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This position oversees the Revenue Integrity (regulatory compliance & operational efficiency) and Revenue Cycle Management systems as it pertains to Laboratory and Outreach billing across the enterprise.
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Health plan payer or health system experience (5 years minimum) in a payment integrity or revenue integrity related role required. The Payment Integrity Edits Manager is a Registered Nurse (RN) with active, unrestricted licensure through the Board or Agency charged with providing such licensure in the Auditor's state of residence or RHIA/RHIT/CCS certified through the American Health Information Management Association.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The Payment Integrity Edits Manager has a sound knowledge base in edit research and development in pre- and post-payment medical claims auditing in conjunction with maintaining a robust quality assurance program.
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Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare.
Part-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. A minimum of 5 years of healthcare management experience with three of those years in a patient access or revenue cycle leadership role.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Trinity Health Mid-Atlantic is looking for an experienced Revenue Integrity Nurse Auditor to join our team! Ensures tracking of denials and all audits, identifying trends, and collaborating with other Revenue Integrity colleagues and PBS on education and reporting to key stakeholders.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Certified Tumor Registrar (CTR) designation OR Oncology Data Specialist designation (ODS) REQUIRED. HCA Healthcare Co-Founder. Responsible for reviewing medical records to abstract information according to the standards of the American College of Surgeons (ACOS) and the appropriate State Central Cancer Registry.
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As a n Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity.
Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Preserves pricing transparency strategy and CDM to ensure optimization of managed care contracting and revenue integrity managed. Provides leadership and administrative direction to Directors of Patient Admissions & Financial Clearance,HIM, Revenue Integrity, Revenue Cycle Operations, and Patient Financial Services.
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The Coding Integrity Specialist will work collaboratively with various CHRISTUS Health teams, including but not limited to, Health Information Management, Coding Operations, Coding Managers, Coding Leads, Coders, Education, Clinical Documentation, Clinical Appeals, PFS, Corporate Compliance, Legal, Regional Leadership, and Revenue Integrity with a focus on Coding Integrity.
Full-timeRemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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If pre-certification/authorization/notification of admission is required and has not been obtained, initiate via Passport, on-line or phone call. Verify insurance benefits and determine pre-certification/authorization status via online or other resources.
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Verify all insurance and obtain pre-certification/authorization. Referral services for child, elder and pet care, home and auto repair, event planning and more. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
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Family support through fertility and family building benefits with Progyny and adoption assistance. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
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Grand Strand Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. At Grand Strand Medical Center, you come first. As a Registrar, you will be responsible for timely and accurate patient registration.
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