- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management ... of situations or data requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit… more
- Highmark Health (Raleigh, NC)
- …consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in ... The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment...coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the… more
- Humana (Raleigh, NC)
- …claims initially paid correctly in the system) + Minimum of 2 years Provider Payment Integrity (formally known as Financial Recovery) experience + CAS claims ... to gather knowledge on Medicare Advantage and Medicaid State Regulations + Certified Professional Coding (AAPC) + Previous experience working with the internal… more
- Edwards Lifesciences (Raleigh, NC)
- …( payment rates and market access) by serving as a knowledgeable resource in coding , coverage and payment , as well as, an intermediary to payers including ... maintaining a THV program through the development and implementation of reimbursement plans ( coding , coverage, payment ) unique to each provider. + Articulate a… more
- Mears Group (Charlotte, NC)
- …reputation as a premier provider of services with a solid track record of performance, integrity and - above all - a commitment to safety, quality, and our people. ... invoicing customers timely and accurately, reconciling customer payments and integrity of accounts receivable records. **What Do You Offer...+ Act as lead for job setup (creation and coding of new job #s in our accounting software,… more
- Nelnet (Raleigh, NC)
- …a professional services company, consumer loan originator and servicer, payment processor, renewable energy innovator, and K-12 and higher education expert (and ... lives through the power of service as a student loan servicer, professional services company, consumer loan originator and servicer, payments processor, renewable… more