- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Senior Manager - Coding and Billing you want with your current employer? We have ... colleagues. Do you want to work as a Senior Manager - Coding and Billing ...employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate… more
- Rush University Medical Center (Chicago, IL)
- …position. Offers may vary depending on the circumstances of each case. **Summary:** The Billing Coding Auditor uses advanced knowledge of billing , coding ... accurate and timely capture of all chargeable procedures. The Billing Coding Auditor also monitors interfaces and...as well as auditing charges for service lines with potential missed revenue opportunities. The individual who holds this… more
- Carle Health (Champaign, IL)
- …literature, rules, regulations and coding policies, both internal and external. The coding manager oversees the activities and onboarding of the global ... Overview The Manager over Coding Education and Quality...actions plans - 1 year + Working knowledge in billing and EMS systems - 1 year **Specialized Knowledge… more
- Sharp HealthCare (San Diego, CA)
- …and corrective actions, if necessary.Reviews the electronic health record to identify potential coding and billing compliance issues. Prepares written ... and assess Sharp's potential risks using SHC's billing and coding claims data, risk assessment...and Procedure maintenanceWorks in collaboration with the Director and Manager of Compliance and System Management (HIM, CDI, Case… more
- WestCare Foundation (Dandridge, TN)
- …programs, and other payers. + Charge Entry: Accurately enter charges into the billing system based on patient services and coding information. + Payment ... regular audits of patient accounts to ensure accuracy in billing and coding , and identify any discrepancies...other key metrics for review by the Revenue Cycle Manager . + Collaboration: Work closely with the coding… more
- Elevance Health (Chicago, IL)
- …/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology strongly preferred. For ... **DRG Coding Auditor Principal** **_Virtual: _** _ _ This...level auditors. + Identifies new claim types by identifying potential claims outside of the concept where additional recoveries… more
- Elevance Health (Norfolk, VA)
- …/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. + Knowledge ... **DRG CODING AUDITOR** **_Virtual_** **_: _** _ _ __...letter writing). + Identifies new claim types by identifying potential claims outside of the concept where additional recoveries… more
- Fairview Health Services (St. Paul, MN)
- …including professional services, hospital billing outpatient services, hospital billing inpatient services. Coding Documentation Liaisons analyze clinical ... **Job Overview** **Job Overview:** Fairview is looking for a Coding Documentation Liaison to join our team! Coding...Conducts formal meetings and/or team meetings in lieu of Manager as designated. + Successfully develops and strategizes project… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …which is subject to renewal by 03/31/2026** JOB SUMMARY: Under the direction of the Manager , Professional Billing & Coding , the Billing & Collections ... and CCI edits flagging the charges routing to the billing system. They are expected to make updates and...to validate and accurately complete the claims identified with potential new payor plan coverage added to the patient's… more
- Colorado State University (Fort Collins, CO)
- …access on downstream processes including; university fee assessment, charge capture, coding , billing , payment posting, refund processing, collections, denials ... Posting Detail Information Working TitleSenior Manager of Access and Registration Position LocationFort Collins,...setting + Knowledge of Mental Health Statutes + Medical billing and/or coding knowledge and experience +… more
- Northwell Health (Lake Success, NY)
- …as, but not limited to Health Insurance Portability and Accountability Act (HIPAA), coding and billing , Conflicts of Interests (COI) or other compliance ... program(s). Plans and implements research coding and billing and financial audits and...hourly rate listed is a good faith determination of potential base compensation that may be offered to a… more
- Guthrie (Sayre, PA)
- …payer-specific appeal timelines and protocols + Collaborate with clinical, utilization management, billing , HIM, and coding teams to resolve medical necessity ... Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management...in healthcare or insurance with responsibility in revenue cycle billing , reimbursement and denial mitigation. Must possess excellent working… more
- Robert Half Finance & Accounting (Emmett, ID)
- …improvement tools and implement corrective actions + Train providers and staff on coding and billing updates, especially for Critical Access Hospitals + Ensure ... a growing healthcare organization to hire a Revenue Cycle Manager for a high-impact leadership role based in Emmett,...+ Proven experience in healthcare revenue cycle management, including billing , coding , and compliance + Strong knowledge… more
- J&J Family of Companies (Fresno, CA)
- …expertise with both pharmacy and medical/buy & bill benefits (as applicable), coding , and billing . + Reimbursement or relevant managed care experience ... state experience + Advanced degree and/or relevant certifications in prior authorization and/or billing and coding + Strong market access acumen as it relates… more
- J&J Family of Companies (Tucson, AZ)
- …relationship + Demonstrated expertise with both pharmacy and medical/buy & bill benefits, coding , and billing + Reimbursement or relevant managed care experience ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position in the...Advanced degree and/or relevant certifications in prior authorization and/or billing and coding + Strong market access… more
- J&J Family of Companies (Manchester, NH)
- …expertise with both pharmacy and medical/buy & bill benefits (as applicable), coding , and billing . . Reimbursement or relevant managed care experience ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...Advanced degree and/or relevant certifications in prior authorization and/or billing and coding . Strong market access… more
- University of Utah (Salt Lake City, UT)
- …PRN43595B **Job Title** Compliance Officer **Working Title** Regulatory Compliance Manager - Hybrid/Remote **Career Progression Track** F **Track Level** **FLSA ... may close at any time)** **Job Summary** Ensures patient billing practices conform to government reimbursement guidelines by monitoring...those years in a health care setting or equivalency; coding certification ( CPC , ACS , CCS -P/H,… more
- State of Colorado (Colorado Springs, CO)
- ADMINISTRATOR IV: Clinical Contracts Manager (Colorado Springs, Colorado) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5167059) Apply ... ADMINISTRATOR IV: Clinical Contracts Manager (Colorado Springs, Colorado) Salary $5,962.00 - $9,541.00 Monthly Location Colorado Springs, CO Job Type Full Time Job… more
- Northwell Health (Sleepy Hollow, NY)
- …revenues; coordinates physician schedules pertaining to division services; keeps abreast of all billing , coding and reimbursement related issues as they apply to ... with respect to their compliance and performance related to billing , coding and regulatory agency standards; ensures...hourly rate listed is a good faith determination of potential base compensation that may be offered to a… more
- Beth Israel Lahey Health (Dedham, MA)
- …and find solutions. * Exceptional knowledge of 340B program regulatory and billing / coding compliance **Competencies:** + Decision Making: Ability to make ... in Pharmacy. * 2-3 years of 340B Program Experience in both Split Billing and Contract Pharmacy * Advanced skills with Microsoft applications, including Outlook,… more
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