- Highmark Health (Trenton, NJ)
- …technical expertise for coding content and functions within the department. The supervisor is responsible for the analysis and assessment of data relating to ... coding . Acting as an internal consultant, the supervisor provides essential quality reports, advice and improvement recommendations to management along all… more
- Penn Medicine (Philadelphia, PA)
- …day. Are you living your life's work? **Job Title:** Practice Coding Specialist II **Department:** Neurosurgery Outpatient Billing **Location:** Fully remote ... hours between 7:30am - 5pm **Summary:** + This position reports to the Supervisor of Billing, and is responsible for reviewing documentation and assigning the… more
- The Cigna Group (Philadelphia, PA)
- …At MDLIVE, innovative ideas in healthcare are created every day. The Denials Supervisor is responsible for monitoring all denials related aging revenue by reviewing, ... reports and coach team to reach their goals + Develops and implements coding RCM procedures by analyzing current procedures, recommending changes, and creating SOP's… more
- TEKsystems (Philadelphia, PA)
- …(Case Management, Medical Records, Credit Resolution, Billing, Abstraction, Clinical Teams, Coding etc.) to address denials. -Advise supervisor of contractual ... third-party reimbursement and physician/hospital billing. -Experience with Epic systems. -ICD10 coding Experience Level Intermediate Level Pay and Benefits The pay… more
- Datavant (Trenton, NJ)
- …medical record systems and compile medical records to send to other parties for coding + Log all call transactions into the designated computer software system(s) + ... equivalent + 2+ year of experience in medical records, medical record coding or a related field, preferred + Prior outbound/sales/collections/call center experience… more
- Intermountain Health (Trenton, NJ)
- …quality improvement efforts. Processes medical claims (CPT, ICD, and Revenue Coding ) at production standards, including timely follow-up on inquiries received and ... production in addition to completing reports and projects given by the supervisor . Effectively participates in meetings, training, and committees as designated by… more
- GovCIO (Trenton, NJ)
- …responds to problems by diagnosing and correcting errors in logic and coding ; implements and/or maintains assigned portions of a scientific programming project, ... the user and consultation with and approval of the supervisor or higher-level staff + This Programmer may assist...programs under close direction of higher level staff or supervisor , and may assist higher level staff by independently… more
- Burlington (Burlington, NJ)
- …Coordinator!** Under the Supervision of the Lease Administration Payment Supervisor , the Lease Administration Payment Coordinator is responsible for assisting ... limited to the monthly receivable, accrual and rent income accounts. Identify GL coding errors and work with internal partners to rectify. Maintain company vendor… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …or their designees. 6. Review expense reports for authorization and proper coding and submit for payment. 7. Coordinate with other departmental divisions to ... for Office Staff. 14. Perform related duties, or as required or requested by supervisor BAYADA believes that our employees are our greatest asset: + BAYADA offers a… more
- Insight Global (Camden, NJ)
- …Cycle Operations and have 65-70 direct reports, including a manager and supervisor . This role involves working directly with Corporate Finance to review/perform ... processes for external locations with internal physicians and evaluating billing details/ coding levels. They will also be responsible for monitoring contracts, and… more
- TEKsystems (Philadelphia, PA)
- …departments (Case Management, Medical Records, Credit Resolution, Billing, Abstraction, Clinical Teams, Coding etc.) to address denials. + Advise supervisor of ... contractual issues as discovered. Necessary Skills and Strengths: AR Follow-Up | AR Specialist | Follow-Up Representative | Insurance Authorizations | ICD-10 Codes | CPT Codes | Medical Insurance Knowledge | Medical Billing Knowledge | Denials Follow-Up Core… more
- Sedgwick (Philadelphia, PA)
- …professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and ... management. + Delegates work and mentors assigned staff. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an… more
- Sedgwick (Trenton, NJ)
- …professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and ... management. + Receive and review relevant pleadings, medical records and other investigative documents. + Review and evaluate insurance contract wording and coverage for each assigned claim. + Discuss claim with appointed panel counsel and establish a… more
- Sedgwick (Trenton, NJ)
- …professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and ... management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATION** **Education & Licensing** Bachelor's degree from an accredited college or… more
- Cardinal Health (Trenton, NJ)
- …standard work; receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The ... and the Affordable Care Act preferred + Knowledge of Medical/Pharmacy billing and coding is preferred + Important to have a strong attention to detail **TRAINING… more
- Cognizant (Trenton, NJ)
- …bringing the closure on a given assignment | Performs analysis, design, coding , testing and implementation of quality solutions within the software development life ... customers and team to assess progress against plan and communicates progress with supervisor as necessary. Works to resolve issues in a timely and accurate manner… more
- Sedgwick (Trenton, NJ)
- …professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and ... management. + Delegates work and mentors assigned staff. **QUALIFICATION** + Performs other duties as assigned. + Supports the organization's quality program(s). **Experience** Six (6) years of claims management experience or equivalent combination of… more
- Sedgwick (Trenton, NJ)
- …professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and ... management. + Delegates work and mentors assigned staff. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an… more