- Prisma Health (Columbia, SC)
- …Variable capture, HAC/PSI, HCC and Quality Indicator validation. Uses knowledge of coding and compliance guidelines to identify potential documentation, ... Serve with compassion. Be the difference. Job Summary Responsible for leading coding teams, coder training, work que management, performing prebill and second-level … more
- Novartis Group Companies (East Hanover, NJ)
- Job Description Summary #LI- Remote Access and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) ... on payer policy coverage, multi-channel acquisition pathways, billing and coding , claims processing, reimbursement, and integration of manufacturer support programs… more
- Stanford Health Care (Palo Alto, CA)
- …with existing tools to evaluate CDM requests with a focus on regulatory coding , compliance , and adherence to SHC internal guidelines regarding CDM maintenance, ... Stanford Health Care job.** **A Brief Overview** The Revenue Integrity Program Manager is a critical role responsible for optimizing hospital and professional… more
- Prisma Health (Columbia, SC)
- …is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, ... to final coding . Adheres to Prisma Health Coding and Compliance policies and procedures for...a non-management job that will report to a supervisor, manager , director or executive. Minimum Requirements Education - Certification… more
- Prisma Health (Greenville, SC)
- …codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding /billing ... for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40% Responsible for resolving all… more
- Prisma Health (Greenville, SC)
- …codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding /billing ... for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Utilizes appropriate coding … more
- Prisma Health (Greenville, SC)
- …codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding /billing ... assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned… more
- Prisma Health (Columbia, SC)
- …inclusion criteria, abstracting clinical and outcomes data from the medical record, coding diagnoses, procedures, and injuries utilizing ICD-10 coding , AIS ... compassion. Be the difference. Maintains professional development and current in coding principles. Maintains current knowledge of and complies with National… more
- Prisma Health (Greenville, SC)
- …coding concerns. Submits appeals for assigned payer and/or division. Assists with Compliance Team and Coding Educators to identify areas that require ... Serve with compassion. Be the difference. Job Summary Responsible for validating coding and facilitation of appeals process for all assigned denied professional… more
- UnitedHealth Group (Las Vegas, NV)
- …start Caring. Connecting. Growing together. Under direct supervision of the Manager and Supervisors, Clinical Claims Review, conducts retrospective reviews for ... inpatient, ambulatory, emergency room, and evaluation & management services, coding levels, etc., utilizing standardized criteria, protocols, and guidelines. This… more
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