Job Summary: The Program Integrity Medical Coding Reviewer III supports most complex medical record audit programs, dispute management, escalation management and generates concise in-depth reporting and analysis to track performance related to the Pre-Pay and Post-Paid Processes.
Professional Billing and Coding Compliance Analyst Are you a college graduate with healthcare experience and a certification such as RHIA, RHIT, CPC, CCS, CCS-P, or CPB? Join Premier Health as a Professional Billing and Coding Compliance Analyst. In
Medical Coder Location: Remote/Work From Home Schedule: Full-Time, Monday - Friday Compensation: $23.00 - $30.00 per hour Flexible Scheduling | Pacific Standard Time | E/M Coding *Remote/Work-From-Home Requirements: must meet the following requirements in order to work
Located at our Core Lab (Moraine, OH) Full-time Day Shift (8:00 AM-5:00 PM) Position Summary: Under the supervision of the Billing Department Manager: perform the daily account processing tasks of the Billing Department including billing data
Job Summary: The Provider Contracting Analyst II supports the development, validation, and optimization of provider reimbursement strategies through advanced data analysis, financial modeling, and AI-enabled analytic tools. This role is responsible for evaluating provider payment methodologies,
Job Summary: The Special Investigations Unit (SIU) Investigator I is responsible for comprehensive review, examination, and analysis of assigned allegations of healthcare fraud, waste and abuse (FWA) by medical professionals, facilities, and members. Specific responsibilities may
KPN Pro Fee Coding Specialist This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance, HCC capture and EPIC WQ Reconciliation. Serves as the subject matter expert ensuring coding compliance, knowledge of CMS
Certified Medical Assistant Beavercreek Family Physicians FT/ DAYS/ 80 hours per pay Summary of Position A Certified Medical Assistant for the Premier Physician Network will typically see upwards of 30 patients per day, and is responsible
Certified Medical Assistant Premier Health Primary Care Beavercreek (MA or LPN) FT / 80 hours per pay period Summary of Position The Certified Medical Assistant is responsible for general clinical and procedural patient care under the
Medical Center Representative The Medical Center Representative is responsible for general clerical, receptionist, billing, referrals, patient registration, and customer service for the operation of the business office in a medical center. As the first point of
Denials Management Specialist The purpose of the Denials Management Specialist is to review the initial denial notifications for claims that have been received by the insurance but have been partially or fully denied for reimbursement from
Patient Financial Advocate The Patient Financial Advocate is responsible for assisting patients and/or families to access financial resources. The Advocate assists and provides guidance to those patients who may qualify for assistance through state, county, and
Premier OB/GYN Sugar Camp The clinical staff at the Premier Physician Network are responsible for general clinical and procedural patient care under the direction and supervision of the centers physicians and/or providers. A minimum patient base
Senior Team Lead Summary of Position To aid and assist in providing direction, instruction, and guidance to a team of individuals with the purpose of training and developing staff. Works with the CBO A/R Manager to
Licensed Practical Nurse Premier Cardiovascular Institute: Needmore FT/ DAYS/ 80 hours per pay Summary of Position The Licensed Practical Nurse is responsible for general clinical and procedural patient care under the direction and direct supervision of
Medical Billing Specialist Team Leader To manage the accounts receivable for timely and maximum reimbursement by adhering to company billing and collection policies. In addition the team lead, will review coding & charges, ensure the completion of
Clinical Staff The clinical staff at the Premier Physician Network are responsible for general clinical and procedural patient care under the direction and supervision of the centers physicians and/or providers. Nature and Scope A minimum patient
Premier Health Urgent Care (MA or LPN) FT / 72 Hours Per Pay Period A Medical Assistant for the Premier Health Physician Companies will typically see upwards of 30 patients per day, and is responsible for
Medical Assistant At DOCS Dermatology Group, we are not just one of the largest dermatology practices in the nation; we are a dedicated community passionate about skin health! With more than 200 providers across 20 practice
Medical Claims Specialist This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers