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This position is responsible for helping to identify coding and other health care claim deviations that indicate a physician, hospital or other provider may not have properly billed for a health care service. The incumbent will create requirements to build on a software application. Requirements will stem from experience and knowledge in clinical and coding work. The incumbent will need to effecti
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1a. Review provider appeals and submitted medical records, determine a course of action and construct a thorough written resonse. 1b. Review and analyze complex inpatient, outpatient, and practitioner billing for medical appropriateness of treatment; analyze charges of various revenue centers with consideration to patient diagnosis, procedures, age and facility type including any additional inform
Posted Today
1. Develop annual plan for the achievement of sales objectives. 2. Execute individual new business growth plan and achievement of target sales forecast. 3. Support key sales efforts as the subject matter expert. 4. Facilitate the payment integrity and audit sales processes and present value propositions to prospects. 5. Collaborate with o and manage the assistance of finance, marketing, operations
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