- Evolent (Trenton, NJ)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Clinical Rules Management , Analyst ** Seeking a detail-oriented ** ... Clinical Rules Management , Analyst ** who will play a critical role in ensuring the accuracy and integrity of our clinical rule engine, impacting our … more
- Highmark Health (Trenton, NJ)
- …Correlates Revenue/Expense to volumes and prepares reports to assist financial management in assessing financial performance. (20%) + Evaluates, updates, and ... have a financial impact to WPAHS. Makes recommendations to Decision Support Management for financial and performance improvement. (20%) + Performs all other duties… more
- Intermountain Health (Trenton, NJ)
- **Job Description:** The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an ... ensure regulatory compliance and revenue optimization for assigned service line(s). **Revenue Integrity Analyst I** Schedule: Monday - Friday from 8 AM - 5 PM (with… more
- Intermountain Health (Trenton, NJ)
- **Job Description:** The RCO Rev Integrity Chargemaster Analyst II independently handles EPIC build, maintenance, and implementation of charge codes, fee schedules, ... and mentor teammates, provide education and guidance to revenue cycle and clinical teams, and assists with testing and validation. Supports and collaborates with… more
- Intermountain Health (Trenton, NJ)
- …support for management level leadership of a system/regional business or clinical area. + Meet regularly with leadership to provide work updates, set project ... of data analytics at Intermountain Health. As a Data Analyst -Technical-Staff, you will be part of a team that...part of a team that contributes to strategic initiatives, clinical standards, and operational goals through data insights. Reporting… more
- Highmark Health (Trenton, NJ)
- …investigations. Performs modeling of data sources and flows, works with data management staff to define an operational framework that will define, develop and ... new areas. + Perform modeling of data sources and flows, work with data management staff to define an operational framework that will define, develop, and implement… more
- Penn Medicine (Plainsboro, NJ)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... Quality, Safety, Specialist plays a role in supporting the development, implementation, management and sustainment of an organization wide system of quality and… more
- Virtua Health (Mount Holly, NJ)
- …confidentiality of patient data and medical information. Ensures integrity of all clinical documentation images and Master Patient Index by performing the functions ... records (including prepping, scanning, indexing, quality review, etc.) into document management system (OnBase), and manages electronic images in OnBase and Epic… more
- Virtua Health (Mount Laurel, NJ)
- …Revenue Integrity Team, Clinical Operations and IT to help ensure workqueue rules are accurate and updated based on annual and quarterly coding changes. Assist ... charge capture accuracy. Incumbent must develop close working relationships with management and staff in Revenue Integrity, Finance, Information Technology and… more
- Intermountain Health (Trenton, NJ)
- …investigations and reports of suspected noncompliance. This role oversees the management and development of the Compliance report database. It also develops ... of the Conflict of Interest database **Skills** + Data Management + Data Analysis + Data Visualization + Communication...May have the same physical requirements as those of clinical or patient care jobs, when the leader takes… more
- Intermountain Health (Trenton, NJ)
- …site teams, external business partners/vendors, compliance, legal counsel, health information management , and designated areas in the response process. 5. Assists ... and guidance to service line leadership, providers, and front line clinical associates regarding updates to charging/coding/NCCI regulations and/or errors, and… more
- Cardinal Health (Trenton, NJ)
- … team to onboard new practices including Assessment Call and giving direction to Clinical Analyst owning account * Once the Rheum team grows, manage the ... training and oversite of all new Clinical Analyst Team members (working with HR,...Specialty Network requirements of the Provider Solutions, Customer Success, management , and HR Handbook rules * Assist… more