- CenterWell (Clarksville, IN)
- …community and help us put health first** CenterWell (TM) represents our payer -agnostic healthcare services for senior primary care, home health and pharmacy. ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- Covenant Health Inc. (Tazewell, TN)
- …documentation in accordance with professional, departmental, organizational, and payer guidelines and timeframes. Maintains established targets for compliance ... month. + . Physician office visits + Community lectures/volunteer + Case Manager visits/marketing + Provide in-services + Follows policies, procedures, and safety… more
- Ventura County (Ventura, CA)
- …+ Description + Benefits + Questions Description Under direction from the Manager of Health Information Management, the Coding Supervisor will assist in the ... ICD-10 CM/PCS and CPT coding guidelines, Federal and State regulations and Payer -specific guidelines as required; + Oversees the Discharged Not Final Coded (DFNC)… more
- Datavant (Olympia, WA)
- …and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this ... keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in this together!)… more
- Mount Sinai Health System (New York, NY)
- …Engagement. The Associate Director of Quality will be the direct manager of the MSHP Quality Care Coordinators. **Qualifications** **Education and Experience** ... across the clinically integrated network * Operational point of contact for payer quality reporting * Content expertise for standard quality measures (HEDIS, PQRS,… more
- Bassett Healthcare (Cooperstown, NY)
- …Collects patient's insurance authorization for medications and discharge needs + Notifies payer , as required, of patient's admission and level of care -either online ... + Actively communicates with multidisciplinary healthcare team (Primary Nurse, nurse manager , C3, etc.) + Communicates potential admissions to facilitate system wide… more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- …co-payments, authorizations, and referral inquiry functions. Reports to Practice Manager /Supervisor. + ESSENTIAL DUTIES AND RESPONSIBILITIES + Serves as a ... and computer data entry skills required. + Knowledge of third party payer referral and insurance verification processes. + WORKING CONDITIONS + Normal office… more
- Penn Medicine (Philadelphia, PA)
- …related. Working under the leadership and moderate supervision of the Corporate Manager of Clinical Documentation and in close concert with both the clinical ... of reimbursement systems + Extensive knowledge of federal, state, and payer -specific regulations and policies pertaining to documentation and coding + Extensive… more
- Emory Healthcare/Emory University (Peachtree City, GA)
- …accurate documents of each patient's evaluation and progress letters to physicians and payer sources, case managers, etc. as indicated appropriately and in a timely ... + Attend and/or participate in facility meetings as directed by Center Manager (may include utilization review, infection control, disaster preparedness, etc.). +… more
- Bon Secours Mercy Health (Mason, OH)
- …and operational excellence. **Reports to Title:** Specialty Pharmacy Operations Manager **Summary of Primary Function/General Purpose of Position** The Specialty ... the computer system + Assist in complete and accurate billing of third-party payer plans + Ensure accurate and safe processing of prescription information + Review… more