- Sharp HealthCare (San Diego, CA)
- …Specialty Pharmacy serves patients and improves their overall care.Support outpatient retail and specialty prescription medication needs.Grow the specialty ... and policies.Committee changes such as new or revised guidelines, drafting Benefit coding requests, and communication of changes to PBM vendor.Performs training for… more
- Rochester Regional Health (Rochester, NY)
- …physicians and page providers as needed. + Complete all required paging for outpatient and admission areas. + Maintain call schedules and provider away notices. + ... PREFERRED QUALIFICATIONS: + Knowledge of medical terminology, EHR systems, coding , billing, and HIPAA. + Strong customer service, communication, multitasking,… more
- Arkansas Children's (Little Rock, AR)
- …Utilizes patient referral mechanisms to other medical services (Inpatient, Outpatient , Specialty Clinics, Physicians, Physical and Occupational Therapists). 12. ... Maintain fees for service in line with funding sources and maintains appropriate coding structure for the services provided. 13. Performs other related duties as… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …special focus audits and reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. + Participates as a member of ... a valid Compact State license. + Certified Professional Coder required. + Certified Outpatient Coder (COC; formerly CPC-H) required within 1 year of hire. + MINIMUM… more
- Stony Brook University (Stony Brook, NY)
- …education with the interdisciplinary team. Coordinates transitional care planning for outpatient resources, prepares PRI for early referrals and contacts with ... prioritize their work and follow up with cases. **Preferred:** CM, UM, Quality, Coding , Risk or MCG Certification Working knowledge of MCG or Interqual PRI Certified… more
- UPMC (Pittsburgh, PA)
- …determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and drugs in ... effective for the patient's illness, injury, or disease. 3. Ensures accurate coding of the diagnosis, procedure, and services being rendered using ICD-9-CM, CPT,… more
- Nuvance Health (Danbury, CT)
- …within the various clinical departments and care areas, both inpatient and outpatient , to facilitate donor's care needs and to identify new opportunities to ... materials, carefully capturing information on donor records and media tab, updating coding on RE & patient database. 7.Visit with ED patients/families, as… more
- Kaleida Health (Williamsville, NY)
- …process and working with insurance companies preferably in a hospital outpatient environment, or equivalent combination of education and experience. Knowledge of ... medical terminology and anatomy. Knowledge of ICD-9CM and CPT-4 coding . Ability to calculate figures such as discounts, interest, and percentages accurately.… more
- Ellis Medicine (Clifton Park, NY)
- …demographic and financial information required for hospital admission and/or outpatient service. EDUCATION AND EXPERIENCE REQUIREMENTS: Education: High School ... cards, assignment of benefits, etc., and route appropriately to ensure proper coding and billing charges. + Provide patients with forms and/or documentation required… more
- Dartmouth Health (Lebanon, NH)
- …and minimizing operating costs/expenses by periodically reviewing patient billing, coding practices and compliance, fee structure, and the implementations of ... institutional policies and procedures related to: Human Resources, Billing, Outpatient and OR Scheduling, Referring Physician Communication Standards, Compliance,… more