- Insmed Incorporated (NJ)
- …science, we're in. Are you?About the Role:We're looking for an Executive Medical Director of Ophthalmology, Clinical Development to help us expand what's ... for patients with serious diseases. Reporting to the VP, Clinical Development - Gene Therapy, the Executive Director...identified which may affect the quality and integrity of clinical studies.Perform medical monitoring, coding , and data… more
- Guidehouse (St. Paul, MN)
- …Required : None What You Will Do : Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue ... with this work include resolving standard billing edits such as: Correct Coding Initiatives (CCI) Medically Unlikely Edits (MUE) Medical Necessity edits Other claim… more
- UnitedHealth Group (Minneapolis, MN)
- … information Determines appropriate level of service utilizing Evaluation and Management coding principles Provides detailed clinical narratives on case outcomes ... within the US as you take on some tough challenges. Primary Responsibilities: Performs clinical review of CPT, HCPCS, and modifiers assigned to codes on claims in a… more
- CVS Health (Boston, MA)
- …each and every day. Position Summary: We are seeking an innovative and experienced Director of Engineering Clinical AI to lead our initiatives in developing and ... (EHR) systems and clinical workflows. Understanding of clinical terminologies and coding systems (eg, SNOMED, LOINC, ICD10). Experience with clinical… more
- Eisai, Inc (Dallas, TX)
- …If this is your profile, we want to hear from you. The Associate Director , Access and Reimbursement (AD ARM) will lead the Eisai Access and Reimbursement Managers ... include communication with healthcare professionals (HCPs) about insurance coverage, and coding and reimbursement for Eisai products and Eisai's patient support… more
- Datavant (Phoenix, AZ)
- …bold vision for healthcare. What We're Looking For We are seeking an experienced Director of Risk Bearing Provider Sales to lead our efforts in selling chart ... retrieval and HCC (Hierarchical Condition Category) coding solutions to risk-bearing providers. This role will be responsible for driving revenue growth, building… more
- UnitedHealth Group (Phoenix, AZ)
- …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
- Datavant (Phoenix, AZ)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... and HCC is a plus. You Will: Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and...results for review by the facility or CCS HIM director . Review disagreements on APC/DRG changes with the appropriate… more
- UnitedHealth Group (Ashland, MS)
- …and analysis; understanding of HEDIS, Star ratings, accurate documentation, and coding ; advanced communication skills; and the ability to develop clear action ... Educate providers to ensure they have the tools needed to meet quality, coding and documentation, and total medical cost goals per business development plans… more
- Public Consulting Group (St. Paul, MN)
- …Organizational Relationships Reports directly to the ASO Project Manager / Sr. Director of Operations Key Qualifications and Education Requirements Claiming or ... coding certification desired, preferably with a nationally recognized certify...System), and ICD-10-CM (Internal Classification of Diseases, 10th Edition, Clinical Modification) as it affects the client and/or agency.… more
- Childrens Hospital Of The Kings Daughter (Suffolk, VA)
- …Pediatrics currently have three physicians and one nurse practitioner. Our administrative and clinical team consist of 11 staff on site and four off-site centralized ... services for triage calls, patient outreach coordinators, billing, and coding . The practice has 18 exam rooms and two triage rooms and an average annual patient… more
- Christus Health (San Antonio, TX)
- Description Summary: Under the direction of the Manager, Director , or other senior personnel, the Project Manager determines user demands, establishes work ... project activities, and associated costs, coordinate and participate in analysis/design/ coding activities, ensure that system changes are fully tested, ensure… more
- Christus Health (Canton, TX)
- …data processing and space planning. * Works in conjunction with Regional Director and corporate Marketing Department in practice development. * Ensures the effective ... forms to improve efficiency of workflow. * Supervises the clinical and non- clinical areas to ensure timely...financial reimbursement, billing and collections, CPT, ICD9 and HCPCS coding and medical group operations, as well as managed… more
- CenterWell (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety of medical ... terminology and medical codes (eg, ICD-10-CM, CPT) to patient records. The Director , Medical Coding requires an in-depth understanding of how organization… more
- Humana (Salt Lake City, UT)
- …and federal regulations. + Cultivate effective partnerships in a matrix environment of coding educators, medical director , clinical and market operations. + ... community and help us put health first** The Senior Coding Educator will work closely with providers to identify... improvement opportunities and give guidance around operational and clinical best practices in the risk adjustment methodology. This… more
- HCA Healthcare (Brentwood, TN)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a Central Coding Director for our team to ensure that we continue to provide ... you to apply! **Job Summary and Qualifications** The Central Coding Director is responsible for assisting in...staff education + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical… more
- University of Michigan (Ann Arbor, MI)
- Revenue Cycle Coding Director - Professional Coding **Early Site Maintenance** We are performing updates and maintenance to our applicant experience. As a ... opportunity employer. **Job Detail** **Job Opening ID** 271011 **Working Title** Revenue Cycle Coding Director - Professional Coding **Job Title** Revenue… 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 ... Level Agreement) compliance. - Partner with CDI, compliance, revenue cycle, and clinical departments to align coding practices. - Provide regular updates… more
- Henry Ford Health System (Detroit, MI)
- …delivering high-quality care and ensuring the financial strength of our system. As the Director of Procedural and Anesthesia Coding , you'll set the strategy and ... anesthesia coding -driving best practices, advancing automation, and partnering with clinical , HIM, CDI, and revenue cycle leaders to achieve excellence. This is… more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** The Director of Revenue Cycle Management coding operations provides leadership and accountability for operational excellence of one or more of ... the major functions within Revenue Cycle. The Director of Revenue Cycle will implement effective strategies that ensures the department and organization maximizes… more
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