- HonorHealth (AZ)
- …Outpatient clinical documentation and diagnostic results as appropriate for billing , internal and external reporting, research, and regulatory compliance. Essential ... & coding for appropriateness & accuracy and makes corrections following Medicare & AMA coding guidelines. Utilizes electronic medical record and computer-assisted… more
- UCLA Health (Los Angeles, CA)
- …to oversee daily operations for a multi-specialty coding team within the Patient Billing Office. Reporting to the Director of Coding, this role manages coding ... Monitor productivity, workflow efficiency, coding accuracy, and ensure timely resolution of billing issues + Serve as a subject matter expert for clinical… more
- Beth Israel Lahey Health (Woburn, MA)
- …NCCI edits and Medicare LCD/NCDs o health care documentation, coding and billing requirements as well as federal and state health care regulatory requirements o ... CPT, HCPCS, and wRVUs for accuracy, compliance with applicable coding and billing guidelines, and optimization of reimbursement. * Support departments with analyzing… more
- Medtronic (Minneapolis, MN)
- …training and education programs to sales force, physicians, medical directors, billing personnel, distributors, and other external stakeholders, and ensures other ... field reimbursement, and external physician and hospital providers. Leverage coding and billing expertise to engage in chart reviews, in accordance with compliance… more
- NTT DATA North America (Cumberland, RI)
- …be responsible for ensuring corporate compliance with statutory requirements for Medicare , Medicaid, and Commercial enrollment for Clinics and Providers. **Role ... control for timely and accurate individual enrollment applications submitted for Medicare and Medicaid programs. * Resolve claims issues for individual payers… more
- PruittHealth (Norcross, GA)
- …19. Provide executed contracts to providers and offer education on setting up billing /claims submission. 20. Follow up to ensure contracted providers are loaded and ... for health plans * Knowledge of CMS required contracting language for Medicare Advantage Plan agreements * Demonstrate compliance with CMS regulations regarding … more
- Nuvance Health (Danbury, CT)
- …PA, SC, TN, TX, VA* Summary: *Purpose:*Provides clinician practice coding, billing , and documentation auditing for professional coding at Nuvance Health. Conducts ... audits, reporting, complaint coding issues etc. 5.Research CMS and NGS Medicare regulations, guidelines, bulletins, and other publications for impact to professional… more
- Sanford Health (Fargo, ND)
- …statements - Collection process - Running end of month reports for Finance - Medicare and third party audits - Patient refunds and rebilling prescriptions - Customer ... pharmacists - Recording pharmacy payments in Inmar, (our reconciliation company) - Monitoring Medicare claims to ensure payment has been received by all payers. -… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …Collaborates with nursing, physicians, admissions, fiscal, legal, compliance, coding, and billing staff to answer clinical questions related to medical necessity and ... compliance to regulatory and health plan requirements for authorization, including Medicare Inpatient Only List and communicates to provider to obtain accurate… more
- Option Care Health (Bannockburn, IL)
- …established Compliance workplans, focusing on key risk areas such as regulatory changes, billing and coding, privacy and security, and fraud and abuse. + Perform ... techniques to analyze large datasets, such as related to healthcare operations, billing , claims, and patient information to support Compliance activities and to… more