- TEKsystems (Appleton, WI)
- …Evaluates records and prepares reports on topics such as the number of denied claims or documentation or coding issues for review by management and/or committees ... risk of fraud and abuse, and to optimize revenue recovery . + Provides technical guidance to physicians and other...as needed to improve skills in the collection and coding of quality health data + Submits claims… more
- TEKsystems (Appleton, WI)
- …Evaluates records and prepares reports on topics such as the number of denied claims or documentation or coding issues for review by management and/or committees ... risk of fraud and abuse, and to optimize revenue recovery . Provides technical guidance to physicians and other staff...as needed to improve skills in the collection and coding of quality health data Submits claims … more
- Houston Methodist (Houston, TX)
- …common procedure coding system (HCPCS), denial reasons, and appeals. Monitors recovery of payments and trends to identify corrective measures needed to prevent ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for...working assigned specialties and combines clinical knowledge to reduce financial risk and exposure caused by front end claim… more
- Humana (Columbus, OH)
- …revenue cycle management + Experience leading projects and/or processes + Experience in Financial Recovery + Experience with the following systems: CAS, MTV, ... of our caring community and help us put health first** The Manager, Medical Coding in Payment Integrity leads a team that reviews clinical information from a variety… more
- Crawford & Company (New Orleans, LA)
- …authority. + Evaluates claims for potential fraud issues, loss control and recovery in accordance with insurance policy contracts, medical bill coding rules ... In Everything We Touch Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only … more
- Sedgwick (Columbus, OH)
- …maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to ... meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your… more
- Sedgwick (Columbus, OH)
- …maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to ... meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …analyst reviews documentation on all Observation accounts for carve-out observation hours, extended recovery , the charge coding of ED Visits and Injection and ... Summary With direction from the Patient Financial Services Director, the Nurse Auditor/ Revenue Integrity/... department + Prepare written reports for finance and claims departments including explanations for recovery of… more
- Molina Healthcare (NE)
- …production of claims including but not limited to the Corporate Recovery Team, Corporate Claims Compliance Team, Support Services, Enrollment and Billing, ... leadership to identify opportunities to drive positive operational and financial outcomes. **Work Location - Remote within the United...Team as well as providing overall organizational leadership of claims editing and recovery vendors aimed at… more
- Stanford Health Care (Palo Alto, CA)
- …and motivation to drive change, realizing maximized reimbursement and minimized financial risk to Stanford Health Care. Successful oversight will result in ... activities as necessary. + Review and drive improvements in Revenue Cycle ensuring financial obligations are met in accordance with SHC policies and procedures. +… more
- AIG (Atlanta, GA)
- …with appropriate contacts, post Benefit on resolution. + Prepares for and attends claims financial review sessions as requested. + Oversees Aggregate Limit ... position will work with various claim teams to review coding of claims to ensure they meet...Request. + Promotes/fosters a strong and improving relationship between claims and recovery personnel and all clients.… more
- Keystone Lab (Asheville, NC)
- …+ Check eligibility and perform benefit verification, enter charges & transmit clean claims per coding , carrier, and contract guidelines. + Assist in daily ... in the management of patient balances, including the negotiation and recovery of outstanding balance. Essential Functions Responsibilities include but are not… more
- Cedars-Sinai (CA)
- …regulatory monitoring and compliance, and multidisciplinary clinical, operational, and financial revenue practice teams. + Responsible for evaluating finalized ... claims , adjustments, complex customer concerns, and audits to identify...audits to identify and track issues related to billing, coding , system functionality, clinical documentation, and regulatory needs. +… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …risk; - Value based contracts - Access center/ambulatory scheduling, switchboard - Claims submission; customer service; financial assistance, self-pay - Cash ... and other agencies, as well as a comprehensive understanding of coding /charging practices, payer contracting, billing requirements, claims processing, cost… more