Search Results: 4,213 vacancies
...exposure to healthcare charging/coding or completion of a recognized course of study for health information practitioners or coding specialists and one year coding experience in an acute hospital health information management department
Proficient in CPT/HCPCS code...
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...or D.O, unrestricted and active TX license to practice medicine. Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. (Note: Position does not provide direct patient care or medical diagnosis.)...
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...as a liaison between managed care organizations and the facility’s behavioral health clinical treatment team.
Conducts clinical reviews in accordance with certification requirements of insurance plans or other managed care organizations.
Monitors patient length of...
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Full time
Flexible hours
...knowledge of coding and compliance guidelines to identify potential coding/quality/ billing / reimbursement issues as a second level reviewer. Assesses accuracy, quality, and compliance of diagnosis, procedure, POA, DRG, and discharge disposition assignment on Inpatient...
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Support and provide coding and compliance training to clinical personnel, billing, and/or other client staff. Establish effective communication with clinical staff, and/or hospital staff to address documentation, coding, and reimbursement issues. Use Coder, Analyst, Healthcare...
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...GENERAL PURPOSE: Accurate and timely coding and review of home health OASIS assessments and plan of care to ensure compliance with... ....
QUALIFICATIONS:
• Certification as a Home Health Coding Specialist (HCS-D)
• Certification as OASIS Specialist (COS-C) or Homecare...
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...guiding us every step of the way. Join us to invest in yourself, your career, and the financial world.
Job Summary:
The Credit Risk Review Leader for the Second Line of Defense in our OCC-regulated bank leads the Consumer Loan Review team. This team independently...
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...core values guiding us every step of the way. Join us to invest in yourself, your career, and the financial world.
The role:
The Loan Review Quality Assurance Lead (QAL) conducts Quality Assurance (QA) reviews of the Credit Risk Review (CRR) function of independently...
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Position Overview At Zelis, the Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR product umbrella. This includes Itemized Bill Review, Clinical Chart Review, Dialysis Savings Solution and DRG Validation...
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...Working from instructions and pre-established guidelines, under general supervision, assigns medical necessity requests to a qualified reviewer and follows-up to ensure timely determination is delivered based on state/URAC guidelines in accordance with Concentra policies,...
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Full time
Position : -Network security with a good understanding of Firewall and the rule review process (L3 level)
Location: - Plano TX, - Hybrid role:-3 days Onsite(Tue/Wed & Thur) and 2 days remote
Duration: Contract
Job Description:
Note:-Should have good understanding...
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Genesis10 is seeking an Implementation Specialist for our client in the Pharmacy Benefits Management (PBM) Industry. This is a Contract position... ...plans, scenarios, and cases based on client requirements.
Review and provide feedback on all end-to-end test plans.
Offer...
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ezURs is a URAC accredited Independent Review Organization. ezURs affords our clients true nationwide physician reviewer coverage. Our credentialed, board certified physicians are versed in evidenced-based practices and are actively practicing medicine, keeping up on all...
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Full time
Immediate start
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Flexible hours
...Nonprofit Solutions has the job for you!****
The Finance Specialist I is a pivotal member of a collaborative focused on meeting the... ...records of vendor invoices and payments.
Preparing and reviewing monthly financial worksheets of community care providers.
Ensuring...
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Holiday work
Full time
Local area
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Shift work
...required to work onsite for quarterly meetings.
~3, 12 hour shifts. Saturday, Sunday, Monday.
JOB SUMMARY
The Utilization Review Registered Nurse (RN) provides a clinical review of cases using medical necessity criteria to resolve the medical appropriateness...
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Immediate start
Remote job
Shift work
Weekend work
Sunday
Saturday
...County. As a part of the Medical City network of hospitals and specialists, patients are ensured access to leading medical experts and... ...encourage you to apply for our CT Technician opening. We promptly review all applications. Highly qualified candidates will be...
Permanent employment
Full time
Temporary work
Part time
Relocation bonus
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...since it was founded in 1965. We are currently seeking a Payroll Specialist to join our team in Plano, TX.
The ideal candidate will... ...errors
Reconciles errors and maintains payroll records
Reviews and processes payroll adjustments, including vacation, sick and...
For contractors
Overview:
The Compliance Specialist will play a vital role in Maxors compliance and ethics program, having leadership over enterprise... ...to ensure appropriate policy and procedure oversight and reviews, coordinate training and awareness efforts, and implement appropriate...
Temporary work
Remote job
Work from home
...Details
Posting Number
S05614P
Position Title
Program Specialist I
Functional Title
Program Specialist I
Department... ...for the department each pay period.
Prepares and reviews electronic campus access forms in accordance with procedures and...
Full time
Temporary work
Work visa
...Job Description
Job Description Summary:
The Sr Vice President, Credit Review is charged with steering the strategic management, oversight and governance necessary to identify, evaluate and monitor the company’s loan review and credit and compliance risk related...
Holiday work
Part time
Work experience placement
Relocation
