- Northeast Georgia Health System, Inc (Gainesville, GA)
- …and shift the way providers think about value-based care. Shall promote all clinical programs available as a resource to facilitate full engagement and improve ... experience with increasing responsibilities in developing and executing risk coding programs.Knowledge of, and experience with, utilizing EPIC EHR.Knowledge of,… more
- Option Care Health (Hudson, OH)
- …with invoice coding , and submission of invoices to corporate for payment . As needed prepare correspondence, file, perform record keeping functions, and obtain ... patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Director of Professional Reimbursement Strategy, the Payment Policy and Network Coding Sr. Manager is responsible for leading the research development, ... physician fee schedules + Develop /manage audit criteria for payment policy reimbursement opportunities when hard coding ...years directly work in payment reimbursement policy, payment integrity and/or clinical editing + Proficient… more
- HCA Healthcare (Brentwood, TN)
- …**Introduction** Do you want to join an organization that invests in you as Coding Quality Manager ? At Parallon you come first. HCA Healthcare has committed ... make a difference. We are looking for a dedicated Coding Quality Manager like you to be...projects, barriers and successes + Actively manages and monitors coding and clinical documentation improvement reconciliation operations… more
- Providence (AK)
- …retain the best people, we must empower them._** **Providence Health Plan is calling a Manager Coding Policy who will:** + Be responsible for the management and ... queues, and analyst metrics + Ensure appropriate review and payment of coding related claims in a...care or health care organization + 5+ years of Clinical Coding experience, preferable in a payer… more
- Vanderbilt University Medical Center (Nashville, TN)
- …research. **Organization:** Section of Surgical Sciences **Job Summary:** JOB SUMMARY The Lead Coding Manager for the Section of Surgical Sciences will review, ... mortality rates, and increased billing and collections. The Lead Coding Manager for the Section of Surgical...helpful ** . KEY RESPONSIBILITIES + Collaborates with the clinical department administrators within the Section of Surgical Sciences… more
- Tidelands Health (Murrells Inlet, SC)
- …of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. Queries physicians as needed, to clarify ... complexity using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding ...take correct actions to allow for payer processing for payment . + Collaborate with Clinical Documentation Integrity… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …by evaluating the Agency's use of appropriate system edits to prevent improper payment of claims; monitoring coding quality and productivity metrics; and ... Medicaid Program Integrity Reporting & Coding Oversight Officer Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4483704) Apply Medicaid Program… more
- Sanford Health (SD)
- …knowledge of prospective payment systems, insurance policies, drug/pharmacy related coding rules and documentation process, and clinical practices and ... Range:** 31.00 - 49.50 **Job Summary** Provide leadership to coding staff in assigning accurate and timely codes to...and codes. Perform other duties as assigned by the manager and/or director. Have a working knowledge of anatomy,… more
- Highmark Health (Jefferson City, MO)
- …performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for ... Correct Coding Initiatives, ICD CM/PCS Official Guidelines, Outpatient Prospective payment system and Coding Clinic references. Current working knowledge of… more
- Rush University Medical Center (Chicago, IL)
- …disability, veteran status, and other legally protected characteristics.** **Position** Manager , Clinical Trials & Charge Capture **Location** US:IL:Chicago ... input to his/her supervisor to identify areas of opportunity within the manager 's scope, escalate risk and resolve barriers. This position will provide direction,… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Clinical Appeals Nurse Manager ? At Parallon, you come first. HCA Healthcare has ... make a difference. We are looking for a dedicated Clinical Appeals Nurse Manager like you to...+ Determine root cause of denials and apply company-specific coding for trends and analysis. + Utilize computer programs… more
- Rush University Medical Center (Chicago, IL)
- …Schedule:** 8 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** Reporting to the Director/ Manager of Clinical Trials Research Revenue Cycle, this position will create ... accordance with the MCA. * Ensure consistency of the payment terms in the coverage analysis with the protocol,...learn and apply technical knowledge in the areas of clinical research, medical coding and revenue cycle… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …with research teams regarding research related charges, billing, invoice, and payment reconciliation. Verifies month-end revenue transfer to clinical departments ... the preparation and management of all study budgets with the Research Project Manager and ResearchGenesis℠ process for initiating all clinical research studies… more
- Serco (Washington, DC)
- …experience working the managed care claims and third- party liability; + Knowledge of payment systems and coding , billing and compliance rules; and + Knowledge ... **Position Description** Serco is seekinga motivated Data Processing Review Manager to join our talented and fast-paced Public Sector...care claims and third- party liability; + Knowledge of payment systems and coding , billing and compliance… more
- Stryker (San Jose, CA)
- …health economic studies, collecting and distributing reimbursement information that describes coverage, coding , and payment . + Provide input and expertise to ... creation of value-based resources (eg, value summaries, calculators, etc) and clinical -economic evidence (ie, abstracts, posters, and manuscripts) + Manage projects… more
- WMCHealth (Warwick, NY)
- …meetings in the absence of the System Director. + Manages communication with clinical departments, on-site staff, Patient Access and Coding , reduce or eliminate ... Manager , System Patient Accounting Company: Good Samaritan Hospital...will also oversee the follow-up process by reviewing payer payment status for all governmental and third party claims… more
- Abbott (Alameda, CA)
- …desirable. + Knowledge of health economics and outcomes research, reimbursement, coverage, coding and payment mechanisms globally is highly desirable. + Creative ... and analyze glucose levels. As a North America HEOR Manager , you will help shape the HEOR strategies to...& Outcomes Research (HEOR) strategy in partnership with our clinical and medical affairs team. The HEOR will support… more
- Beth Israel Lahey Health (Burlington, MA)
- …& Physiology, and coding clinical concepts such as gained from coding coursework. + Knowledge of payment methodologies including prospective payment ... Shift:** Day (United States of America) Under the direction of the Hospital Coding Manager or Supervisor, and exercising independent judgment within the scope… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Primary Function/General Purpose of Position** Under ... work plan items, management requests, Merger and Acquisition due diligence coding audits and assessments, and responses to governmental audits and inquiries.… more
