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.
Job Title Help Duties Duties includes but are not limited to: Plan meetings and reviewing, communicating, and monitoring the residents care plan. Documentation requirements for accurate MDS data entry. Documenting and taking corrective action of any discrepancies
Requisition Number: 28819 Required Travel: 11 - 25% Employment Type: Full Time/Hourly/Non-Exempt Anticipated Salary Range: $96,824.00 - $138,320.00 Security Clearance: TS/SCI Level of Experience: Mid This opportunity resides with Warfare Systems (WS), a business group within
About Concept Plus Concept Plus is a mission-focused technology solutions provider that transforms IT concepts into impactful solutions for federal agencies. Headquartered in Fairfax, VA, we bring the agility, responsiveness, and customer intimacy of a small
Dayton Area Float Clinical Manager About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be
Worker TypeRegular Job Description Job Description AV’s Specialized Exploitation & Targeting (SET) Department is seeking a mid-level Software Engineer to support NASIC at Wright-Patterson AFB. You will write and maintain multiple source code repositories for data analysis
Medical Assistant (MA), Full Time, First Shift The Medical Assistant functions as an integral part of the Clinical office staff where the Medical Assistants perform administrative and clinical duties. Responsible for obtaining intake information for a
Worker TypeRegular Job Description AVs Specialized Exploitation & Targeting (SET) Department is seeking a Senior Software Engineer to provide technical leadership and strategic direction in support of NASIC at Wright-Patterson AFB. You will lead the architecture,
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 entry,
Job Summary: The Director, Pharmacy Clinical Strategy leads the strategic development of formulary management best practices & industry-leading, market-competitive formulary and medical drug strategies across all CareSource lines of business and markets. Essential Functions: Ensures the
Requisition Number: 29058 Required Travel: 0 - 10% Employment Type: Full Time/Salaried/Exempt Anticipated Salary Range: $90,872.00 - $117,104.00 Security Clearance: Secret Level of Experience: Mid This opportunity resides with Warfare Systems (WS), a business group within
Overview Intrepid Solutions is currently supporting the National Air & Space Intelligence Center (NASIC) providing IT support services across multiple contract task orders. This is a NEW MULTI-YEAR contract. The program supports diverse needs providing employees
General Summary Performs a variety of functions related to the coordination of care to emergency department patients. Acts as receptionist for patients and visitors and serves as central contact person for telephone calls and distribution point
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, conducting
Job Summary: The Quality Risk Adjustment Advisor IV is responsible for leading key components of the Quality Risk Adjustment (QRA) programs, including prospective programs, chart retrieval and coding processes, while ensuring compliance with regulatory standards and optimizing
General Summary Performs a variety of functions related to the coordination of care to emergency department patients. Acts as receptionist for patients and visitors and serves as central contact person for telephone calls and distribution point
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
ICD 10 CODER- OUTPATIENT 8A-4:30PM FULL TIME / 80 HOURS PER PAY PREMIER SYSTEM SUPPORT Under the general direction of the Coding Supervisor of Health Information Management Services, this employee is responsible for the coding and abstracting of
Cylinder Handler (Open) Location: Oakwood Village, OH - Filling Industrial The Cylinder Handler will be responsible for safely handling, loading/unloading, and filling gas products into liquid, medical and high pressure gas cylinders in compliance with federal,
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