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Work closely with the UCH Medical Staff Office, Highlands Ranch Medical Staff Office, Children's Hospital and other Satellite Radiology Offices, to lead new physicians through the clinical credentialing process and set up their CU Medicine billing profile in Salesforce with strict deadlines to ensure ability to practice on day one. At the principal level, the Credentialing Specialist role will operate as the department's subject matter expert related to the maintenance of the documentation for the verification processes used to confirm healthcare provider's credentials and professional standing, accreditation requirements or organizational policies.

YEAR

University of Colorado

Credentialing Coordinator (Int - Senior), Credentialing Specialist (Prin Prof)

Facilitate modifications to clinical documentation through extensive interaction with physicians, nurses and ancillary staff based on knowledge of coding and HCC guidelines, documentation strategies, and clinical documentation requirements (25%). In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Highmark provides millions of people with the security of quality health insurance
Our history of helping families and companies with their health insurance needs dates to the 1930s, when our predecessor companies were established to help Pennsylvania's residents pay for health care.
Highmark was created in 1996 by the consolidation of two Pennsylvania licensees of the Blue Cross and Blue Shield Association — Pennsylvania Blue Shield (now Highmark Blue Shield) and Blue Cross of Western Pennsylvania (now Highmark Blue Cross Blue Shield). We are now one of the largest health insurers in the United States.
Highmark's officers and board of directors set the company's strategic direction and corporate policies. They are guided by our mission, vision and values.

Highmark Inc

RN Clinical Document Specialist- AHN

This role serves as a primary point of contact for owners, closing companies, real estate professionals, brokers, title agencies, attorneys, and internal teams regarding ownership record updates and transfer requirements. The ideal candidate will have experience in customer service, call center operations, timeshare administration, title processing, deeding, contract processing, real estate transactions, mortgage servicing, or hospitality operations.

Westgate Resorts

Name Change/Resale Specialist (Bilingual)

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FULL_TIME

This role serves as a primary point of contact for owners, closing companies, real estate professionals, brokers, title agencies, attorneys, and internal teams regarding ownership record updates and transfer requirements. Westgate Resorts is seeking a Document Management Name Change Specialist fluent in English and Spanish to support timeshare ownership transfers, resale transactions, name changes, and account maintenance activities.

Document Management - Name Change Specialist (Bilingual)

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Regulatory & Compliance Certifications (required based on project scope and jurisdiction): NICET Electrical Power Testing certification, ICC Electrical Inspector certification, NETA Electrical Testing Technician certification, CSA‑recognized Electrical Safety Officer, provincial Electrical Inspector certification, or equivalent state‑ or provincially‑recognized electrical inspector / examiner credentials. Reviews, interprets, and consolidates client‑supplied electrical quality requirements related to materials, equipment, installation, inspection, and testing - including power distribution systems, cable and raceway systems, grounding and bonding, substations, motor control centers (MCCs), switchgear, variable frequency drives (VFDs), instrumentation, and control systems.

PCL Constructors Inc

Electrical Quality Specialist

The CNS is responsible and accountable for diagnosis and treatment of health/illness states, disease management, health promotion, and prevention of illness and risk behaviors among individuals, families, groups and communities (APRN Joint Dialogue Group Report, July 7, 2008). Licensed Registered Nurse (LRN) - Multi-State - State Board of Nursing Registered Nurse in State of Kansas or State of MissouriAs a condition of your employment and continued employment with the health system, you are required to secure a Nurse Compact License (NCL) within 60 days of your date of hire.

The University of Kansas Health System

Clinical Nurse Specialist (CNS)- Acute Care (Full-time)

This position plays a key role in use of the electronic health record for identification of eligible patients, clinical workflows for successful patient engagement, coordination with Medicaid Managed Care Organizations for referral of patients, documentation and submission of incentive payments, and helping facilities adopt and sustain systemwide best practices. Care Coordination Specialist (CCS)-Medicaid Incentive Payment ProgramDays- Full TimeCare Collaborative Hays Position Summary / Career Interest: The Care Coordination Specialist (CCS) supports Medicaid Incentive Payment (MIP) Program implementation across primary care practices in rural Kansas communities.

Care Coordination Specialist (CCS)-Medicaid Incentive Payment Program

Job Overview: This position abstracts provider documentation and assigns specific and appropriate ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes based on clinical documentation and official guidelines/regulations provided by government and insurance carriers. In this position, you'll review provider documentation, assign correct ICD and CPT codes, research denials, and collaborate with clinical teams to ensure clarity and consistency in documentation and coding practices.

TriHealth, Inc.

Coding Specialist I

Brightli is on a Mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. In this role, you'll have the opportunity to conduct meaningful audits, identify opportunities for improvement, support organizational integrity, collaborate with leaders across multiple departments, and contribute directly to quality healthcare services that improve lives.

Burrell Behavioral Health

Integrity Specialist, Market

Supports coding leads, supervisors, and management in resolving and escalating coding issues that arise within the RCM and provides information to support coding education staff to validate accuracy and precision of the coding process. Other Certified Pension Consultant (CPC) Required and Other RHIA- Registered Health Information Administrator Required and Other RHIT- Registered Health Information Technician Required and Other CCA- Certified Coding Associate and CCS-P and any applicable dual certification Required.

Senior Coding Specialist

The CNS is responsible and accountable for diagnosis and treatment of health/illness states, disease management, health promotion, and prevention of illness and risk behaviors among individuals, families, groups and communities (APRN Joint Dialogue Group Report, July 7, 2008). Licensed Registered Nurse (LRN) - Multi-State- State Board of Nursing Registered Nurse in State of Kansas or State of MissouriAs a condition of your employment and continued employment with the health system, you are required to secure a Nurse Compact License (NCL) within 60 days of your date of hire.

Clinical Nurse Specialist - Critical Care

PRIMARY OBJECTIVE: To accurately link ICD-10, CPT and HCPCS codes to daily charges, ensure ICD-10, CPT and HCPCS codes are updated and reviewed regularly for accuracy, monitor physician and physician extender coding practices, and ensure that all charges are accounted for and entered in a timely manner. Links ICD-10 codes to CPT and HCPCS codes correctly and completely prior to processing for billing, insurance filing and revenue reporting.

Metro Urology

Medical Coding Specialist

What You Will Do: Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding, Focused, Service Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs. What We're Looking For: As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews.

HOUR

Datavant LLC

Inpatient Audit Specialist- PRN

Inpatient Audit Specialist PRN

The Certified Procedural Coding Specialist works under supervision and reads/interprets health record documentation to identify all diagnoses and procedures that affect the outpatient encounter visit. The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity.

University of Arkansas

Certified Procedural Coding Specialist

Inpatient Audit Specialist PRN - Remote

RESPONSIBILTIES AND PERFORMANCE EXPECTATIONS include, but are not limited to, the following: Assesses adequacy of health record documentation in order to support accurate, complete and specific assignment of modifiers, International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Common Procedural Coding (HCPC) codes to maximize reimbursement. POSITION SUMMARY: Under general supervision the position is responsible for billing, coding, posting, assigning correct payer sources, submitting clean claims to insurances and follow up for on denial claims in order to maximize the revenue cycle through billing and coding expertise.

Central Florida Health Care, Inc.

Billing and Coding Specialist

Today, Celestica delivers innovative supply chain solutions globally to customers in strategic two operating and reporting segments: Advanced Technology Solutions (ATS) and Connectivity and Cloud Solutions (CC): ATS: This segment serves customers in complex, regulated and high-reliability markets such as Industrial & Smart Energy, Aerospace & Defense, Semiconductor Capital Equipment, and HealthTech. Performs tasks such as, but not limited to, the following: Provides support to the Sustainability Manager on the following key initiatives: Working with multiple areas within Celesticas organization to develop and monitor that appropriate goals are in place within Celestica and its global facilities.

Celestica Inc

08 - Sustainability Specialist

Today, Celestica delivers innovative supply chain solutions globally to customers in strategic two operating and reporting segments: Advanced Technology Solutions (ATS) and Connectivity and Cloud Solutions (CC): ATS: This segment serves customers in complex, regulated and high-reliability markets such as Industrial & Smart Energy, Aerospace & Defense, Semiconductor Capital Equipment, and HealthTech. Backed by comprehensive capabilities and a global network across North America, Europe and Asia, Celestica helps customers gain competitive advantage with the quality, flexibility and resiliency they need to respond quickly to shifts in demand.

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Credentialing Coordinator (Int - Senior), Credentialing Specialist (Prin Prof) University of Colorado

RN Clinical Document Specialist- AHN Highmark Inc

Name Change/Resale Specialist (Bilingual) Westgate Resorts

Document Management - Name Change Specialist (Bilingual) Westgate Resorts

Electrical Quality Specialist PCL Constructors Inc

Clinical Nurse Specialist (CNS)- Acute Care (Full-time) The University of Kansas Health System

Care Coordination Specialist (CCS)-Medicaid Incentive Payment Program The University of Kansas Health System

Coding Specialist I TriHealth, Inc.

Integrity Specialist, Market Burrell Behavioral Health

Senior Coding Specialist TriHealth, Inc.

Clinical Nurse Specialist - Critical Care The University of Kansas Health System

Medical Coding Specialist Metro Urology

Inpatient Audit Specialist- PRN Datavant LLC

Inpatient Audit Specialist PRN Datavant LLC

Certified Procedural Coding Specialist University of Arkansas

Inpatient Audit Specialist PRN - Remote Datavant LLC

Billing and Coding Specialist Central Florida Health Care, Inc.

08 - Sustainability Specialist Celestica Inc

08 - Facilities Specialist Celestica Inc

Certified Procedural Coding Specialist University Of Arkansas System

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