- Bon Secours Mercy Health (Youngstown, OH)
- …Radiology, which include Administrative management, personnel, patients, and physician -related issues. **PRINCIPAL JOB ACCOUNT-ABILITIES:** + Performs scheduling for ... when discussing patient matters. Maintains strict confidentiality on all physician -related calls. Performs medical necessity following protocol to ensure appropriate… more
- Aston Carter (Valencia, CA)
- …with patients, payers (eg, Kaiser, Blue Cross Blue Shield), and physician 's offices to provide exceptional customer service. + Obtain necessary documentation ... is strongly preferred. + Knowledge of medical terminology and ICD-10 coding ; medical coding certification is a plus. + Experience in pharmaceutical, biotech, or… more
- Centene Corporation (Indianapolis, IN)
- …to improve HEDIS measures and provides education for HEDIS measures and coding . Supports the implementation of quality improvement interventions and audits in ... as a liaison and member advocate between the member/family, physician and facilities/agencies. + Acts as the face of...practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding in accordance with NCQA requirements. + Assesses provider… more
- Northern Light Health (Presque Isle, ME)
- Northern Light AR Gould Department: Physician Practice Central Ops Position is located:Northern Light AR Gould Hospital Work Type: Full Time Hours Per Week: 40.00 ... Policy. + Assists with claim denials/research as assigned. + Assists with coding to assure appropriate authorization of procedures. + Makes recommendations for… more
- HCA Healthcare (Nashville, TN)
- …Team for review and approval of the supply charge master for proper coding of supply items to ensure accurate reimbursement and the supply item files ... Review supply charge master for proper GL/Subaccount code assignment to ensure accurate coding + Apply HCPCS, Rev code and GL/Subaccount attributes within SMART as… more
- MaineGeneral Health (Augusta, ME)
- …and equipment needs for each procedure. + Collaborate with multidisciplinary staff, physician offices, and vendors to ensure all necessary resources are available ... labor and operating room requirements. + Gather and analyze payer coverage, coding , and billing information to determine appropriate facility charges. Charge Entry… more
- Amgen (Tallahassee, FL)
- …at the local level. + Proactive and on-going access-related education including coding and billing and conducting quarterly business reviews with SOC administrative ... of care customer segments and reimbursement (commercial and government payers, billing/ coding ) with infused products required. + Direct experience with identifying… more
- Guthrie (Sayre, PA)
- …program. * Conduct regular audits and reviews of medical records, billing, coding , provider activity, and departmental processes to ensure compliance with regulatory ... clinical management. * Strong knowledge of medical terminology, anatomy, coding guidelines (CPT, ICD-10/11, HCPCS), payer requirements, and reimbursement processes.… more
- CareFirst (Baltimore, MD)
- …Skills and Abilities (KSAs)** + Working knowledge of provider billing and coding mechanisms, including special pricing, medical terminology, CPT coding and ... working either at CareFirst, an insurance plan, a hospital or a physician hospital organization (PHO). + Understanding of contractual documents and ability to… more
- Southwest Nursing Center (Fort Worth, TX)
- …residents; ensures documentation is present in the medical record to support MDS coding . * Maintains current MDS status of assigned residents according to state and ... of resident information into appropriate computerized MDS programs. * Completes accurate coding of the MDS with information obtained via medical record review as… more