• Revenue Integrity Analyst , Remote

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …skills * Analytical and critical thinking skills **Title:** *Revenue Integrity Analyst , Remote* **Location:** *MN-Minneapolis-Downtown Campus* **Requisition ... *_SUMMARY:_* We are currently seeking a*Revenue Integrity * Analyst * *to join our Revenue ...RN 's and other clinical staff regarding coding and billing trends and related quality metrics * Trains, monitors… more
    Minnesota Visiting Nurse Agency (08/30/24)
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  • Payment Integrity Recovery Analyst

    Commonwealth Care Alliance (Boston, MA)
    …the direction of the Sr. Director, TPA Management and Claims Compliance, the Payment Integrity (PI) Recovery Analyst will assist in the development of a ... programs that will drive incremental value year over year. The PI Recovery Analyst will employ use of analytics, trends, competitor benchmarking, and outcomes to… more
    Commonwealth Care Alliance (08/17/24)
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  • Legal Nurse : Medical Analyst

    New York State Civil Service (New York, NY)
    …General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced Registered Nurse to serve as a Medical Analyst in its New York City (NYC) ... No Agency Attorney General, Office of the Title Legal Nurse : Medical Analyst Support Medicaid Fraud Cases...Code 10005 Minimum Qualifications Qualifications: * A current NYS Registered Professional Nurse license; * A minimum… more
    New York State Civil Service (10/02/24)
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  • Contract Analyst

    HCA Healthcare (Nashville, TN)
    …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity , collections, payment compliance, credentialing, ... environment where diversity and inclusion thrive? Submit your application for our Contract Analyst opening with Parallon today and find out what it truly means to… more
    HCA Healthcare (09/26/24)
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  • Business Analyst Manager

    HCA Healthcare (Brentwood, TN)
    …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity , collections, payment compliance, credentialing, ... environment where diversity and inclusion thrive? Submit your application for our Business Analyst Manager opening with Parallon today and find out what it truly… more
    HCA Healthcare (09/06/24)
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  • Healthcare Medical Claims Coding Sr.…

    Commonwealth Care Alliance (Boston, MA)
    …TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical ... logic, related Medicare/Medicaid policies for review/approval through the Payment Integrity governance process. **Supervision Exercised:** + No, this position does… more
    Commonwealth Care Alliance (07/18/24)
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  • Clinical Audit Analyst

    CommonSpirit Health Mountain Region (Colorado Springs, CO)
    …and billing to reimbursement. Has collaborative relationship with revenue integrity advisors for root cause analysis and education of departments. Day to ... clinical aspects of the OR required Must be an RN with OR experience 16 OR Suites Approx. 250-350+...years direct patient care in a hospital setting. + RN experience highly preferred; although technical skills and medical… more
    CommonSpirit Health Mountain Region (09/08/24)
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  • Clinical Documentation Integrity Specialist…

    University of Michigan (Ann Arbor, MI)
    …employer. **Job Detail** **Job Opening ID** 254933 **Working Title** Clinical Documentation Integrity Specialist III **Job Title** Clinical Info Analyst Sr ... Clinical Documentation Integrity Specialist III Apply Now **Job Summary** This...Risk O:E., risk adjustment and code assignment for accurate billing . + Perform subsequent/follow-up reviews. + In collaboration with… more
    University of Michigan (09/27/24)
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