- UnitedHealth Group (Minneapolis, MN)
- …on claims in a telecommuting work environment Determines accuracy of medical coding / billing and payment recommendation for claims This could include Medical ... to state and federal compliance policies, reimbursement policies and contract compliance Identifies aberrant billing patterns and trends, evidence of fraud,… more
- Community Health Systems (Crestview, FL)
- …and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational policies. Essential Functions ... accessibility of up-to-date reference materials. Collaborates with management, clinic staff, and coding teams to ensure proper billing and collection procedures.… more
- Houston Methodist (Katy, TX)
- …Patient Access Services, and Utilization Review as needed to ensure operational billing compliance with government/regulatory agencies and the Medicare and ... areas of Revenue Cycle, to include but not limited to: medical coding , insurance billing , collections, patient account resolution, appeals/denials, customer… more
- Mount Sinai Health System (New York, NY)
- …and ensure accuracy, compliance , and efficiency throughout the revenue cycle. The Director will report to the Senior Director of Revenue Recognition and ... Job Description Director of Revenue Intelligence -Patient Financial Services- Corporate...well as proficiency in data analysis, financial management, healthcare coding , and understanding of regulatory requirements. Certification in Epic… more
- Kaiser Permanente (Roseville, CA)
- Job Summary Director will have direct oversight and responsibility for the Roseville, Sacramento and South Sacramento Medical Centers. Must live in the Roseville or ... oversight for the paper and electronic medical records to ensure compliance with regulatory requirements governing the maintenance, security, confidentiality, and… more
- National Health Care Associates (Stafford Springs, CT)
- …We invite you to join our team! * What You'll Do: As an MDS Director , you will manage the Minimum Data Set (MDS) assessments necessary for developing personalized ... will ensure the highest level of revenue integrity and compliance to all state and federal regulations for MDS...all state and federal regulations for MDS completion and coding conventions. Key Responsibilities: Lead and oversee the MDS… more
- Cardinal Health (Albany, NY)
- …the Compliance Director , this position supervises and manages compliance audits to determine organizational integrity of billing for professional ... state regulations and laws, CMS and other third-party payer billing rules and internal documentation, coding and...and ACR-guideline knowledge a plus. AAPC, AHIMA or HCCA Coding certification and or Auditing/ Compliance certification (CPC,… more
- Community Health Systems (Franklin, TN)
- …to facilities regarding denials resulting in retractions or reimbursement impacts. Monitors payer billing and coding updates and communicates changes to SSC and ... and reduce recurring denials. Maintains up-to-date knowledge of payer policies, billing and coding practices, and reimbursement regulations. Utilizes practice… more
- Baylor Scott & White Health (Dallas, TX)
- …to revenue cycle staff, ancillary staff, and clinicians related to charging, documentation, coding and other billing requirements. Identify charging, coding , ... in revenue cycle functions including registration, charge entry, order entry, current coding systems, billing and medical terminology. Ability to communicate… more
- UnitedHealth Group (Tampa, FL)
- …Unit (UHC IU) is a valuable national leader for UnitedHealthcare. The Medical Director oversees a coding team, ensuring accurate and efficient healthcare ... payments, accurate appeal outcomes, and collaborates with clinical and coding teams across UnitedHealthcare and Optum, as well as UHG business leaders and… more
- EMCOR Group (Richmond, VA)
- …accounting team. This role ensures accurate financial reporting, cost control, and compliance throughout the lifecycle of large-scale data center projects. The Sr. ... Project Accountantreports to the Project Director andworksclosely with theSr.ProjectManagerandproject teams to provide critical job cost data, support forecasting,… more
- Christus Health (Alamo Heights, TX)
- …progress toward organizational goals and achieve timely solutions to problems. Assists the Director in ensuring the compliance of Joint Commission guidelines and ... coordinating the daily business operations of the clinic and assisting the Director in the operational performance of the Hospital Outpatient Department (HOPD). This… more
- Christus Health (Castle Hills, TX)
- …for coordinating the referral/authorization of the clinic and assisting the Director in the operational performance of the Hospital Outpatient Department (HOPD). ... resolution of problems with PCP offices and Imaging Facilities and ensures compliance with regulations and standards. Facilitates the flow of information between… more
- Wolters Kluwer (Houston, TX)
- …our Health Language offerings. Our products support both payers and providers, ensuring accurate billing and coding at the point of care. This role requires the ... down barriers in the healthcare industry, driving innovative products that streamline coding , billing , and care delivery. Collaborate with Centers of Excellence,… more
- Christus Health (Canton, TX)
- …Effective communication and prioritization of provider issues. Competent in financial reimbursement, billing and collections, CPT, ICD9 and HCPCS coding and ... with approved policies. * Resolves problems in administrative areas and ensures compliance with regulations and standards. * Helps fiscal management and other… more
- Grant Thornton (Atlanta, GA)
- …centers, and healthcare systems. This includes areas such as revenue cycle optimization, billing , and compliance with regulatory standards. From day one, you'll ... record of successfully managing projects related to revenue cycle optimization, including billing , coding , reimbursement, and claims processing, with a focus on… more
- UnitedHealth Group (Scottsdale, AZ)
- … and various healthcare requirements including, but not limited to, access, coding , billing , collections, practice management systems, payer relations, appeals, ... Team on process improvements regarding revenue related activities Works closely with Director to ensure sound fiscal and business performance within clinic/site, and… more
- CVS Health (San Antonio, TX)
- …Medicaid Investigations, TX MCO Medicaid FWA Unit - Experience with Interpreting Contracts - Billing and Coding certifications such as CPC (AAPC) - Knowledge of ... prosecution of health care fraud and to recover lost funds. Responsible for compliance with state and federal regulations mandating the reporting of Texas fraud… more
- Catholic Health Initiatives (Omaha, NE)
- …up-to-date patient records. Document medical findings, diagnoses, and treatment plans. Ensure compliance with coding and billing regulations. Diagnostic ... for continuous improvement. Implement changes to enhance patient care and safety. Compliance : Adhere to ethical and legal standards in medical practice. Stay… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior Director of Coding is a strategic and operational leader responsible for overseeing all aspects of professional and hospital ... coding across the health system. This role ensures coding accuracy, regulatory compliance , revenue integrity, and operational efficiency for both inpatient… more
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