- University of the Pacific (Stockton, CA)
- …provider and facility credentialing, including Medicare and Medi-Cal, ensuring compliance , and facilitating seamless billing processes. Manage ProCard ... PowerPoint, Excel, , and Outlook email). Preferred Qualifications Certification in medical billing and coding or similar credentials. Ability to assume… more
- Memorial Health (Marysville, OH)
- …coordination of benefit tables accurately reflecting prior payer reimbursement. Ensures compliance and billing requirements for Worker's Compensation (WC) and ... in conjunction with various physician offices; providers and managers, to obtain billing and coding information. Accounts Receivable Management: Manages account… more
- Boston Medical Center (Boston, MA)
- …hospital and physician leadership, this position works closely with Revenue Integrity, Coding , Billing , Cash Posting, and Case Management in defining vision, ... POSITION SUMMARY: The Director of Patient Access will be responsible for...auditors, and investigative parties. Fiduciary responsibility for ensuring that compliance standards for providing accurate information on all patient… more
- American Recruiting and Consulting Group (Jacksonville, FL)
- …to work collaboratively with internal staff to evaluate aberrancies, determine appropriate billing , coding , pricing, and utilization of services * Proficiency ... MEDICAL DIRECTOR - REMOTE ARC Group has an immediate... experience in Medicare-related or commercial healthcare organization * Coding and billing experience utilizing HCPCs, CPT,… more
- University of California, Irvine (Orange, CA)
- …and finance principles, with special emphasis on comprehensive management of all hospital billing , collections, and coding Must possess the skill, knowledge and ... understanding of California state rules and regulations regarding revenue cycle, compliance , and patient friendly billing Demonstrated knowledge of strategic… more
- Altera Digital Health Inc. United States (Chicago, IL)
- …in hospital revenue cycle operations, including patient access, scheduling, charge capture, billing , coding , reimbursement, and compliance . Demonstrate an ... hands-on experience in revenue cycle operations, including patient access, scheduling, billing , coding , and reimbursement processes. They will also understand… more
- University of Utah (Salt Lake City, UT)
- …Review Date (Note - Posting may close at any time) Job Summary Provides compliance related coding reviews and auditing of faculty and physician documentation. ... Details Open Date 05/13/2025 Requisition Number PRN41889B Job Title Compliance Specialist Working Title Compliance Specialist Job...The position will utilize coding knowledge to abstract, record and audit data from… more
- Denver Health (Denver, CO)
- …on ICD-10, clinical medicine, Center of Medicare and Medicaid (CMS) and other billing carriers, as well as coding guidelines and policies. Essential Functions ... reviews as requested by the Clinical Documentation Integrity Manager or Director . Responsible for selected assignments based on internal or external department… more
- Experity (Machesney Park, IL)
- …Coordinate all aspects of TJC survey preparation in collaboration with the Director of Professional Services, support ongoing compliance initiatives, and partner ... their appointment. Billing and Revenue Cycle Management (RCM): Software that manages coding , billing and payer contracts for clinics so they don't have to.… more
- Elderwood (Buffalo, NY)
- …Responsibilities: Ensure the accuracy and integrity of clinical reimbursement data and billing processes. Audit MDS coding and supporting documentation; identify ... This key role will provide direct support to the Director of MDS and Clinical Reimbursement while partnering with...the accuracy and integrity of clinical reimbursement data and billing processes. Audit MDS coding and supporting… more
- Connecticut Children's (Hartford, CT)
- …Medical terminology Organizational/departmental polices & procedures ICD-10 and CPT medical billing coding preferred SKILLS: Computer skills (ie, Word, Excel, ... updates policies under the direction of the CLIA Medical Director and the Director of POCT. Responsibilities...audits logs for accuracy and completeness; and inspects for compliance with existing policies. Maintains a user directory of… more
- A-Line Staffing Solutions (Harrisburg, PA)
- …and all rendered services were ordered and are appropriate. Analyze for up coding , duplicated billing and unbundling of services billed. Use the ICD-9CM ... Select, review, analyze and evaluate cases retrospectively to monitor compliance with State and Federal Regulations. Services are monitored...diagnosis and procedure manuals, coding clinics, CPT and HCPCS manuals, and other related… more
- Braeburn (West Chester, PA)
- …and follow-through Learning agility Ability to support healthcare provider offices surrounding coding , billing , and submissions in range of payer environments ... Reports to: Regional Director Location: West Chester, PA Company Overview: Braeburn...and opportunities Exercise sound judgment, and ensure integrity and compliance with all Braeburn policies and Braeburn Code of… more
- Texas Health Resources (Arlington, TX)
- …Manage Internal audit functions: Ensure compliance with external agencies as related to coding and billing . Ensure billing and coding accuracy of ... Manage/Troubleshooting for high priority clinics as assigned by CRD Director Identify and resolve coding , billing...assigned by CRD Director Identify and resolve coding , billing , charge reconciliation and build issues… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …with a dotted line reporting relationship to the VP, Revenue Performance Management, the Director of Billing Compliance ensures the integrity and accuracy of ... programs that adhere to regulations and industry standards, focusing on hospital and professional billing compliance . The Director acts as the 'second line… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Coding position is responsible for planning, monitoring and directing the activities of the System Coding Department ... with ethical and legal business practices and accreditation/regulatory/government regulations. **The Coding Director will serve as the strategic and operational… more
- Hartford HealthCare (Farmington, CT)
- …Heart and Vascular, Orthopedics and Tallwood Urology & Kidney. Position Summary: The Director of Professional Services Coding will provide system wide leadership ... and strategic direction for all aspects of Professional Billing (PB) coding , audit/education, and revenue integrity procedures that directly impact the… more
- Stanford Health Care (Palo Alto, CA)
- …of America) **This is a Stanford Health Care job.** **A Brief Overview** The Director - Hospital Coding oversees, directs, and provides leadership of the ... assignment, case abstracting, occasional charge capture, pre-bill quality reviews and other billing edit work queues. The Director participates in the… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Director of Insurance Recovery - CBO Coding is responsible for the effective functioning of the Corporate Insurance Billing office ... the multi-facility integrated healthcare delivery system, which includes all insurance billing associated with Henry Ford Health (HFH) hospitals, outpatient clinics… more
- University of Virginia (Charlottesville, VA)
- The Director of Enterprise Coding is an integral member of the Revenue Cycle division, working closely with the financial and clinical operations to provide ... and implement strategic goals and objectives to ensure regulatory compliance acting as the subject matter expert on Centers...operations by establishing key performance indicators. + Analyzes changes coding and billing rules and regulations by… more
