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1. Manages Charge Description Master CDM research and maintenance in accordance with federal billing and coding guidelines. Assures accurate...
Operations * Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. * Responsible...
Operations * Oversees and reviews clinical charts for the following: sentinel events, quality of care concerns, and reportable incidents, patient...
Strategy Development and Execution * Work closely with leadership and key stakeholders to create and implement impactful communication and...
- Operations Collaborates with internal and external stakeholders to gather, analyze, and document claims and payment data. Conducts audits...
- Operations Develop and execute data quality checks to ensure provider data accuracy and integrity across all systems and files. Analyze provider...
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare...
Operations * Reviews prior authorization, concurrent, and pre-service and post-service appeals request for medical necessity and resolves...
Operations * Reviews prior authorization, concurrent, and pre-service and post-service appeals request for medical necessity and resolves...
1. Serves as a lead worker for Medical Practice Assistants to include training, scheduling, monitoring and completing Performance Indicator...
Operations * Identify, validate, and pursue claims overpayments to ensure recovery from providers, participants, or other responsible parties...
Operations Designs, develops, and deploys system solutions and integrations across solutions leveraging both open and proprietary tools across...
Operations Designs, develops, and deploys system solutions and integrations across solutions leveraging both open and proprietary tools across...
Operations Designs, develops, and deploys system solutions and integrations across solutions leveraging both open and proprietary tools across...
Operations Designs, develops, and deploys system solutions and integrations across solutions leveraging both open and proprietary tools across...
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of...
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare...
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare...
Operations Designs, develops, and deploys system solutions and integrations across solutions leveraging both open and proprietary tools across...
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare...
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