Under the supervision of a Credentialing Supervisor/Manager, the Credentialing Specialist II is responsible for specific aspects of Credentialing and Re credentialing processing for a managed care organization, adhering to the National Committee for Quality Assurance, State and Federal regulations. They review, investigate, and process primary source verifications for fac

Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreements, payment posting, statements and collections. 3 years of multi specialty coding experience with Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD 10), Heath Care Common Procedure Cod

The Patient Access Rep is responsible for all aspects of the patient registration process, including verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, ID's, Living Wills, and POAs and verifying and enter

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

Review and ensure all required documentation is present within the medical record. While also paying attention to all details and ensuring that that patient confidentiality guidelines are adhered to, to safeguard patient medical information. Required to work within many different computer environments. Qualifications HS High School Grad or Equivalent (Required) Medical Re

The Patient Access Rep is responsible for all aspects of the patient registration process, including verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, IDs, Living Wills, and POAs and verifying and enteri

The Patient Access Rep is responsible for all aspects of the patient registration process, including verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, ID's, Living Wills, and POAs and verifying and enter

Account and prepare all documents for precision scanning into the electronic medical record with strict attention to maintain patient confidentiality guidelines for safeguarding patient medical information. Required to work within many different computer environments to track, scan, identify, validate and access medical records. Responsible to maintain data and statistics

The Healthcare Data Analyst provides data analysis support to the customer by assisting with the development of reports and/or dashboards to monitor program and operational performance. Promotes self service analytics for customer adoption, understanding and use of data. Supports design of programmatic analyses and reporting capabilities in addition to business requiremen

Scheduling Clerk Position Number 6031003 Department Surgery Grade 10 Compensation Min USD $16.01/Hr. Compensation Max USD $19.69/Hr. Category Clinical Location Location US VA Norfolk Type Regular Full Time Overview Welcomes patients and visitors by greeting them in person or on the telephone. Schedules office visits, follow up appointments and in office procedures for 11

GENERAL LEAD TECHNICIAN Job Locations US VA VIRGINIA BEACH ID 2024 143362 Line of Business PharMerica Position Type Full Time Our Company PharMerica Overview Join our PharMerica team! PharMerica is a closed door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long term care and senior living clients. We offer a non retail pharmacy environment. O

The Team Lead will assist the Outpatient Coding Manager with daily operations and coordination of work for all the Claims Resolution (CRC) or ED Charging work queues. He/She will work with CRC/ED charging team, nurse audit, coding audit/education, compliance, charge integrity unit and patient finance to assure effective claim resolution practices. Team Lead will monitor r

The Physician Advisor conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers, writing appeal letters) in support of the centralized system Utilization Review (UR) process for Sentara hospital facilities. The Physician Advisor serves an important role in ensuring compliant hospital status/billi

Health Information Operations Supervisor Onsite Job Locations US VA Norfolk Requisition ID 2024 35520 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and advance human health. We are a data logistics

Currently recruiting an ON SITE Medical Coder Ambulatory Procedure Visit in Hampton, Virginia, to provide support to Active Duty heroes, their families, and retirees at Langley AFB. The full time position is Monday Friday, 8 hours shifts between 7 30am and 4 30pm. TELEWORK CODING IS NOT AN OPTION. DUTIES OF THE MEDICAL CODER AMBULATORY PROCEDURE VISIT Have advanced knowle