Assesses and interprets needs of the Ambulatory Coding Team by prioritizing work to meet deadlines. Identifies solutions to non standard edits, workflows, and issues. Solves complex questions and conducts analysis of trends to provide education for the coding staff and clients including physicians/providers. Provides detailed education to the Coding Team and acts as a res

The Patient Access Specialist provides access to services provided at the hospital and/or clinic. This position is primarily responsible to facilitate the patient registration flow by gathering patient demographic and third party information with a high degree of accuracy. This position requires a high level of customer service skills to establish and enhance positive rel

Monitors delinquent accounts and performs collection duties Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, and resubmits claim to payer Reviews payment postings for accuracy and to ensure account balances are current Works with co workers to resolve payment and billing errors Monitors and updat

The essential duties and responsibilities (including but not limited to) Reviews, verifies and records accurate ICD and CPT codes in accordance with coding and reimbursement guidelines. Works with Manager of Quality Assurance (QA Manager) and charge entry staff to ensure correct charge and/or quantity amounts. Run Admix Report every daily (am) and send to sites. Run Missi

The Quality Assurance Assistant is responsible for coordinating safety and quality functions and assisting the Administration Manager in making sure that the warehouse is in compliance with safety, and quality policies and principles. The position performs work involving the implementation of identified safety and training programs and a variety of associated operations.

The position is responsible for coordinating provider coding and compliance activities and outcomes within Concentra Health Services, including but not limited to revenue optimization, level of service coding and diagnosis coding. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES PrimaryFunctions Provider/Coder support, education and training related to revenue optimizat

HCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD 10 CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment cod

Responsible for coordination and facilitation of the Credentialing/Recredentialing process for Cook Children's Healthcare System, which includes communication with insurance organizations, managed care organizations, healthcare delivery systems, Regulatory Organizations and Providers. Handles information from a variety of sources in a highly confidential manner. These sou

The essential duties and responsibilities (including, but not limited to) Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co pays, deductibles, and out of pocket expenses. Assess patients ability to meet expenses and discusses payment arrangements. May educate patients on fi

Coordinates all front office work and patient flow activities. Answer telephone calls, re direct calls as appropriate, and assist callers with questions or concerns. Maintain accurate, real time, physician/clinic schedules ensuring that patients are scheduled properly. Enter patient insurance and demographic information, including any new/updated information into the pati

This position is responsible for constructing forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required Or available data elements. May provide consultation to users and lead cross functional teams to address business issues. Produces datasets an

of Position Alcon is looking to hire a Global Regulatory Affairs Principal Specialist to join our Regulatory Affairs team in Fort Worth, TX, Johns Creek, GA or Lake Forest, CA location. You will be responsible for developing global regulatory strategy for new product development, directing submission development of product registration, progress reports, supplements, amend

Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES Rev

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary Located in Chicago, IL or Richardso

HIM Outpatient Coding Coordinator works closely with Coding Manager and coding staff with the planning, coordinating and execution of small projects within coding area, helps to improve the overall accuracy, integrity and quality of patient data by assisting with outpatient monthly quality monitoring. Responsible for performing research throughout the year on ICD 10 and C