Perform accurate CPT / ICD-10-CM coding with appropriate modifier usage Review and analyze denied claims and identify root causes Initiate outbound calls to provider offices for denial clarification and resolution Document call outcomes and update claim status
Director, Clinical Operations Remote Company Overview: AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers
This role owns the platform marketing runs on — the CMS, the website, the content publishing, and the campaign infrastructure marketing depends on to ship. Youre the connective tissue between marketings intent and what actually goes live
Clinical Services Director - RN PRN; Remote role with travel nationwide for accepted assignments Company Overview: AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide.
ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part
Outpatient Coding Specialist Schedule: Flexible Shifts! You provide your manager with the days and start/end time you are available to complete your 40hrs per week. All United States time zones are welcome. Job Location Type: Remote
Revenue Integrity Analyst, Physician Billing - Remote The Revenue Integrity Analyst plays a pivotal role in ensuring financial health for the professional services team by meticulously managing the charge master, regulation code changes, work queues, charge
Inpatient Coding Specialist Join Our Team and Earn a $5,000 Sign-On Bonus! Schedule: Flexible Shifts! You provide your manager with the days and start/end time you are available to complete your 40hrs per week. All United
Remote Prior Authorization Pharmacist Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe
Remote Certified Coders Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegras
Claims Auditor- Remote American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home
Quality Specialist ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become
Vanderbilt University Medical Center Located in Nashville, Tennessee, Vanderbilt University Medical Center (VUMC) operates at a global crossroads of teaching, discovery, and patient care. It is a community of individuals who come to work each day
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system
About Carewell Carewell is a category-defining business dedicated to providing trusted caregiving solutions and support for individuals and families. Through Carewell Family Services, we extend our commitment beyond products to person-centered navigation, care coordination, and advocacy
Hiring: AEM Front-End Senior Developer | Remote Contract Opportunity We are hiring experienced AEM Front-End Developers for a 6-month remote contract opportunity. Looking for professionals with 2–8 years of overall experience and strong expertise in building