- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Managed Care Services Location: Los Angeles, CA, US, 90017 Position Type: Full ... to support the safety net required to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is responsible for investigating,… more
- Lyric (Frankfort, KY)
- …for overall customer satisfaction and A+ likelihood to recommend in their October 2023 Payment Integrity and Accuracy Report. Discover more at Lyric.ai . The ... Payment Accuracy Concept Consultant identifies overpayment areas using established...+ 5+ years relevant healthcare experience as a medical coder , medical claims adjuster, medical claims processor medical auditor,… more
- Molina Healthcare (Everett, WA)
- …Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical ... be supporting our Appeals and Grievances department. We are seeking a Registered Nurse with previous claims and appeals experience. The candidate must have strong… more
- Molina Healthcare (Tacoma, WA)
- …Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical ... need) Unrestricted RN licensure **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in… more
- HCA Healthcare (Macon, GA)
- …include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information ... organization that invests in you as a Senior Revenue Integrity Coding Specialist for Cath Lab and Interventional Radiology?...coded correctly. This position is a specialized senior medical coder in the Cath Lab, IR, and EP service… more
- UPMC (Pittsburgh, PA)
- …Auditor, Associate** to join our team. This role is crucial in maintaining the integrity of our coding and billing processes, ensuring they meet state and federal ... to hear from you! Apply now and join a team that values precision, integrity , and strategic thinking. + High School Diploma or equivalent required. + Associate's… more
- UPMC (Pittsburgh, PA)
- …will play a crucial role in upholding our standards and ensuring the highest level of integrity in our operations. Join us and be part of a team that values your ... + Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M codes. + Experience in an… more
- UPMC (Pittsburgh, PA)
- …will play a crucial role in upholding our standards and ensuring the highest level of integrity in our operations. Join us and be part of a team that values your ... + Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M codes. + Experience in an… more
- Access Dubuque (Dubuque, IA)
- …client, agency, or insurance company or send data information electronically for payment . Ensures proper protocols are followed for submission of billable services ... entire revenue cycle process from client registration to final payment . + Develop and implement policies and procedures to...that encourages teamwork and professional growth. + Ensure data integrity and security with revenue cycle systems. + Other… more