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Franciscan Missionaries of Our Lady Health System
Franciscan Missionaries of Our Lady Health System
H1B vizasi homiysiIjtimoiy ta’sirNotijoratSog‘liqni saqlash
Franciscan Missionaries of Our Lady Health System Luiziana va Missisipi shtatining yirik metropoliten hududidagi jamoalarga xizmat ko‘rsatuvchi yirik notijorat katolik sog‘liqni saqlash tashkilotidir. Uning tibbiy xizmatlar tarmog‘i keng ko‘lamli sog‘liqni saqlash xizmatlarini taqdim etadigan shifoxonalar, klinikalar va shifokorlarni o‘z ichiga oladi. Tashkilot faoliyati bemorlarga g‘amxo‘rlik qilish, jamoat salomatligini mustahkamlash va ta’limga qaratilgan. Bosh qarorgohi Luiziana shtatining Baton-Ruj shahrida joylashgan bo‘lib, tashkilot mintaqadagi bemorlarga xizmat ko‘rsatish va sog‘liqni saqlash natijalarini yaxshilashga e’tibor qaratadigan katta tibbiyot xodimlari jamoasini birlashtiradi.
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Kompaniyadagi ish o‘rinlari

Reimbursement Auditor, Louisiana (Remote)

Conduct remote audits of hospital coding, claims, medical records, and charges. Support regulatory compliance, accurate reimbursement, billing resolution, and revenue-cycle improvement.

USAmerika Qo‘shma ShtatlariLALuizianaMasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaAuditor

Tavsif

  • Audit Charge Master-driven and HIM-assigned codes and medical-record documentation against itemized charges and facility-assigned codes for government and non-government accounts.
  • Correct inaccurate items and services.
  • Help resolve billing edits and provide coverage guidance for billable services.
  • Monitor the Federal Register, Medicare and Fiscal Intermediary transmittals, bulletins, memorandums, NCD, LCD/LMRP, OCE, and CCI edit-management resources.
  • Inform designated hospital team members about current and forthcoming APC and other government-program regulations.
  • Deliver twice-yearly training for designated hospital staff and provide education to revenue-producing and ancillary departments as needed.
  • Review CMS, Medicare, and Medicaid bulletins and implement internal updates that support coding and charge-practice compliance.
  • Record monthly findings and recommend actions to prevent recurring billing issues and advance process-improvement initiatives.
  • Help reduce bill rejections and payment delays arising from coding and billing practices.
  • Prepare reports covering process-improvement recommendations and systemic claim-processing issues.
  • Audit medical records to verify that services are accurately represented on itemized statements and related documentation.
  • Evaluate selected retrospective claims and records for accuracy and defend facility charging and coding practices during focused audits.
  • Identify APC-related coding and billing issues and verify outpatient claims use the correct CPT-4 and HCPCS Level II codes.
  • Analyze how changes to the Charge Description Master and billing practices affect revenue.
  • Complete other assigned duties.

Talablar

  • At least three years of experience.
  • Associate degree in Nursing or Health Information Management.
  • Proficiency with payment review systems, payment methodologies, and insurance terminology.
  • Ability to synthesize and evaluate data.
  • In-depth knowledge of ICD-9-CM, HCPCS, and CPT-4 nomenclature, codes, and guidelines.
  • Proficiency with 3M coding software.
  • Current RHIT or LPN license.

O‘xshash ish o‘rinlari

AT&T

AT&T Business Sales Representative, Territory Accounts — Memphis

AT&T
H1B vizasi homiysiTelekommunikatsiyalarTexnologiya va innovatsiya
USAmerika Qo‘shma ShtatlariTNTennessi
38 800 $ – 58 200 $ / yil
OfisdaTo‘liq stavkaJuniorO‘rta darajaDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaSotuv

Build AT&T’s Memphis small-business and mid-market customer base by selling fiber broadband and other communications solutions. The role combines prospecting, account development, and consultative selling to grow territory revenue.

Ochish