Overview The Client Policy Manager I manages client payment policies by ensuring client’s payment policy is accurate, up-to-date, and complete; executes client-specific requests with guidance from internal team and acts as the internal and external client
Employment Type:Full time Shift: Description:Excellence in care takes the dedication and commitment of not only our front-line care teams, but of the specialized professionals that support all aspects of our mission. Colleagues in Finance, HR, Marketing
Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people
Location:Remote - TX Department:Administration Shift:First Shift (United States of America) Standard Weekly Hours:40 Summary: The Certified Coding Specialist II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural
Department Overview This level 3 coding positions provides support to the Enterprise Coding Department for coding highly specialized services. This position covers requires advanced coding experience in highly specialized areas of coding, and requires certification with
At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health
Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding / auditing background focused
Role: This position is part of the Reimbursement team in the Global Business Services (GBS). The Reimbursement Supervisor is responsible for overseeing the daily operations and deliverables of the reimbursement team, including the preparation, review,
Overview We are looking for a Senior Principal Machine Learning Engineer to lead the design and delivery of end-to-end ML/AI systems that turn vast volumes of claims, clinical, and member data into measurable performance and reduced
OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing
About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to
Overview The Payer Compliance Specialist I – RCM plays a key role within USAP as it is responsible for analyzing allowed amounts received on USAP claims, to determine appropriateness per contract. This position will review electronic
Details: This position is Monday through Friday. The hours are day shift and there is some flexibility with start times. This position is fully remote, team member will need a private, home office space. Team member
Seeking a Medical Billing Specialist - AR & Payment Posting for our client who will provide clerical expertise to ensure all patients receive high-quality, efficient care. We have an amazing team that works hard to support
Weve made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record
Oncology Registry Manager - Remote - Cancer Center - (26003200) Description The Holden Comprehensive Cancer Center at the University of Iowa is seeking a Oncology Registry Manager that will be responsible for the daily management, re-accreditation,
JOB DESCRIPTION Job Summary Leads and supervises team responsible for payment integrity activities including recovery operations. Responsible for performance, quality levels and establishing procedures and techniques that achieve optimal payment integrity operational standards and production targets.
Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to
Sr. Manager Claims (Remote) FL, IL, IN and WI AMA Insurance (AMAI) offers life, health and disability insurance at affordable and exclusive rates to help doctors achieve a healthy and secure financial future. AMAI is part
Overview The Senior Auditor, Appeals position is part of the Clinical Chart Validation (CCV) team and is responsible for defending Cotiviti’s recovery determinations utilizing the appropriate guidelines including but not limited to Commercial, CMS inpatient and