Revenue Integrity & Denials Optimization Specialist
WVU Medicine
SYSTEM West Virginia University Health System in Charleston, WV is seeking a Billing Analyst to review charge edits and ensure compliance with CCI, OCE, MUE, LCD and NCD policies while maximizing reimbursement. The role collaborates with Revenue Cycle leadership to develop, test, implement, and optimize the Revenue Guardian module and related tools, communicating training needs to clinical leadership and the chargemaster committee. #J-18808-Ljbffr WVU Medicine
- ...position will review charge review, claim, and denial edits to ensure compliance with CCI, OCE... ...maximizing reimbursement. Works with Revenue Cycle leadership to ensure ongoing... ...implementation, maintenance and operational optimization of Epic's Revenue Guardian module and/or...SuggestedShift work
$30 per hour
...is proud to sponsor an internship and integration program that exposes transitioning military... ...partners, and communities. With annual revenue of US$57 billion in FY2025, Oracle is... ...and monitors multiple activities while optimizing the use of resources to achieve a goal....SuggestedHourly payTemporary workWork experience placementInternshipWorldwideFlexible hours$110k - $138k
...deploy solutions at scale using its global integration and distribution capabilities. With... ...you be doing? The Computer Vision Specialist is a member of WWT’s Global Solutions &... ..., and on how models will be evaluated, optimized for edge deployment, monitored for drift...SuggestedFull timeWork experience placementRemote workFlexible hoursShift work$35.5 - $53.25 per hour
Department: 13244 Enterprise Revenue Cycle - Integrity Operations: Facility Coding Quality Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Desired Experience:Facility/Hospital Based Inpatient Coding experienceWill...SuggestedDaily paidFull timeTemporary workPart timeWork at officeRemote workMonday to FridayFlexible hoursShift workDay shift$105.79k - $141.05k
...Platforms is a critical role within Lumen’s new Integrated Demand & GTM team, reporting directly to... ...capabilities. Working across Marketing, Revenue, Product, and Marketing Operations teams... ...and Product Adoption team’s outputs for optimal activation. Collaborate with business...SuggestedFull timeTemporary workRemote work$33.05 - $49.6 per hour
Department: 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status: Full time Benefits... ...Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the...Daily paidFull timeTemporary workPart timeWork at officeRemote workMonday to FridayFlexible hoursShift work- ...often (in days) to receive an alert: Cultivation Specialist Requisition ID: 17300 Department: CPG -... ...industry’s leading companiesbased on historical revenue, geographic scope and brand performance,isa vertically integrated, multi-state operator embracinga missionof saying...Local areaImmediate start
- ...testing, information technology, payment integrity, and clinical care to drive transparency... ...Recommend and program rules/logic for denial of claims based on the criteria inwritten... ...utilization management, payment integrity, revenue cycle management, clinical product...Full timeRemote workVisa sponsorship
- Baptist Health System, Inc. is seeking a Full-time Inpatient Hospital Coder to join our Appeals & Denials Department at Baptist Metro Square. This role focuses on accurately coding inpatient diagnoses and procedures using ICD-10-CM/PCS to support compliant claims. The position...Remote jobFull time
- ...requirements with strong collaboration across IT and business partners. You will develop API specs, SOPs, data mappings and documentation, while guiding testing, training and analytics to ensure successful integrations and project #J-18808-Ljbffr CSAA Insurance GroupRemote job
- System Accountant Specialist-FR -- Accounting & Fin Reporting -- General Hospital (Job ID... ...as grants accounting, fund accounting, revenue cycle, accounts payable, payroll, etc.... ...and train coworkers in the adoption and integration of technology. Make favorable progress...Full timeLocal areaShift work
- ...Asset Protection SpecialistPosition Purpose:The Asset Protection Specialist is primarily responsible for preventing financial loss caused... ..., vendors, customers, and the Company. They must demonstrate integrity at all times, respond to asset protection and operational...
$77.2k - $115.8k
...them at scale through its global warehousing, distribution, and integration capabilities. With over 12,000 employees across WWT and... ...and R12 O2C cycle, including Accounts Receivable, Collections, Revenue Management, General Ledger, Cost Management, and Customer Master...Full timeRemote workShift work- ...export issues that result in supply chain delays as well as the integrity of trade data for local and regional purposes (i.e., tariff... ...Distribution, Logistics, Procurement, Legal, etc) to establish optimal supply chain routes for Foreign-Trade Zone admission and export...Full timeTemporary workLocal area
- ...Job Description Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused... ...associates, vendors, customers, and the Company. They must demonstrate integrity at all times, respond to asset protection and operational...Local area
$133.2k - $172.37k
...illnesses worldwide. As a Senior Therapeutic Specialist within Gilead's Liver (PBC/HCV) division... ...local cross-functional colleagues to optimize experience for the account.... ...differences and recognizes each employee as an integral member of our company. Our workforce reflects...Full timeFor contractorsWork at officeLocal areaWorldwide- Advocate Health is seeking an experienced inpatient coder to join the 10407 Enterprise Revenue Cycle - Coding Production Operations team. The role focuses on assigning ICD-10-CM/PCS and CPT/HCPCS codes for inpatient cases across cardiology, neurology, and oncology service...
- SYSTEM West Virginia University Health System is seeking a dedicated analyst to be the primary IT contact for revenue cycle software. This role covers first-level support, testing, and implementation. You will lead large-scale data projects, perform system and business...
$105.79k - $141.05k
...they transact with hyperscalers and cloud providers. You will be integral in building a repeatable process that maximizes flexibility... ...pricing, T&Cs, order flow, fulfillment, billing reconciliation, and revenue recognition while improving customer efficiency. The Main...Full timeContract workTemporary workRemote workFlexible hours- Evans Contracting Group is seeking an Accounts Receivable Specialist for a full-time, on-site role based in Charleston, SC. The role involves... ...managers and the finance team ensures accurate job costing and timely revenue recognition. #J-18808-Ljbffr Evans Contracting GroupFull time
$105.79k - $141.05k
...experiences that accelerate adoption and revenue. As a senior individual contributor,... ...validated use cases, solution blueprints, integration patterns, and deployment guidance across... ...marketing execution. Measure and optimize impact: Define success metrics and use adoption...Full timeTemporary workWork from home$133.2k - $172.37k
...threatening illnesses worldwide. As a Prevention Specialist, HIV within Gilead's – Virginia North... ...local cross-functional colleagues to optimize experience for the account.... ...differences and recognizes each employee as an integral member of our company. Our workforce reflects...Full timeFor contractorsWork at officeLocal areaWorldwide- ...--HUD's Office of Administration is the place for you! The official title of this position is Supervisory Government Information Specialist. As a Supervisory Privacy Specialist, you will: Plan, manage, organize and supervise all operations and activities of the Privacy...Full timeTemporary workPart timeWork experience placementWork at office
- ...Inpatient Hospital Coder to join our Appeals & Denials Department at Baptist Metro Square!... ...System to each patient's account for optimization in accordance with State and Federal... ...Administrator (RHIA) - AHIMA or Certified Coding Specialist (CCS) - AHIMA Required 3- 5 Years...Full timeCurrently hiringRemote work
- ...Maternal-Fetal Medicine Specialist West Virginia University School of Medicine and the Department of Obstetrics, Gynecology, and Reproductive... ...value and population health, operate as a clinically integrated System that provides full-spectrum healthcare and offers easy...Summer workLocal areaRemote work
$46.99k - $112.2k
...Medicaid provider compliance, audit excellence, and regulatory integrity across our organization. In this role, you will lead strategic... ...to mitigate risk. You'll partner cross-functionally to optimize audit results and implement preventative measures to mitigate...Hourly payFull timeTemporary workLocal area$56.8k - $71k
...them at scale through its global warehousing, distribution and integration capabilities. With over 14,000 employees across WWT and... ...Project Financial Management & Execution Forecast project costs, revenue, and timelines in accordance with established project scopes...Hourly payFull time$99k - $116k
...executive and leadership including the CRO and CFO to ensure deals are optimally managed to their conclusion. General Job Duties &... ...Finance and Legal Working knowledge of SaaS subscription models and revenue recognition Ability to work in a fast-paced team environment and...Contract workRemote workVisa sponsorship- ...supportive team Grow your skills, income, and career through ongoing coaching Industry leaders will train all new canidates, but you must be: -COACHABLE AND DEMONSTRATE HIGH INTEGRITY -HAVE S DESIRE TO WIN -CUSTOMER FOCUSED MINDSET, YOU MUST ENJOY HELPING OTHERS...Full time
- ...solutions and services that leverage technology to address social issues while contributing to a sustainable society.The Safety Specialist supports the development, administration, and maintenance of safety and environmental programs at our West Virginia manufacturing...Contract workTemporary workLocal areaMonday to FridayAfternoon shift
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