- Baptist Memorial (Memphis, TN)
- …and adjustment processing including federal and state regulations and guidelines. The Quality Assurance Specialist will be responsible for analyzing ... Summary The Denial Mitigation Specialist - Denial Escalation Quality Assurance evaluates the adequacy and effectiveness of internal and operational controls… more
- UTMB Health (Galveston, TX)
- …requirements * Assists in the training and mentoring of new employees * Performs quality assurance reviews * Assist in the coordination of reporting and feedback ... Senior Patient Account Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** **Hot** Business, Managerial & Finance UTMB Health… more
- Abbott (Livermore, CA)
- …are denied or patients have not paid bills. + Ensuring the accuracy of billing , coding, and follow-up requirements + Apply quality principles, analyzes ... you'll have the chance to analyze and audit claims, including the billing , collections and insurance verification functions. Apply sampling methods and other… more
- Northern Light Health (South Portland, ME)
- …Per Week: 40.00 Work Schedule: 8:00 AM to 5:00 PM Summary: The Quality Assurance Nurse exercises independent judgement in analyzing clinical documentation to ... standards of care, clinical orders and State and federal regulations. The Quality Assurance Nurse collaborates with staff, Clinical and General Education… more
- Abbott (Livermore, CA)
- …and claim appeal submitted by Specialist of Patient Accounts. + Conduct quality assurance reviews of work output and provide feedback to teammates and ... people in more than 160 countries. **Job Title** **Medical Billing Subject Matter Expert II** **Working at Abbott** At...+ Identify payer trends and or root cause of billing or claim exceptions; take appropriate steps to resolve… more
- Sonora Quest (Phoenix, AZ)
- …with management to develop learning materials and necessary tools for Revenue Specialist 's ongoing success. Provides quality assurance and professional ... **Primary City/State:** Phoenix, Arizona **Department Name:** Billing Reimbursement **Work Shift:** Day **Job Category:** Revenue Cycle **POSITION SUMMARY** This… more
- Johns Hopkins University (Baltimore, MD)
- …with departmental management and coordinates with Clinical Practice Association, Office of Billing Quality Assurance to include review of documentation. ... The Department of Surgery is seeking a **_Coding Specialist III_** that will be responsible for all...payer documentation guidelines. + Works closely with Office of Billing Quality Assurance to include… more
- UT Health (Houston, TX)
- Coding Quality Specialist - Revenue Cycle **Location:** Houston, Texas **Hot** **Category:** Professional/Managerial McGovern Medical School at UTHealth Houston ... Summary:** **RESTRICTED TO MMS/REVENUE CYCLE/CHARGE CAPTURE & CODING** The Coding Quality Specialist is responsible for utilizing official coding guidelines,… more
- Johns Hopkins University (Middle River, MD)
- …with departmental management and coordinates with Clinical Practice Association, Office of Billing Quality Assurance to include review of documentation. ... The Department of Orthopaedic Surgery is seeking a **_Coding Specialist II_** who will be responsible for understanding all...payer documentation guidelines. + Works closely with Office of Billing Quality Assurance to include… more
- Johns Hopkins University (Middle River, MD)
- …with departmental management and coordinates with Clinical Practice Association, Office of Billing Quality Assurance to include review of documentation. ... Hopkins University Department of Otolaryngology is seeking a **_Coding Specialist II_** who will be responsible for understanding all...payer documentation guidelines. + Works closely with Office of Billing Quality Assurance to include… more
- Idaho Division of Human Resources (Boise, ID)
- …report to the Quality Assurance Program Manager, and serve as a quality assurance / quality improvement specialist . The incumbent will work with ... Medical Program Specialist - MED Posting Begin Date: 2025/01/23 Posting...offer flexible hours and/or telecommuting EXAMPLE OF DUTIES: + Quality assurance /improvement activities related to service delivery… more
- Banner Health (Tucson, AZ)
- …coding and billing for both facility and professional services. Manages on-going quality assurance efforts to ensure accuracy and compliance with coding and ... Team** is looking for a **Emergency Medicine Revenue Cycle Specialist . Our department is a small knit team. We...career here! **Bring your years of Insurance and Physician Billing knowledge to this Emergency Department Physician Billing… more
- Medical Mutual of Ohio (OH)
- …in the area of billing and coding, medical records, quality assurance , or utilization review.** **Professional Certification(s):** **.** **Medical Technology ... help our members achieve their best possible health and quality of life. **Responsibilities** **Medical Record Retrieval Specialist...area of billing and coding, medical records, quality assurance or utilization review, at least… more
- Catholic Charities Family Community Services (Rochester, NY)
- …the service departments of Catholic Charities Family and Community Services regarding quality assurance , quality improvement, and compliance. Conducts ... ** Quality Improvement Specialist ** **Job Details** **Level**...but not limited to, those governing confidentiality, privacy, program, billing and documentation standards. All duties must be performed… more
- Johns Hopkins University (Middle River, MD)
- … II_** who will be responsible for understanding all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. Works ... guidelines. + Works closely with departmental manager, supervisor and various Coding Specialist IIIs to ensure coding is accurate. + Serves as departmental expert… more
- Bassett Healthcare (Cooperstown, NY)
- … works closely with the Program Coordinator on such issues as staffing, quality assurance , and equipment ordering when and if necessary. This individual ... the Program Coordinator for Diabetes Management, the Diabetes Nurse Specialist acts as an expert resource in the field...d. Works directly with the Program Coordinator to implement Quality Assurance /Risk Management activities and practices, as… more
- Health First (Rockledge, FL)
- …understanding insurance payments, denials and correspondences. * Maintain established quality assurance and productivity benchmarks while utilizing best ... the identification, billing and collection of payments. The Revenue Cycle Specialist will actively engage with other departments to ensure timely resolution of… more
- Fairview Health Services (Minneapolis, MN)
- …consult cases, research requests, administrative documents, and anatomic pathology quality assurance program material. Responsibilities also include: ... their confidence and cooperation + Follow and adhere to laboratory SOPs, quality assurance , and performance improvement and compliance programs. Demonstrates… more
- AdventHealth (Orlando, FL)
- …that support the clinical, financial and compliance operations teams. * Contributes to quality control and assurance functions to ensure that research projects ... **Clinical Trials Applications Specialist II - AdventHealth Orlando** **All the benefits...accurate reporting of enrollment and clinical trial performance, and billing compliance. * Reviews, interprets, and translates study documents… more
- Sanford Health (Fargo, ND)
- …workflows to fulfill client supply requests. Reviews policy and quality assurance changes and updates. Senior Client Support Specialist assists in ... Details** Join our team at Sanford Laboratories! As a Senior Laboratory Client Support Specialist , you'll be at the forefront of improving lives. In this vital role,… more