area of health care revenue cycle billing, strong medical terminology, reimbursement and insurance regulations required. Prior experience in ... timelines and protocols + Collaborate with clinical, utilization management, billing, HIM, and coding teams to resolve medical necessity and coding -related… more
- UNC Health Care (Smithfield, NC)
- …variety of complex duties in support of reimbursement from patient and insurance carriers throughout the revenue cycle from pre-service with prior authorizations and ... insurance verification to post-service with billing, follow-up and collections....claim is valid and if not, abstracts information from medical records to support appeal of denial. Works in… more
- Martin's Point Health Care (Portland, ME)
- …of medical claims disputes, records, and authorizations for billing, coding , and other compliance or reimbursement related issues + Collaborates with other ... is responsible for ensuring the receipt of high quality, cost efficient medical outcomes for those enrollees with a need for inpatient/ outpatient authorizations.… more
- UPMC (Pittsburgh, PA)
- …insights, operational excellence, and cross-functional collaboration. Responsibilities: + Supervise coding and charge entry staff (where applicable). Work with staff ... process within the BU and solve problems and identify resources related to insurance coverage and reimbursement issues for all BU community based BU. + Create… more
- Ryder System (Springfield, IL)
- …only** : Ryder offers comprehensive health and welfare benefits, to include medical , prescription, dental, vision, life insurance and disability insurance ... and data. The Application Security Engineer must understand development, coding , security engineering, and secure systems configurations. This position ensures… more
- PNC (Dallas, TX)
- …high-quality code through code reviews and adherence to best practices and coding standards. Mentorship: Mentor and support junior developers, fostering a culture of ... high-quality code through code reviews and adherence to best practices and coding standards. Mentorship: Mentor and support junior developers, fostering a culture of… more
- SUNY Upstate Medical University (Syracuse, NY)
- …patient scheduling and throughput. Responsible for ongoing monitoring of changes in insurance and reimbursement requirements inclusive of coding and treatment ... The Authorization Office Manager will be responsible for the day-to-day insurance authorization oversight of both outpatient and inpatient rehab therapy activity… more
- Robert Half Accountemps (Minneapolis, MN)
- …performance, including claim denials and underpayments. * Ensure accurate charge capture, coding , and timely submission of medical claims. * Collaborate with ... in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired… more