- AdventHealth (Rome, GA)
- …maximum benefit is achieved or according to standards of practice and payer guidelines. + Charges patients accurately, timely, and legibly. Practices principles of ... professional development and performance improvements by maintaining clinical knowledge, using best and or evidence-based practices, and serving as a Clinical instructor. + Participates in practice changes resulting from performance improvement activities and… more
- University of Michigan (Ann Arbor, MI)
- …such as Tricare, Medicare and Medicaid. + Expertise in utilizing payer portals/websites (eligibility and benefits). + Excellent written, verbal and face-to-face ... communication skills, including ability to effectively explain relevant insurance information to patients, as well as communicate with insurance plans and internal customers. Proper phone etiquette. + Ability to work independently and collaboratively in a… more
- Dignity Health (Stockton, CA)
- …DME, Hospice, etc.,) revenue related activities (authorizations, certifications and payer communications), stocking and monitoring office supplies and equipment and ... maintaining accurate and complete departmental records. This position may function as the point of contact for the department, and is responsible for the professional and timely response to calls, messages and the forwarding of communications to the… more
- TEKsystems (Dallas, TX)
- …(Pro Fee). + Maintain compliance with all applicable coding guidelines and payer requirements. + Review operative reports and assign appropriate CPT, ICD-10, and ... modifiers. + Ensure timely and accurate coding for approximately 30 cases per hour. + Collaborate with clinical and billing teams to resolve coding discrepancies. + Stay current with industry changes and updates in colorectal coding. Required Qualifications +… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …some travel, approximately 4-5 times a month, to other hospital/medical group/ payer offices in addition to meetings held at CHLA. **Minimum Qualifications/Work ... Experience:** _Required:_ 10+ years of experience with progressive responsibility in the healthcare environment and 7 years of experience in a managed care position with demonstrated competencies or an equivalent combination of experience and education.… more
- UPMC (Pittsburgh, PA)
- …and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements. + Code all diagnoses and procedures by assigning and ... verifying the proper ICD and CPT codes. Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation available at the time of coding. + Identify incomplete documentation in the medical record and formulate a physician… more
- AdventHealth (Rome, GA)
- …maximum benefit is achieved or according to standards of practice and payer guidelines. **The expertise and experiences you'll need to succeed:** **QUALIFICATION ... REQUIREMENTS:** Master'sBasic Life Support - CPR Cert (BLS) - RQI Resuscitation Quality Improvement, Occupational Therapist (OT) - EV Accredited Issuing Body, Occupational Therapist - Temporary - Accredited Issuing Body **Pay Range:** $30.16 - $56.09 _This… more
- AdventHealth (Maitland, FL)
- …ICD-10-CM conventions, AdventHealth coding policies, and applicable Medicare and payer guidelines; addresses denials and applies necessary modifiers. **The expertise ... and experiences you'll need to succeed:** **QUALIFICATION REQUIREMENTS:** Bachelor's, High School Grad or Equiv (Required)Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Certified Professional Coder (CPC) - EV Accredited Issuing Body,… more
- Elara Caring (Braintree, MA)
- …in accordance with the mission and values, legal and regulatory requirements, payer and accreditation standards, customer expectations, and agency policy. + Approves ... and submits time and attendance files to payroll for processing, including final review of inputs (eg, visits, mileage, hours worked, etc.) and corresponding rates (eg, hourly rate, mileage reimbursement rate, pay-per-point scale, etc.). + Implements the… more
- CVS Health (St. Paul, MN)
- …rebate contracting, and cost containment. + Familiarity with healthcare regulations and payer -provider dynamics. + Strong business acumen with a track record of ... executing strategies that deliver measurable results. + Ability to identify and capitalize on new business opportunities to drive customer value and margin growth. + Proficiency in analyzing performance metrics and operational data. + Exceptional leadership… more
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