5 cpc jobs found

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. We are seeking a highly motivated  Surgical Coding Denial Specialist  to join the AR Surgery team. This job can be performed 100% remotely and out of state candidates will be considered. The Surgical Coding Denial Specialist is primarily responsible for resolving all insurance claim denials for assigned surgical specialty departments to enhance revenues for CU Medicine...

Description The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care.  Clinical and/or technical expertise is utilized to address the provision of medical care and to identify inappropriate billing practices and errors inclusive of, but not limited to; duplicate billing, unbundling of charges, services not rendered, mathematical and data entry errors, undocumented services, reusable instrumentation, unused services and supplies, unrelated and/or separated charges, quantity and time increment discrepancies, inconsistencies with  diagnosis, treatment frequency and duration of care, DRG validation, service/treatment vs. scope of discipline, use of appropriate billing protocols, etc.  KNOWLEDGE & SKILLS: Concise and effective verbal and written communication skills  Ability to interface with claims...

At Wipfli, people count.   At Wipfli, our people are core to everything we do—the catalyst behind our ability to create exceptional impact and extraordinary results.   We believe in flexibility. We focus on relationships. We encourage each individual to follow their own path.   People truly matter and they feel it. For those looking to make a difference and find a professional home, Wipfli offers a career-defining opportunity. Join Wipfli as a Consultant II of Revenue Cycle, guiding clients through the complexities of optimizing financial performance.    Responsibilities:   Act as the SME for clients on medical coding standards, compliance, and best practices. Assess client needs and identify potential solutions Plan own work to meet client requirements Lead and manage multiple client engagements concurrently with minimal supervision. Deliver professional presentations to internal and external stakeholders. Provide...

Farragut Square Group provides clients with research and policy advisory services on a range of healthcare topics, including Billing and Coding Claims reviews of physician office practices and in and out-patient facilities.  As part of our ongoing commitment to be #AlwaysBetter for our people, clients, and communities, we have created a culture of belonging that champions your individuality and authenticity as both a person and a professional. From our competitive compensation, top benefits and award-winning professional development programs to industry-leading wellness initiatives, we support you through every stage of your life and career so you can live a life you love both in and outside of the office. With us, you’ll find: A Firm where everyone belongs: Our award-winning culture prioritizes warmth and authenticity — we encourage you to be yourself! Enthusiasm for diverse perspectives: We’re smarter and stronger when everyone has a voice and...