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Provides direction to compliance team members regarding audits of the revenue cycle including, but not limited to, clinical documentation, electronic medical record work flows, registration, coding, charging, billing, payments, denials and appeals, medical necessity, financial statements, payments and attestations, grants, research, RRH employees and contractors for governmental exclusions and payment agreements.
$115,000 - $150,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Medical billing software expertise in (but not limited to): Meditech (MAGIC, Client Server or Expanse), CPSI, Medhost, EPIC, Meditech, Rycan, Emdeon, Change, Relay Health, Trubridge, Athena, etc.
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The Business Office Manager will lead an efficient, successful, highly focused customer service trained business office team and must have experience in all following areas: Surgery Scheduling Admissions/Registration Insurance Verification Collections Accounts Payable Medical Records Billing Managing revenue cycle process Establish and maintain protocols for the charge entry.
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Collaborate with the billing team, medical staff, and administrative personnel to streamline billing processes and optimize revenue cycle management. Our client is seeking a knowledgeable and detailed Medical Billing Coordinator with expertise in handling insurance claims, particularly TRICARE for Life. The ideal candidate will be responsible for accurately coding medical procedures, submitting claims to insurance companies, and ensuring timely reimbursement.
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Job Family:General CodingTravel Required:NoneClearance Required:NoneWhat You Will Do:Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialist provides revenue cycle support services through efficient review and timely resolution of assigned Medicare and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials.
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As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various entities of Keck Medical Center of USC and monitors the alignment of the various entities to the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization of data between the CDM residing in the billing system and CDM management tools.
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Understanding of provider contracting, billing and revenue cycle processes and systems for primary care, hospice and palliative care programs. Oversees all revenue cycle and finance compliance functions and ensures the organization is following all regulatory guidelines in coding, billing, and collections.
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Auditors monitor coding and billing activities to ensure activities performed are compliant with federal and state statutes/regulations, review for clinical documentation improvement opportunities and revenue cycle efficiencies, and report recommendations to the appropriate stakeholders.
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Support all end users on Epic EMR system, integrate Revenue Cycle processes such as maintaining claim scrubber and payment processor. Use advanced knowledge of enterprise Electronic Medical Record (EMR) software and serve as a vital liaison between the HSS IT Department, Professional Billing Office, Finance, billing vendors, collection agencies.
$75 - $95 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Medical Biller and Coder Specialist is responsible for providing high-quality healthcare billing and coding services. The Medical Biller and Coder Specialist will enhance the billing and coding department's reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments.
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Work with Billing Supervisor and VP of Revenue Cycle Management to communicate issues with service collection including but not limited to lack of insurance authorization, inconsistent insurance verification, issues with claims processing and credentialing barriers.
$20 - $21 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Billing Solutions - Athelas RCM offers AI-driven, full-cycle revenue cycle management solutions that optimize claims submission, ensuring insurers pay every dollar they owe for work performed by healthcare providers.
$150ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Monitor denials, returned claims, claim edits, and payer claim processing behavior to assist with identifying systemic issues that may require process improvement to strengthen the health of the Revenue Cycle as well escalating identified concerns to the PFS manager.
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As Director of Revenue Cycle Management Payor Teams, you'll be responsible for maintaining and improving revenue cycle processes as well as developing and managing policies and procedures to optimize all facets of revenue cycle operations.
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Serves as the primary liaison with CHRISTUS Health s Revenue Cycle Department in coordinating the response to audits and investigations conducted by regulatory agencies and contractors related to billing, coding, clinical documentation, medical necessity, appropriateness of care, and other issues involving Medicare, Medicaid, and other federal and state health care programs.
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revenue cycle medical billing jobs in Phoenix, Oregon
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