- CGI Technologies and Solutions, Inc. (Dallas, TX)
- ** Payment Integrity Edits Manager ** **Category:** Analytics and Emerging Digital Technologies **Main location:** United States, Texas, Dallas **Position ... ID:** J0324-1896 **Employment Type:** Full Time **Position Description:** The Payment Integrity Edits Manager is a member of the CGI Payment … more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …paced, managed healthcare environment is required + 7-10+ years directly work in payment reimbursement policy, payment integrity and/or clinical editing + ... We Need Reporting to the Associate Director of Professional Reimbursement Strategy, the Payment Policy and Network Coding Sr. Manager is responsible for leading… more
- Bozeman Health (Bozeman, MT)
- …Carolina 12. North Dakota 13. Wisconsin 14. Tennessee Position Summary: The Revenue Integrity Supervisor assists the System Manager of Revenue Integrity ... by maintaining a compliant and defensible Charge Master (CDM), claim integrity , and charger reconciliation program. Assists with departmental and organizational… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …the Iowa Medicaid program, as it applies to payments to providers. As the payment integrity subject matter expert (SME), this position analyzes and understands ... Coding Initiative (CCI) vendors by evaluating the Agency's use of appropriate system edits to prevent improper payment of claims; monitoring coding quality and… more
- HCA Healthcare (Nashville, TN)
- …in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/ edits + Assigns interim DRGs for in-house patients at month end + Completes ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
- HealthEdge Software Inc (Columbus, OH)
- …_With Source_ ,we'rechanging the industry narrative, providing a moreholistic approachto payment integrity that focuses on comprehensive reimbursement, agile ... offers the ability for clients to unlock transformation at the reimbursement, payment integrity , and enterprise level. Our Reimbursement Transformation features… more
- Ascensus (Newton, MA)
- **Section 1: Position Summary** The Marketing Manager will provide marketing strategy and tactical execution to promote new account adoption and existing account ... our many distinct 529 college savings plans. The Marketing Manager will also support Ascensus specific promotional efforts and...system + Collaborate with internal teams to ensure all edits are properly incorporated and final approvals obtained +… more
- HCA Healthcare (Nashville, TN)
- …in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/ edits + Communicates coding revisions to the applicable party (eg, CIS, lead, ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
- HCA Healthcare (Nashville, TN)
- …billing, revenue integrity and/or the Medicare Service Center to resolve alerts/ edits ** + **Communicates coding revisions to the applicable party (eg, CIS, lead, ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
- WellSpan Health (York, PA)
- …submitting electronic and / or manual insurance claims, resolves claim edits , performs insurance account follow-up, researches claim denial for resolution and ... manner while interacting with patients and third-party payers to achieve payment on accounts in accordance with current government and payer regulations.… more
- Hartford HealthCare (Farmington, CT)
- …programs and other common practices across the system. *_Position Summary:_* The Manager Coding Quality and Education* *leads the HIM Coding Quality, Education and ... disseminating information and follow-up. . Identifies Diagnostic Related Groups/Ambulatory Payment System (DRG/APC) changes based on the auditing process results… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …ability to make decisions quickly and effectively. Acting with Ethics and Integrity :The ability to be consistent, honest, and a trustworthy steward of State ... of space devoted to children/teen services, policies and procedures. * Reviews, edits , and offers advice for content upon request from administrators for public… more
- Trinity Health (Livonia, MI)
- …inquiries and responds accordingly. Processes employee time correction forms, and historical edits in timekeeping system. Assists with analysis and correction of tax ... withholding and payment issues. Processes child support, creditor garnishments, and tax... corrections to be loaded by Payroll Coordinator or Manager for payroll processing. Other duties as assigned. Maintains… more
- Tidelands Health (Murrells Inlet, SC)
- …in order to take correct actions to allow for payer processing for payment . + Collaborate with Clinical Documentation Integrity (CDI) team as part ... point of contact for CDI and other team members when the supervisor/ manager is not available. **Position Responsibilities & Functions** + Assigns and sequences… more
- Covenant Health (Lubbock, TX)
- …the Central Business Office Director and the direct supervision of the Manager and/or Supervisor, the Associate Billing and Collections Representative is responsible ... collected on behalf of Covenant. This individual addresses claim edits , files all claims on either a UB-04 (RHC)...management guidelines and systems in order to maintain highest integrity of the Medical Group as well as to… more