Essential Functions Performs primary source verifications of documentation required for managed care credentialing...) on an ongoing basis and ensures receipt of same in a timely manner. Prepares physician files for file audits by managed care...
Job Profile Summary Serves as a subject matters expert in the development, maintenance and revision of technical documents including grants, manuscripts, protocols, and standard operating procedures (SOPs). Performs management level work ...
and personalize management of health-related needs. The Care Manager assesses needs, plans, coordinates, and evaluates services... for identified patients; knowledgeable of appropriate care-related services to match identified needs disease management for health...
Required: Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA), or Coding... Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA), or Health...
with all Advocate Aurora Health Care policies, procedures, regulations and standards of practice. Ensures that the service center...
information workflows or related health care leadership experience. Knowledge, Skills & Abilities Required: Maintain... compliance issues. Serves as liaison between business office, medical records, patient care and/or coding department by providing...
of employees. An understanding of health care delivery and health care dynamics within a large integrated health care system...
, utilization management, process improvement and health care industry trends via literature, educational offerings, federal... Required: Solid knowledge of third-party health care insurance plans, denials and appeals procedures. Solid knowledge of utilization...
in professional coding that includes experiences in revenue cycle processes and health information workflows or related health care... compliance issues. Serves as liaison between business office, medical records, patient care and/or coding department by providing...
across Advocate Health. Focuses on joint venture strategy and execution, management services platform optimization, enterprise... by Advocate Health Surgery Centers, ensuring standardized service delivery models, operational excellence frameworks, and scalable...
in researching coding related topics and issues. Abides by the Standards of Ethical Coding as set forth by the American Health...: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA) Education...
surgery centers and ASC joint ventures across Advocate Health assigned Division. Focuses on building relationships, advancing... business development, and aligning with Advocate Health’s strategic goals. Oversees capital budgets and operational performance...
of ambulatory surgery centers and ASC joint ventures across Advocate Health assigned Division. Focuses on building relationships..., advancing business development, and aligning with Advocate Health’s strategic goals. Oversees capital budgets and operational...
in researching coding related topics and issues. Abides by the Standards of Ethical Coding as set forth by the American Health...: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA) Education...
's Degree (or equivalent knowledge) in Health Care Administration. Experience Required: Typically requires 2 years... successful adoption of electronic health record and associated health information technology applications and critical components into the...
from clinicians, qualified health professionals and hospitals to assign diagnosis and procedure codes utilizing ICD CM/PCS, CPT...: Must have a certification through American Health Information Management Association (AHIMA) or American Academy of professional Coders (AAPC...
at specifying user requirements, interacting with technical, health care staff and vendors, and documenting user needs, outcomes.... Ability to work closely with health care application users, vendors, and technical professionals Proficient in translating...
in hospital coding for a large complex health care system, which includes hospital coding, denial review and/or coding quality...Major Responsibilities: Reviews coded health information records to evaluate the quality of staff coding...
in health care reimbursement or public accounting with a concentration in hospital auditing that includes extensive auditing... Managed Health cost reporting team to adjust financial statements based on cost report settlements. Partner with the...
denials. Collaborate across departments—including CMOs, Clinical Informatics, Risk Adjustment, and Population Health... Required: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding...