reduction initiatives. - Strong understanding of federal and payer regulations, documentation requirements, and revenue cycle.... Required Licenses and Certifications Certified Coding Specialist (CCS) Upon Hire (Required) Or Similar Medical Coding Certification...
for Coding and Reporting), payer policies, and regulatory requirements (e.g., HIPAA, OIG work plans). Identifies coding.... *Stays current with changes in coding guidelines, payer policies, and healthcare regulations, and integrates these updates...
of the Specialty Programs Unit Manager, the Specialist II serves as a resource to the Center for Healthcare Financing (CHCF... and enhance current operations, implementing innovative methods to identify new cases, verify claims and recover payments...
compensation, and liability third party payer reimbursement, and is accountable for getting those accounts collected. POSITION... Billing and Collection payer rules and guidelines located in the Medicare/Medicaid manuals when contacting insurance carrier...
Job Category: Revenue_Cycle Job Description: The Patient Accounts Specialist is a liaison to review and resolve... complex Patient Accounts issues. The Patient Accounts Specialist may be responsible for the customer service, posting, billing...
leadership for all credentialing and privileging operations, including hospitals and ambulatory locations. Ensure system-wide... and payer credentialing requirements. Create, lead and manage the centralized Credentialing Verification Office (CVO...
the workflows ensuring effective and efficient daily operations of the Revenue Integrity team. Provides training... operations. - Expert in analyzing revenue data to identify trends and opportunities with the capacity to communicate findings...
-to-day management, oversight, and quality assurance of professional billing coding operations, providing leadership... and management of the HIM Professional auditors and coders reviewing physician base charging/billing, claim edits, payer appeals...
leadership, strategic planning, and oversight of daily operations of the Case Management department which includes Utilization..., and coworkers Utilizes knowledge of hospital processes, clinical patient care, state and federal regulations and payer requirements...