• Main Line Health (Broomall, PA)
    …compliance. The Clinical Reimbursement Manager reviews all clinical assessment (OASIS) documentation and assess appropriate visit utilization patterns ... Description: Could you be our next Clinical Reimbursement Manager -Utilization Review at HomeCare...the payor as needed. The Clinical Reimbursement Manager ensures the proper ICD-10 coding and… more
    Upward (07/08/25)
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  • Orthopedic Care Partners (Park City, UT)
    …position travels frequently between our Cottonwood Heights and Park City locations. The Clinical Manager will oversee the day-to-day operations of the ... policies and procedures. Collaborate with the billing department to ensure proper documentation for coding and insurance purposes. Review and approve payroll… more
    Upward (07/13/25)
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  • St. Paul Pediatric Dentistry (St. Paul, MN)
    …first impression for every family who walks through our doors. Working closely with clinical and administrative teams, the Front Office Manager ensures the front ... Description The Front Office Manager plays a vital leadership role in our...front office systems, including phones, emails, office supplies, and documentation . *Ensure HIPAA compliance and patient confidentiality at all… more
    Upward (07/19/25)
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  • Stony Brook Medicine (Stony Brook, NY)
    Position Summary At Stony Brook Medicine, a Care Manager is a valuable member of our team, who provides clinical services to our patient population. Qualified ... our high standard of excellence. Duties of a Care Manager in the Care Management Department may include the...for authorization prior to transfer from other hospitals. Consistent documentation in the EMR regarding acuity, plan of care… more
    Upward (07/26/25)
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  • Baptist Health (Little Rock, AR)
    …service skills Strong computer skills with proven ability with OASIS review software, clinical documentation software, as well as the reports in these programs ... Department: BHHN-Shared Admin Shift: Day Working Hours: 8A-5P Summary: Quality Review Manager (QRM) will work with the Quality Review Specialists to ensure timely… more
    Upward (07/05/25)
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  • Curative AI, Inc. (Bellevue, WA)
    …management, leading with Revenue Cycle Management (RCM) solutions for streamlined documentation , faster claims processing, enhanced clinical decision support, ... value to our customers in Revenue Cycle Management (RCM) and Clinical Operations, empowering them with industry-transforming AI technology, intelligent automation,… more
    Upward (07/18/25)
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  • Bayhealth (Dover, DE)
    …Facilitates time studies to define department standards. 11. Ensures that all clinical practice records and documentation are properly compiled and maintained ... daily operations. 13. Participates during regulatory surveys and provides requested documentation and follow-up. 14. All other duties as assigned within the… more
    Upward (07/23/25)
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  • Kaiser Permanente (San Diego, CA)
    …for improvement and establishes team priorities. Leads the implementation of clinical quality improvement action plans and puts forth recommendations to senior ... escalated issues from team members. Serves as a subject matter expert for clinical quality processes and regulations for team members and leverages processes and… more
    Upward (07/24/25)
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  • Regal Medical Group, Inc. (Northridge, CA)
    …for outpatient clinical data. This position works to improve the quality of coding documentation and data in the medical record and HCC database. The HCC ... under the umbrella of the HCC industry: Requires knowledge in HCC Coding documentation guidelines. Requires technical expertise in ICD-9-CM or ICD-10-CM.… more
    Upward (07/15/25)
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  • Hearst (Dallas, TX)
    …engineering teams to implement AI features such as predictive analytics, clinical decision support, and automated documentation . Leverage interoperability ... Job Description Senior Product Manager The Opportunity: We are seeking a Senior...and sprint delivery cycles Familiarity with healthcare workflows, medical coding systems, and clinical operations. About Us… more
    Upward (06/28/25)
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  • Amberwell Health (Atchison, KS)
    …nursing staff, other patient caregivers, and coding staff to ensure that clinical documentation reflects the level of service rendered to patients is ... improvement in the overall quality, completeness, and accuracy of medical record documentation . Obtains appropriate clinical documentation through extensive… more
    Upward (07/18/25)
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  • West Suburban Medical Center, LLC (Oak Park, IL)
    …CPT, HCPCS, etc.). - Address and resolve discrepancies in coding and documentation in collaboration with clinical staff and coders. Qualifications - Minimum ... Overview We are seeking an experienced and detail-oriented Quality Assurance / Coding Manager to oversee and manage our outsourced vendor responsible for medical… more
    Upward (07/02/25)
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  • Duke University (Durham, NC)
    …SUMMARY: Managing, coordinating and participating in a variety of administrative and/or clinical activities related to the PI/QA program within Duke HomeCare & ... and developing policies and procedures consistent with program objectives. The PI/QA Program Manager is expected to embrace DHCH's priorities of say "yes" to care… more
    Upward (07/03/25)
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  • Grace Community Health (Corbin, KY)
    Payer Relations Manager Summary: Management position responsible to assist the Director with planning, directing and coordinating the overall functions of the ... medical billing and coding office to ensure a health revenue cycle is...managing patient care is a team effort that involves clinical and non- clinical staff. All employees must… more
    Upward (07/11/25)
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  • Piedmont Health (Moncure, NC)
    …and professionalism; Knowledge of patient care, procedures, medical terminology, coding procedures, reference tools, and appropriate clinical pharmacology ... Job Title - Medical Assistant Department - Nursing Reports to - Nurse Manager Benefits - Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)… more
    Upward (07/04/25)
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  • Revolution Medicines (Redwood City, CA)
    …to our clinical development programs and reports to the FP&A Manager . This role will work closely with Cross-Functional Departments, Finance colleagues, and ... in Redwood City, CA. Responsibilities: Reporting to the FP&A Manager , serving as a business partner for Clinical...expenses are accurately accounted for. Ensure and maintain proper documentation and internal controls around clinical trial… more
    Upward (07/18/25)
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  • Nisqually Indian Tribe (Olympia, WA)
    …phone calls and face to face encounters with patients, as well as submit billing documentation and coding in a timely manner to ensure proper reimbursement of ... late mid-July 2025 . GENERAL SUMMARY The Nurse Care manager will work closely with provider teams to support...changes as Develops method of tracking patient compliance to clinical guidelines and plan of Triages telephone calls from… more
    Upward (07/02/25)
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  • Insperity (The Colony, TX)
    …medical front office protocols. Preferred Qualifications: Background in medical billing and coding . Bilingual (Spanish) is a plus. Your responsibilities as the Front ... Desk Medical Receptionist & Lead Manager , will include: MedSpa Services: Schedule and manage appointments, ensuring optimal time usage and revenue. Provide upscale… more
    Upward (06/28/25)
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  • Connections Health Solutions (Woodbridge, VA)
    …Oversees the operation of the assigned unit and shift to ensure the clinical team is operating efficiently, smoothly, and consistently to support high-quality ... clinical care and outcomes. Oversees the operation, organization, and...Management and Revenue Cycle Management guidelines to ensure correct coding and billing of services. Manages escalated concerns/problems from… more
    Upward (07/21/25)
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  • Cataract & Laser Institute (Plainfield, IN)
    …The Patient Services Representative facilitates communication between patients and doctors, clinical staff, and administrative staff, and acts as the liaison between ... arrival Efficiently process patients through check out by verifying chart documentation and insurance information, accepting and posting payments, preparing and… more
    Upward (07/21/25)
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