Perform comprehensive medical record and claims review to make payment determinations based on Insurance coverage,coding, and utilization of services and practice guidelines for Medicare Part A SNF Performs first and second level of Medical Review in determination of claims payment review Conducts in depth claims analysis utilizing ICD 10 CM, CPT 4, and HCPCS Level II cod

Perform comprehensive medical record and claims review to make payment determinations based on Insurance coverage, coding, and utilization of services and practice guidelines for Medicare B Physician Office and Professional Services, Ambulance Services, Laboratory, and others Performs first and second level of Medical Review in determination of claims payment review Condu

Perform comprehensive medical record and claims review to make payment determinations based on Insurance coverage, coding, and utilization of services and practice guidelines for Medicare Part A SNF, DRG, and Outpatient Facilities and Services. Performs first and second level of Medical Review in determination of claims payment review Conducts in depth claims analysis uti

Duties Serves as the Deputy Director for the Fraud Investigations Group (FIG) planning, directing, and overseeing the operations and work activities of the organization to be accomplished by subordinate employees and/or teams. Develops Medicare program integrity policy and operational options and presents recommendations to the Group Director and senior CPI and CMS manage

Who we are Samsara (NYSE IOT) is the pioneer of the Connected Operations Cloud, which is a platform that enables organizations that depend on physical operations to harness Internet of Things (IoT) data to develop actionable insights and improve their operations. At Samsara, we are helping improve the safety, efficiency and sustainability of the physical operations that p

Who we are Samsara (NYSE IOT) is the pioneer of the Connected Operations Cloud, which is a platform that enables organizations that depend on physical operations to harness Internet of Things (IoT) data to develop actionable insights and improve their operations. At Samsara, we are helping improve the safety, efficiency and sustainability of the physical operations that p

Content Management and Publishing Specialist Description/Job Summary ASHP is an award winning Association with a great mission. ASHP is the collective voice of pharmacists, representing more than 60,000 members. ASHP has recently won awards for being a Top Workplace for our work culture which fosters learning, collaboration, and for being inclusive. The Content Management

As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment. This function

As a Patient Service Coordinator at Medstar, you will be responsible for providing the best customer service to patient by greeting them with a warm and friendly smile, checking in/out processes, gathering demographic information, insurance verifications, as well taking copayments and scheduling. Primary Duties 1. Serves as the initial contact person at the medical practi

The role of the admissions rep is to reach out to individuals via phone, take incoming calls and place outbound calls to prospective students in a call center team environment. Admissions representatives interview prospective students to determine their motivation for attending college, understand their career goals and the obstacles that might prevent them from starting

Be a part of the nationwide law enforcement initiative that removes the tools of crime from criminal organizations, depriving wrongdoers of proceeds from their crime and impacting the infrastructure of criminal enterprises. Compass Strategy Solutions (CSS) specializes in cultivating tactical and strategic intelligence personnel, financial analysts, and forensic accountant

KLDiscovery, one of the largest national eDiscovery providers, is currently seeking experienced medical coders who desire an engaging work environment where they are valued and respected for upcoming Cyber Incident Response projects. Medical Document Coding Analysts will review medical records such as patient charts, billing, and insurance documents for Personal Identifia

The Marlet Director of Information Services will provide technology vision and leadership in the development and implementation of the affiliate wide Information Services (I.S.) program at multiple facilities across the region. The Director will lead the health care network in planning and implementing enterprise information systems to support both distributed and central

Senior Technical Advisor Job Locations US DC Metro Area Job ID 2024 4233 Category Management Consulting Type Full Time Salaried Company Nakupuna Solutions Overview Nakupuna Solutions seeks a Senior Technical Advisor. The Bureau for Global Health Security and Diplomacy (GHSD) is responsible for implementing the U.S. President's Emergency Plan for AIDS Relief (PEPFAR). PEPF

Be a part of the nationwide law enforcement initiative that removes the tools of crime from criminal organizations, depriving wrongdoers of proceeds from their crime and impacting the infrastructure of criminal enterprises. Compass Strategy Solutions (CSS) specializes in cultivating tactical and strategic intelligence personnel, financial analysts, and forensic accountant