Medicare Sr. Coding - United States

The work of a Sr.Coding & Coding Quality Educator relates to practices and principles associated with medical record auditing. · Work closely with and coach certified coders. · Verify, document and communicate quality audit results. · ...

We are seeking an experienced Medicare & Medicaid Payroll and Billing Specialist for a growing home care agency. · ...

The Senior Medicare Biller is responsible for overseeing and managing Medicare billing processes for ambulance transports in compliance with federal state and payer-specific regulations. · ...

The Coding Compliance Specialist is responsible for overseeing and evaluating assigned Risk Adjustment Data Validation (RADV) medical record review (MRR) work performed under the contract. · ...

The MDS Coordinator will assist in proper assessment of residents within designated facilities. · RN and MDS preferred.Evaluate facility compliance to federal regulations. · Identify areas of concern and assist facility to formulate effective action plans. · Review resident clini ...

The Outpatient Trainer plays a critical role in improving audit consistency accuracy and completeness by translating audit outcomes into effective learning experiences. This role supports the Outpatient Audit program by delivering reinforcing training to improve coding accuracy a ...

The Medicaid Medical Review RN will conduct clinical reviews of medical records during fraud investigations or other program integrity initiatives. This position involves reviewing claims history to detect potentially fraudulent billing practices. · ...

Acentra Health está buscando un educador clínico para unirse al equipo creciente. · ...

The job of Care Management Assistant was established for the purpose of assisting care managers and social workers with various tasks related to patient care and discharge planning. Coordination of discharge includes providing required documents to vendors in a timely manner, fax ...

Tri-Area Community Health seeks an experienced Clinic Billing Coder to join our growing team. · ...

+We are seeking a dedicated and compassionate Nurse Practitioner (NP) or Physician Assistant (PA-C) to conduct virtual Annual Wellness Visits (AWVs) and Advanced Care Planning (ACP) sessions for Medicare patients. · +Conduct comprehensive AWVs for Medicare beneficiaries via secur ...

We are committed to operational excellence, regulatory compliance, · and accurate revenue cycle management to support high-quality EMS delivery. · ...

We are seeking a highly organized and detail-oriented Scheduling Manager to oversee appointment scheduling and administrative support within a busy healthcare environment. · Prior experience in medical office management or healthcare administrative support is required; · Proficie ...

The Project Specialist position is responsible for capturing updated rate data from Payer contracts and accurately updating the ModMed system with the new rates. · A strong attention to detail and the ability to accurately interpret, capture and transfer data is essential. · This ...

Avalon Healthcare Solutions es la primera empresa de Lab Insights del mundo. El Policy Coding and Enforcement Analyst trabajará estrechamente con Medical Policy and Configuration Management para asegurar el codificación adecuada y la traducción de políticas médicas en reglas de i ...

We are looking for an Analytics and Reporting Engineer with a passion for healthcare analytics and deep expertise in Medicare Advantage programs. If you thrive in fast-paced, agile environments and have a strong background in RAF calculations, · Develop, maintain, and optimize an ...

We are seeking a detail-oriented and customer-focused Patient Access Coordinator to join our healthcare team. · This vital role involves managing patient interactions, coordinating appointments, verifying insurance, and ensuring accurate documentation within our electronic health ...

We are seeking a detail-oriented and organized Hygiene Coordinator to join our healthcare team. This position offers an opportunity to contribute to efficient clinic operations while ensuring compliance with healthcare regulations and maintaining high standards of patient care. · ...

Codes any one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to d ...

We are building voice AI that conducts health assessments with Medicare patients over the phone. We need an experienced NP to review condition-specific clinical content. · We're looking for someone with active NP or PA license (US Only) and 3+ years active practice experience pos ...