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Reimbursement methodologies Remote Jobs

18 fresh jobs found

Coder - Outpatient
Riedman - Remote, United States

Rochester Regional Health

Clintegrity Care Connect Error Resolution UDS Outpatient coding Treatment Reimbursement methodologies Workflow Design Health Information Management +10

USD 40K+

Product Manager - Payment Integrity (COB)
Remote, United States

Payment accuracy Feature prioritization Roadmap planning Payment Integrity Reimbursement methodologies Payment Metrics Tracking Claims Adjudication Exchange +56

USD 88K+

Payment Accuracy Specialist 1
Remote, United States

Reimbursement analysis Claims Validation Custom queries Technological improvements Client systems Audit tools Coordination of benefits Payment accuracy Claim adjudication +49

Entry Full Time

USD 58K+

Business Analyst II
Remote-MO, United States

Centene Corporation

Claims Payment Analysis Managed Care Information Systems Provider reimbursement methodologies Structured Testing Managed Care Information Claims payment Reimbursement methodologies Business Process Analysis Business solutions +26

Entry Mid Full Time

USD 55K+

Director of Payer Escalations
Remote, GA, United States

Insurance payer policies Microsoft SMSS Healthcare revenue cycle management Revenue cycle operations Reimbursement methodologies Intelligent Automation Workflow Orchestration Revenue Cycle Management Revenue Cycle +15

Exec Senior Full Time

USD 112K+

Manager, Denials and Appeals
US Remote

Payer compliance regulations Appeals processes Payer contract analysis Coding regulations Denials management PHI Reimbursement methodologies Insurance Billing Insurance Verification +42

USD 95K+

Manager Audit Content (CCV)
Remote, United States

Operational intelligence Coding methodologies Billing guidelines Medicare reimbursement Audit concepts Claim adjudication Healthcare coding Concept Development Payment Integrity +63

Senior Mid Full Time

USD 110K+

Business Analyst III Benefit Oversight
Remote-MO, United States

Centene Corporation

Provider reimbursement methodologies Structured Testing Regulation interpretation Managed Care Information Process redesign Claims payment Reimbursement methodologies Operational performance Microsoft Applications +32

Senior Mid Full Time

USD 68K+

Encounters Systems Analyst III (Prefer 837 file experience)
Ohio WFH, United States

Data Usability Claims operations Database Querying Billing Processes Hcpcs coding Reimbursement methodologies Healthcare Analytics SSIS Regulatory reporting +37

Senior Full Time

USD 81K+

Risk Adjustment Auditor II
Portland, OR, United States

Cambia Health Solutions

Chart reviews Health systems operations Coding conventions Provider coding Clinical coding ICD-10 Coding DO Reimbursement methodologies Provider education +17

USD 62K+

Provider Educator - Risk Adjustment
Portland, OR, United States

Cambia Health Solutions

HCC coding Health Care Industry Knowledge Dental Terminology ICD-10 Coding Reimbursement methodologies Provider education Risk Adjustment Provider Relations Medical terminology +9

USD 78K+

Provider Engagement Professional
Work at Home - Florida, United States

Medicaid policies V-look ups Medicare policies Stars performance Data Sharing STARS Tables Reimbursement methodologies Provider Contracting +52

USD 25K+

Content Analyst II (Medicaid)
Remote, United States

Internet-based research Medicaid guidelines Claims payment methodologies Medical policy rules NDC Clinical coding Medical policy Claims payment Reimbursement methodologies +33

USD 68K+

Concept Development Analyst
Remote, United States

Billing guidelines Technological improvements Claim selection methods Medicare reimbursement Coding logic development Audit Procedures Healthcare coding Chart validation Claim adjudication +50

Entry Senior Full Time

USD 95K+

Medical Review Manager Government Services
Remote, United States

Healthcare coding Claim adjudication Payment Integrity DRG Reimbursement methodologies Payment ICD-9 Adjudication ICD +35

Senior Mid Full Time

USD 100K+

Director, Behavioral Health Network
Remote US, United States

Contract preparation Reimbursement methodologies Provider Contracting Supervisory experience Analyzing Financial Acumen Functions Supervisory Team building +30

Exec Senior Full Time

USD 138K+

Complex Denials Consultant
Remote, MD, United States

Contractual appeals Payer-provider relations Appeal writing Administrative appeals Denials Reimbursement methodologies Contract Review Intelligent Automation Workflow Orchestration +10

USD 78K+

Client Policy Manager I
Remote, United States

Medical policy Clinical coding Healthcare Claims CMS guidelines Reimbursement methodologies Claims payment Payment Claims Adjudication Adjudication +29

USD 72K+

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