DRG Downgrade CDI Specialist: Revenue Integrity & Appeals
Med-Metrix
Med-Metrix is seeking a Clinical Documentation Integrity DRG Downgrade Specialist in Parsippany-Troy Hills, NJ. The role involves reviewing payer DRG downgrade notifications, conducting medical record reviews, and writing persuasive appeal letters to ensure accurate DRG assignments and revenue integrity. Applicants should have a Bachelor's degree in Nursing, a minimum of 3 years in clinical documentation improvement, and relevant RN certifications. This position requires strong analytical and communication skills while working in compliance with regulatory standards. #J-18808-Ljbffr Med-Metrix
- ...Clinical Documentation Integrity DRG Downgrade Specialist The Clinical Documentation... ...accurate DRG assignment, protects revenue integrity, and supports... ...through detailed review, appeal preparation, and performance... ...processes to support ongoing CDI improvement Ensure all...SuggestedRemote jobWork at officeLocal area
- ...Clinical Documentation Integrity Specialist The Clinical Documentation Integrity Specialist focuses... ...to all patients at the Hospital for DRG based payers through concurrent interactions... ...requirements, as requested by CDI manager Utilizes data analytics to identify...SuggestedRemote jobWork at officeLocal area
- ...divh2Revenue Cycle Specialist - Pharmacy Biller/h2pInfuCare Rx is a leading home infusion... ...cultivates achievement and success./ppAs a Revenue Cycle Specialist - Pharmacy Biller,... ...track record of filing claims, billing, appeals, reviews, customer service, problem resolution...SuggestedWork experience placementWork at office
- ...divh2Revenue Cycle Specialist/h2pInfuCare Rx is a leading home infusion provider accredited... ...markets we serve./ppJob Summary:/ppAs a Revenue Cycle Specialist, youll take charge of multiple... ...track record of filing claims, billing, appeals, reviews, customer service, problem...SuggestedWork at officeFlexible hours
$115k - $125k
...perspectives, taking ownership, and leading with integrity. We’re defining the future of mobility... ...a Conversion Rate Optimization (CRO) Specialist to drive continuous improvement in our... ...improvements that increase conversion, revenue, and customer satisfaction. You will...Suggested- A specialized home infusion provider is seeking a Revenue Cycle Specialist in Fairfield, New Jersey. The role involves managing various facets of the pharmacy reimbursement process, ensuring accurate payments, and interacting with insurance companies and patients. Candidates...
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...Personal Solutions Specialist The Personal Risk Services (PRS) practice delivers tailored... ...expected from account-rounding, integrated offering (IOU), existing COIs, and self-... ...USI? With approximately $3 billion in revenue and over 10,500 associates across approximately...Temporary workLocal areaFlexible hours$21.64 per hour
...between the service office providers, insurance carriers, and revenue cycle management functions. A high level of customer service and... ...authorization discrepancies or payor requirement changes. Submit appeals to insurance companies. Obtain denial letters from primary...Work experience placementWork at officeLocal areaFlexible hours- ...Management Analyst Specialist Inteplast offers an excellent array of benefits: two medical plans, HSA with employer contribution;... ...to requirements, and facilitate dialog across teams System integration - Perform system testing, coordinate system/procedure integration...Temporary work
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$21 - $25 per hour
...Shipping & Receiving Specialist I Elevate your career at Marotta Controls, a New Jersey Top Workplace three years running! Dedicated... ...Marotta employees hold themselves to high standards of honesty and integrity, but they make certain others are held accountable to the same...Full timeLocal areaMonday to FridayFlexible hours$20 per hour
...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$65.84k - $85.5k
...individuality is noticed and valued every day. Data Masking Specialist As a Data Masking Specialist with Conduent, you’ll have... ...Understand database models & designs including referential integrity, application enforced integrity, data dependencies between applications...Remote workWork from homeFlexible hours- ...Job Title: Veeva Specialist Location: Morristown, NJ (Remote) Duration: 12 Months (Possibility of extension) Work Schedule... ...claims document for focus brands. • Responsibilities include integrating RC feedback, reformatting content for clarity and usability,...Remote work
- ...Job Description Cyber Security Awareness Specialist JOB SUMMARY The Cybersecurity Awareness Specialist supports the execution... ...safeguard our clients' assets and people. Our core values - Integrity, Vigilance and Helpfulness - are represented by the three red...Work experience placementWork at officeLocal areaRemote work
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...Nakupuna Services is seeking multiple Database Sustainment Specialists to support the DMLSS-FM Databases throughout CONUS Military Treatment... ...following tasks using the Drawbase CAD software, which is integrated into the DMLSS-FM system: View drawings, zoom in/out, turn on...Contract workFor contractorsWork at officeLocal areaRemote work- ...Role description Job Summary Seeking a Specialist with 5 to 7 years of experience in AI and Generative AI within the BlueverseAI... ...generative models Collaborate with crossfunctional teams to integrate AI innovations into products and services Stay updated with the...
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...geographical region including the distributors, end customers, integrators and contractors within the east coast of the US. You will... ...requests and pricing requests submitted to the Regional Proposal Specialist for help. Work with sales and channel (distributors) to...For contractorsWork at officeVisa sponsorshipWork visaFlexible hours- ...and detail-oriented individual to join our team as a People Specialist. In this role, you will play a crucial part in ensuring the smooth... ...support to new hires to ensure a seamless transition and integration into the organization. Coordinate and attend regular dedicated...Weekly payFlexible hoursShift work
$22.5 - $25.89 per hour
...environment for our people. Job Summary The Community Specialist is responsible for executing the store's community strategy, which... ...inclusive environment that values/celebrates differences Integrity: Behaves in an honest, fair, and ethical manner...Minimum wagePart timeLocal areaShift workNight shiftWeekend workDay shiftAfternoon shiftEarly shift- ...Creditlens Configuration & Administration Specialist Onsite in Manhattan NY Role Summary The CreditLens Configuration & Administration... ...accuracy prior to production readiness Data Extracts & Integration Support Configure and maintain: One (1) standard...
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...Senior Specialist, Ethics and Compliance Location: The actual location of this job is onsite at our Morristown, NJ office. The... ...values of Collaboration, Accountability, Excellence, Passion and Integrity reflect who we are and how we work together. Everyone's ideas,...Full timeTemporary workWork at office- ...next? Join us! Explore opportunities at dnb.com/careers. The Specialist II is responsible for cultivating customer relationships,... ...development and/or expanding existing accounts through maintaining revenue stream through successful renewal of existing business, and...WorldwideWeekend workAfternoon shift
$96.5k
...YouTube. ( Job Description Purpose: The Senior Sourcing Specialist is responsible for executing source-to-contract procurement... ...equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community...Contract workTemporary workWork at officeLocal area- ...MQ and Apigee. ~ Strong design and development skills using IBM ACE, MQ applications. ~ Solid experience in supporting ESB Integrations with Java, SQL, FTP, SFTP, SOAP, and Rest APIs. ~ Experience with monitoring tools such as Avada Monitoring, Splunk. ~ Experience...
- ...Integration Lead Locations: Charlotte, NC; Chicago, IL; Colorado Springs, CO; Conshohocken, PA; Dallas, TX; Fargo, ND; Garden City, NY; Houston, TX; Jacksonville, IL; Lenexa, KS; Lubbock, TX; Morristown, NJ; Mt Juliet, TN; New York, NY; Purchase, NY; Topeka, KS - Hybrid...
$146k - $190k
...Veterinary Integration Lead - Therapeutic Diagnostics Location: Parsippany NJ, Hybrid - 50% The Veterinary Integration Lead - Therapeutic Diagnostics serves as a medical lead within Global Diagnostics Medical Affairs team, partnering closely with Product Management...Full timeTemporary workWork at officeLocal areaRemote work$83k - $120k
...transmission. Audit Readiness & Compliance: Systematically audit clinical records (MARs/TARs/physician orders) to defend data integrity against ADRs, MAC/RAC audits, and pre-payment reviews. IDT Collaboration & Care Meetings: Facilitate interdisciplinary...Full timeTemporary workPart timeWork at officeImmediate startFlexible hours$15.49 - $55 per hour
...Membership Specialist The Membership Specialist (MS) will represent UFC GYM by providing... ...must translate into exceeding personal revenue targets issued by management through both... ...Metrics set forth by management. Ensure integrity of each sale by attaching supporting documents...Hourly payFull timeCasual workLocal areaTrial periodAll shiftsWeekend work- ...divh2EHS Specialist/h2pA Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in...Work experience placementLocal area
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