- 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 (WI)
- …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
- 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