FULL_TIME

FEED

OTHER

Processes Provider contracts, run reports, and responds to inquiries regarding contract compliance issues; images and indexes contracts and return images to network subcontractors; conducts quality assurance activities to ensure image quality and completion of image activities. Technical Skills: Proficient with key databases, including Claims System, Medical Management System, Authorization/Referral Systems, and Provider Information Management System(s); working knowledge of claims reimbursement methodology and medical coding; healthcare or managed care experience.

TriWest Healthcare Alliance

Provider Data Resolution Spec

equestftpin

PART_TIME

UNKNOWN

Caring and competent, NPs wanted to provide expert care to our patients, as well as responding to patients’ medical conditions and history, conducting physical examinations, accurately diagnosing, ordering, and interpreting radiology and lab tests, ordering referrals to specialists, prescribing medications, discussing treatment plans, and appropriately billing and coding. P3 Health Partners is a population health management group founded and led by fellow physicians who want to shift the industry’s focus from managing illness to cultivating wellness.

Bacchus and Kahan, PC

Nurse Practitioner - Seven Hills

Knowledge of: Reimbursement and coding methodologies and guidelines; MS-DRGs, APR-DRGs; Severity of Illness, Risk of Mortality, Medical Necessity, Core and Quality Measures and impact of Length of Stay; HACs/PSIs; supervisory principles and practices; disease pathophysiology and drug utilization clinical documentation improvement and coding; department and hospital safety practices and procedures; patient rights; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures; age specific care practices. Option 2: Certification in one of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA), issued by the American Health Information Management Association, Certified Professional Coder (CPC), Certified Professional Coder-Physician-based (CPC-P), and one of the following: Certified Document Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS), Certified Clinical Documentation Specialist-Outpatient (CCDS-O).

Global Force USA

Clinical Documentation Improvement (CDI) Manager

ea_via_bold

We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more.

Dane Street, LLC

Certified Coder & Auditing (Nevada-Based Only - Must Reside)

The PAM is the primary contact for consented patients and caregivers across the GSK Oncology portfolio, guiding them through onboarding, access, and ongoing phases of the treatment journey, and supports provider accounts within the territory on coverage, coding, and payment questions after a prescribing decision has been made. Key Responsibilities: Patient Navigation & Support: Serve as the point of contact for patients, caregivers, and HCP office staff, providing approved information and education on oncology-specific care, including benefit discussions, product and disease-state per the PI, and program-specific resources.

YEAR

GSK plc

Patient Access Manager (NORTHERN CA/NV/UT)

GSK, Plc.

Patient Access Manager (Northern Ca/Nv/Ut)

Licensed CPA, JD/LLM or completion of an advanced degree or professional certification/designation including: MBA (Masters of Business Administration), MCM (Masters of Construction Management), PHDE (PhD of Economics), PHE (Doctor of Engineering), ME (Masters of Engineering), MSRE (Masters of Science-Real Estate), AIA (Member, Amer Inst of Architects), Enrolled Agent, LEED (Leadership, Energy & Environmental Design) Certification, PE (Professional Engineer), or SIX SGMA (Six Sigma) Certification, in addition to others on KPMGs approved credential listing; any individual who does not possess at least one of the approved designations/credentials when their employment commences, has one year from their date of hire to obtain at least one of the approved designations/credentials; should you like to see the complete list of currently approved designations/credentials for the hiring practice/service line, your recruiter can provide you with that list. Work with KPMGs extensive network of specialists; enjoy access to our Ignition Centers, where deep industry knowledge merges with cutting-edge technologies to create innovative tax solutions.

KPMG International Cooperative

Manager or Senior Manager, R&D Tax Credits (AMCS)

Focus on completing annual wellness visits, closing gaps in care, and completing transitions of care/emergency room follow-up/post-discharge visits. Collaborate with the patient and the patient's family as needed to create and execute treatment plans and ensure proper coordination of care to optimize patient’s health progress.

Astrana Health, Inc.

Physician Assistant/Nurse Practitioner - Primary Care

PinpointHQ

As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.

Humana Inc

Referral and Scheduling Coordinator

The Endocrinology & Specialty Care Nurse Practitioner will provide comprehensive outpatient evaluation, diagnosis, treatment, and long-term management of patients with endocrine and metabolic disorders. The provider will collaborate with primary care providers and specialists to deliver individualized, evidence-based care while utilizing the latest clinical guidelines and technologies.

Med-Care Providers

Endocrinology & Specialty Care Nurse Practitioner (APRN/FNP/AGNP)

CenterWell

This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The Customer Service Rep I will be the first point of contact for new and existing customers insurance questions and will deliver a quality customer service experience that builds rapport and long-term relationships to encourage renewal/repeat business.

Medical Coding Specialist Jobs in Nevada

Provider Data Resolution Spec TriWest Healthcare Alliance

Nurse Practitioner - Seven Hills Bacchus and Kahan, PC

Clinical Documentation Improvement (CDI) Manager Global Force USA

Certified Coder & Auditing (Nevada-Based Only - Must Reside) Dane Street, LLC

Patient Access Manager (NORTHERN CA/NV/UT) GSK plc

Patient Access Manager (Northern Ca/Nv/Ut) GSK, Plc.

Manager or Senior Manager, R&D Tax Credits (AMCS) KPMG International Cooperative

Physician Assistant/Nurse Practitioner - Primary Care Astrana Health, Inc.

Referral and Scheduling Coordinator Humana Inc

Endocrinology & Specialty Care Nurse Practitioner (APRN/FNP/AGNP) Med-Care Providers

Referral and Scheduling Coordinator CenterWell

Bilingual Customer Service Representative, Insurance Markel Corporation

Customer Service Representative, Bilingual Markel Group Inc

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