- Henry Ford Health System (Grand Blanc, MI)
- …retrospective evaluation and assimilation of the medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing ... Under the direction of the Outpatient Audit , Analytics & Technology Supervisor,...of services - from primary and preventative care to complex and specialty care, health insurance, a full suite… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- … complex and provides hospital based and clinic based outpatient services, acute medical, medical subspecialties, surgical, surgical subspecialties, psychiatric ... well as con-current coding. Codes diagnoses, operations and procedures (inpatient and outpatient ), which requires knowledge in a variety of coding systems, using the… more
- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- …codes, including appropriate E/M assignment and modifier usage for inpatient and outpatient health records. Audit function includes evaluation of clinical ... monitors for PTF, PCE, VERA and Non-VA Medical Care (purchased care) coding. Audit accurate and complete assignment of ICD-10-CM and ICD-10-PCS codes, MSDRG, POA… more
- University of Colorado (Aurora, CO)
- **Billing and Coding Specialist ** **Description** **University of Colorado Anschutz Medical Campus** **Department: Neurosurgery** **Job Title** **Billing and Coding ... Specialist ** **Position** **- Requisition #: 37575** **Job Summary:** **Key...meetings with Office of Value Based Performance, Revenue Cycle, Audit /Compliance, and other related meetings as a representative for… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- Summary The Health System Specialist -Credentialing and Privileging Specialist is assigned to the Medical Staff Office, which is under the Chief of Staff at the ... and support to the credentialing and privileging (C&P) operations. Responsibilities The C&P Specialist is aligned to and supervised by the C&P Manager. The incumbent… more
- CareOregon (Portland, OR)
- …Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Care and Outreach Specialist - PHP - Telephonic Exemption Status Non-Exempt Management Level n/a Direct ... is highly preferred. Job Summary The Care and Outreach Specialist work alongside a comprehensive care team that includes...for members and provide warm handoff of members with complex medical or behavioral health needs to appropriate care… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …(ELT) comprised of the senior executives. Supervisory Mobility Transportation Specialist supervises and manages the Veterans Transportation Service, including the ... Supervisory Mobility Manager and Beneficiary Travel Specialist . Monitors the planning, coordination, and implementation of the Veterans Transportation Service.… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Provider Data Management and Credentialing Specialist is responsible for ensuring the data integrity for contracted providers. This includes ... ongoing audit of the provider database, monitoring provider sanctions from...48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of… more
- Trinity Health (Livonia, MI)
- …certification required, eg, Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technologist (RHIT), or Registered ... Must understand and have in depth knowledge of Hospital Outpatient Prospective Payment System, Inpatient Prospective Payment System, Medicare Physician… more
- Trinity Health (Livonia, MI)
- …Five (5) or more years of experience in billing, charge documentation, charge audit or charge capture activities, or other functions related to revenue cycle ... billing is required. Knowledge of Ambulatory Payment Classification (APC) & Outpatient Prospective Payment System (OPPS) reimbursement structures & prebill edits… more
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