- Sedgwick (Las Vegas, NV)
- …claimant and client. + Ensures claim files are properly documented and claims coding is correct. + May process low-level lifetime medical and/or defined period ... medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. + Maintains professional client… more
- Sanford Health (Fargo, ND)
- …reports for the annual pricing and fee schedule updates including impacts on physician compensation. Consults in the annual budgeting and audit process such as ... reimbursement and methodologies (MS/APR DRG; APC, EAPG, CPT/HCPCS) industry standard coding and payment rules. **Benefits** Sanford Health offers an attractive… more
- Sharp HealthCare (San Diego, CA)
- …time, QC, resource, technical modifiers, technologist/student/RN/Radiologist)Provide correct coding of exams, billing modifiers, suppliesDepart patient in ... to: What the procedure is, how long it is going to take, physician involved, contrast administration and mode of delivery, positioning, instructions related to… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …VAMC FS# 92001-A 13. Performs appropriate documentation of workload, procedure coding , progress notes in electronic medical record, appointments and encounters. 14. ... for indications/contra-indications and discussion of the assessment with the physician /requesting provider for the purpose of developing the overall treatment… more
- SUNY Upstate Medical University (Syracuse, NY)
- …required. Preferred Qualifications: Experience with medication reimbursement, medications, physician orders and insurance claim submission preferred. Experience with ... healthcare insurance prior authorization/ coding and performing insurance carrier/managed care review preferred. Work Days: Days between 8am -6pm depending on… more
- Molina Healthcare (Spokane, WA)
- …medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts… more
- Molina Healthcare (Des Moines, IA)
- …ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form). * Advanced understanding of key managed care concepts… more
- Pfizer (Collegeville, PA)
- …a Data Solution Architect is required. + Hands on experience with vibe coding and Generative AI based data pipeline and analytics solutions development to increase ... law commonly known as the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of interviewing with Pfizer that we… more
- Elevance Health (Los Angeles, CA)
- …smaller institutional providers, professional providers with more complex contracts, medical groups, physician groups, small hospitals that are not part of a health ... to worksite and other locations as necessary. + Provider billing and coding experience preferred. + Single Case Agreement experience preferred. For candidates… more
- Community Health Systems (Naples, FL)
- …outcomes, and response to therapy in the medical record daily. + Ensures proper coding and accurate maintenance of charge logs for billing and compliance purposes. + ... + Engages in discharge planning, providing necessary follow-up recommendations and physician feedback. + Performs other duties as assigned. + Maintains regular… more