This position is responsible for comprehensive management and ownership of fraud, waste and abuse investigations including development and presentation of investigative results.…
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about…
Clinical Fraud Investigator II Registered Nurse and CPC Calrelon Payment Integrity SIU Location: This role enables associates to work virtually full time,…
Sentara Health Plans is hiring an Appeal Coordinator Remote in Virginia and Florida! Status: Full time, permanent position (40 hours) Standard working…
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about…
Denali OB GYN Clinic Job Description Medical Billing Specialist/Accounts Receivable RESPONSIBILITIES: Denali OB GYN Clinic has 9 providers and is looking for…
Position Summary: We have an exciting opportunity to join our team as a Coding Integrity Specialist. In this role, the successful candidate…
### Details Department: Health Information Management Schedule: Full Time; Days (Monday Friday, with flexibility and paid holidays) Hospital: St. Vincent Indianapolis Location:…
Scheduled Hours =================== 40Position Summary ==================== Advanced level specialization in complex pre certifications as indicated on therapy and treatment plans to prevent…
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here…
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here…
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of…
Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in…
CURRENT BRONSON EMPLOYEES Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You…
JOB DESCRIPTION Park Nicollet is looking to hire a Coding Education & Data Analyst to join our team! Come join us as…
Job Summary: The CDI Specialist performs clinically based initial, concurrent, and retrospective review of inpatient medical records to evaluate documentation as it…
About this Job: General Summary of Position Regularly communicates with both internal and external customers concerning benefit and fee schedule interpretation NCCI…
Company : Highmark Inc. Job Description : JOB SUMMARY This job will deliver value to the Health Plan, and its beneficiaries enrolled…
Performs reviews of coded encounters to ensure that all HCC, ICD 10, E/M, and CPT codes assigned are accurate, supported by appropriate…
MAIN FUNCTION: Provides support in all office activities; provides clerical support; processes all insurance, completes all billing and coding functions and is…