- Bon Secours Mercy Health (Cincinnati, OH)
- …revenue cycle processes, including work queues, copays, daily cash drawer, bank deposits, coding compliance , etc. Meets with Practice Administrator and MHP COO ... care sites and clinicians are recognized for clinical and operational excellence. Practice Manager of busy five physician OBGYN practice in the Anderson Twp. area.… more
- Highmark Health (Erie, PA)
- …front and back office functions. + Under the direction of the manager , supervises staff, resolves problems and implements approved disciplinary action. Interviews, ... and health professionals to accomplish organization and practice goals. + Assists manager with managing key financial and revenue cycle metrics, including staff… more
- Penn Medicine (Philadelphia, PA)
- …staff in an equitable manner. + Performs inpatient SMART reviews. + Assists the Coding Manager with other duties as assigned. + Responsible for continuing ... which the facility is legally entitled according to stringent coding and compliance guidelines. Responsibilities: + Examines...PAH: Average of 19 inpatient med/surg charts or 22.5 OB /NB inpatient records coded daily + Refers charts that… more
- University of Michigan (Ann Arbor, MI)
- …authorizations for services based on our level of care decisions, preliminary coding and payer requirements. The Precertification staff work closely with a variety ... guidelines. + Conduct admission and discharge reviews for the Obstetric -Labor and Delivery population of patients admitted to the...update the patient class as appropriate and follow-up on OB admission claims issues until resolution when needed. +… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …suppliers; attorneys; medical specialty organizations (ie American College of Obstetric and Gynecology); national medical coding associations (ie ... This position is responsible for auditing providers to ensure correct medical coding and billing practices, enforce reimbursement and member agreement compliance… more
- Primary Health Care (Des Moines, IA)
- …denials. + Identifies opportunities to improve the claim process. Works with Coding Manager and Clinic Administrators to implement process improvements. + ... and ancillary staff regarding appropriate documentation and code assignment. Ensures compliance with all legal and procedural requirements. Demonstrates iCare values… more
- Children's Hospital Boston (Boston, MA)
- …projects, managing equipment repairs, participating in research projects, reviewing billing and coding , etc. + Fills in for manager or Assistant/Chief ... for the patient and the family. + Promotes a positive work environment in compliance with ETU. + Identifies and reports on equipment malfunctions. + Assists in… more
- Molina Healthcare (TX)
- …appropriate and correct clinical decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) ... experience as needed or equivalent experience (such as specialties in: surgical, Ob /Gyn, home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9,… more