- HCA Healthcare (Nashville, TN)
- …and expertise! **Job Summary and Qualifications** The Billing Integrity Analyst Register Nurse ( RN ) is responsible for determining the ... **Introduction** Do you have the career opportunities as a Billing Integrity Analyst RN...acute care hospital or coding experience preferred. + Active Registered Nurse License or other advanced nursing… more
- Henry Ford Health System (Troy, MI)
- Reporting to the CDM Manager, the CDM Analyst is responsible for supporting and maintaining the Charge Description Master (CDM), including being responsible for the ... accuracy and completeness of the CDM. The CDM Analyst also supports the CDM Coordinator and Senior CDM...CDM Team with communications to Clinical End Users, Revenue Integrity , Reimbursement, IT, HIM and others (as needed) when… more
- Intermountain Health (Salt Lake City, UT)
- …Description:** . **This role requires clinical experience as an Operating Room** ** registered nurse ** **or as a** **surgical technician** **.** Procedure card ... Analyst is responsible for the maintenance, standardization, and analysis...operating room experience as a certified surgical technician or registered nurse across multiple service lines, required… more
- New York State Civil Service (Albany, NY)
- …General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced Registered Nurse to serve as a Medical Analyst in its Albany office. Medical ... No Agency Attorney General, Office of the Title Legal Nurse /Medical Analyst : Medicaid Fraud Control Unit (6393)...Minimum Qualifications Qualifications: * A current New York State Registered Professional Nurse 's license; * A minimum… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements ... issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare,… more
- Commonwealth Care Alliance (Boston, MA)
- …TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical ... logic, related Medicare/Medicaid policies for review/approval through the Payment Integrity governance process. **Supervision Exercised:** + No, this position does… more