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.
Certified Coder Using established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Certified Coder may code all types of inpatient,
UC Health Trauma Registry Specialist At UC Health, were proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the regions adult academic health
Provider Reimbursement Manager- Behavior Health -Coding Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured
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
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
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 part of a close-knit, collaborative
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
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
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
Medical Assistant 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 specific patient population, performing tasks
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
Fee Analyst At U.S. Bank, were on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and