- UPMC (Pittsburgh, PA)
- UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within our Coding Department. This position will be a work-from-home position ... and PCS procedures have been coded accurately and completely in compliance with coding guidelines, third-party payer and OIG regulations. **Responsibilities:** +… more
- UTMB Health (Pasadena, TX)
- …and special program budgets under the guidance of UT-MED Administration. + Monitors revenue and expense budgets on an on-going basis and takes appropriate action to ... + Ensures appropriate information is gathered and transmitted in support of billing functions. + Leadership: + Maintains a continuous physical presence within the… more
- CenterWell (Denver, CO)
- …with Business Service Center for accounts receivable activities related to branch billing , payroll, credit, and data entry activities. + Partners with sales ... experience in home-based care functioning in a branch leadership (Branch Director/ Administrator ) or Clinical Manager role strongly preferred. + Management and people… more
- Penn Medicine (Philadelphia, PA)
- …enhance mentoring, explain incentives, effort, productivity, salary allocation, increase requests, compliance issues, etc. + Oversee the provision of data to ... individual faculty and managers, including volume statistics, billing statistics, incentives, productivity measures, research funding, research proposals submitted,… more
- University of Michigan (Ann Arbor, MI)
- …on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records ... pertinent information and translate data into appropriate codes for hospital billing , POA and PSI indicators, research, statistics, financial planning, compliance… more
- Trinity Health (Livonia, MI)
- …Information Management Association (AHIMA) Standards of Ethical Coding + Revenue Excellence/Health Ministry (HM) coding procedures and guidelines **ESSENTIAL ... and Patient Business Services (PBS) teams, when needed, to help resolve billing , claims, denials and appeals issues affecting reimbursement. Exhibits awareness of… more
- Houston Methodist (Houston, TX)
- …position provides guidance to staff and is responsible for staffing, budget compliance , contributing to staffing decisions such as hiring and terminating employment, ... also implements training, monitoring and operations initiatives that secure compliance with ethical and legal business practices and accreditation/regulatory/… more
- CenterWell (Olympia, WA)
- …CMS/Medicare regulations and accreditation standards + Knowledge of CMS PDGM billing requirements + Experience managing healthcare revenue . **Preferred ... operations metrics, claims denials, AO/state survey results, risk mitigation, clinical compliance , QAPI adherence and VBP performance. Works closely with area… more
- Trinity Health (Livonia, MI)
- …Adheres to Inpatient coding quality and productivity standards established by Revenue Excellence/HM. 7. Demonstrates knowledge of current, compliant coder query ... and Patient Business Services (PBS) teams, when needed, to help resolve billing , claims, denial, and appeals issues affecting reimbursement. 10. Maintains CEUs as… more
- Penn Medicine (Philadelphia, PA)
- …the facility is legally entitled according to stringent coding and compliance guidelines. Responsibilities: + Examines the complete medical record to accurately ... Simultaneously abstracts and enters all coded information into EPIC for timely billing . This includes the correct discharge disposition verified through the CRM… more
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