- 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
- Corewell Health (Caledonia, MI)
- …related impact or risk explosure, etc. + Collaborates regularly with the Coding Operations teams, Clinical Documentation Improvement (CDI) and Concurrent ... Job Summary Manages coding quality team processes and employees, whose primary...correct inpatient Diagnostic Related Group (DRG) and outpatient Ambulatory Payment Classification (APC) assignment for hospital patient accounts; and,… 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)
- … Modification (ICD‑10‑CM), Current Procedural Terminology/HealthCare Common Procedure Coding System (CPT/HCPCS), modifiers, and Evaluation & Management codes ... policy and procedure. Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC. Abstracting...as set forth by AHIMA and AAPC. Abstracting required clinical information from the medical record. Queries physicians as… 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/4428829) 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
- Cleveland Clinic (Cleveland, OH)
- …Coding Education Instructor, you will research, develop, and deliver hospital outpatient clinical coding training for topics such as: disease and trauma ... assignments offering you ample opportunity for learning and growth into roles such as a Coding Supervisor or Coding Manager . At Cleveland Clinic, we know… 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
- 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
- Walmart (Bentonville, AR)
- …do ** Join the Health & Wellness Pharmacy Medical Billing Team as a Manager , Medical Billing supporting the Pharmacy Clinical Services business. In this role, ... you will assist the Sr. Manager , Medical Billing in ensuring billing for medical claims...Medical Insurance Plans are set up and billed for Clinical Services. + Provide monthly reporting on medical claims… more
- Elevance Health (Columbus, OH)
- …never ask you for a credit card, send you a check, or ask you for payment as part of consideration for employment. ** Clinical Provider Auditor II** + Job Family: ... Tampa + North Carolina, Winston + District of Columbia, Washington **Description** ** Clinical Provider Auditor II** **Supports the Payment Integrity line of… more
- Bon Secours Mercy Health (Greenville, SC)
- …study budgets. This person will work under the supervision of the Clinical Research Manager in identifying, establishing, implementing, and monitoring ... the preparation and management of all study budgets with the Research Manager and ResearchGenesis℠ process for initiating all clinical research studies… more
- Elevance Health (Harrisburg, PA)
- …will never ask you for a credit card, send you a check, or ask you for payment as part of consideration for employment. ** Clinical Review Nurse I (US)** + Job ... + Texas, Houston + Maine, South Portland + Wisconsin, Waukesha **Description** ** Clinical Review Nurse I** National Government Services is a proud member of… 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
