Reviews coded health information records to evaluate the quality of staff coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as discharge disposition. Ensure accurate coding for outpatient, day surgery and inpatient records. Verifies all codes and sequencing for claims according

We are currently seeking a Logistics Specialist. The role has a primary focus around carrier performance metrics, transportation KPI's, driving execution through best practice processes and supporting the US Transportation Manager/Supervisor. Duties will consist of transportation execution reviews, invoice auditing, and communication with carriers and cross functional sta

Gather, compile, and evaluate data from multiple sources and various systems to prepare comprehensive monthly or quarterly statements for our accounts, and submit to leadership for approval and appropriate processing. Prepare and make entries into a general ledger system for review and approval by management. Monthly reconciliation of the previous month's outstanding bala

Submit insurance claims, work denials, post insurance payments, file appeals when appropriate and keep up to date on knowledge of current insurance reimbursement rates and issues. Work in Sandata Software, clearinghouses, and payor portals. V. Position Expected Hours of Work Typical hours are full time 40 hours, Monday through Friday, 8 00AM through 4 30PM. VI. Essential

Demonstrate commitment and behavior aligned with the philosophy, mission, values, and vision of Network Health. Appropriately apply all organizational, regulatory, and credentialing principles, procedures, requirements, regulations, and policies. Utilize real time adherence and scheduling software to determine the proper shift coverage by adjusting resources to accommodat

Product Specialist Job Locations US WI Merrill | US WI Madison | US PA Mechanicsburg | US WI Milwaukee ID 20243335 Category Product Type Regular Full Time Introduction Looking to join a vibrant organization that makes a difference? At Church Mutual, we Stand for Good Our work is powerful, inspiring and meaningful because we serve those who serve others. We specialize in i

Company Cities and Villages Mutual Insurance Company Location Wauwatosa, WI Position Safety & Risk Management Specialist SERVICE FIRST. INSURANCE ALWAYS. Are you a Safety or Risk Management professional who loves to create that awareness and appreciation in others? Do you enjoy flexibility and variety in what you do each day? Cities & Villages Mutual Insurance Co. (CVMIC)

In collaboration with Customer Service, analyze and resolve professional coding complaints in a timely manner using correct coding and payer guidelines to ensure patient satisfaction. Identifies and analyzes coding denials for a specific population of charges and works in collaboration with the Production Coding team. Coordinates coding rejection data collection activitie

The successful candidate will be responsible for the following Program manage divisional efforts for developing a baseline of Process, Risk & Control deliverables for assigned business/divisional functions through workshop sessions or other methods of data collection and verification. Lead and direct an offshore team of process, risk and control analysts to support the cr

Has deep understanding of disease process, A&P and pharmacology. Acts as a key collaborator with Providers and Clinical areas to ensure the medical record accurately reflects the patients service. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core fu

Perform a wide variety of duties and assume a leadership role in providing High Performance Doors (HPD) parts support and training to internal client's resource teams along with distributors and their service departments and technicians. Act as the HPD Parts subject matter expert for all areas of the aftermarket business unit. Responsibilities Act as a Product Specialist/

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovativ

The EH&S Specialist is responsible for the continuous improvement of the Perlick Environmental, Health and Safety programs. This role is vital in providing a safe environment for our team and ensuring facility compliance with all federal, state, and local regulations. The EH&S Specialist also partners with the Monterrey, Mexico facility on safety initiatives, programs, an

Exhibits guiding behaviors that reflect Children's values and support our mission and vision. Orders pharmaceuticals, supplies, forms, office supplies and ancillary items as needed for pharmacy operations and for meeting patient, clinic and other customer demands. Orders medications on the proper accounts to maintain compliance with regulatory bodies and the programs the

Kenosha Community Health Center is seeking multiple Dentists to work at it's location in Silver Lake, Wisconsin! POSITION SUMMARY Working under the supervision of the Chief Dental Officer, the Dentist provides professional, high quality dental diagnosis, treatment and education to a broad range of patients, including children, adolescents and adults. ESSENTIAL JOB FUN