Payment Integrity Operations Manager

VirtualVocations
Norcross, Georgia, United States
Full-time

A company is looking for a Payment Integrity Professional / Operations Manager for DRG, Outpatient & Surgical Specialty coding.

Key Responsibilities : Review provider disputes, appeals, and create coding rules for selectionsEnsure accuracy of provider contract payments and correct claims paymentReview medical documentation for clinical indicators and perform CPT procedure reviewRequired Qualifications : CCS or CPC CertificationMS-DRG and APR-DRG auditing experienceMinimum 5 years' work experience in outpatient Specialty Surgeries and ProceduresMinimum 5 years' experience in performing inpatient coding audits in health insurance or hospital settingsBachelor's degree or higher in Health Information Management or related field is preferred

8 days ago
Related jobs
Promoted
VirtualVocations
Norcross, Georgia

A company is looking for a Payment Integrity Professional/Operations Manager for DRG, Outpatient & Surgical Specialty coding. Key Responsibilities:Review provider disputes, appeals, and create coding rules for selectionsEnsure accuracy of provider contract payments and correct claims paymentReview m...

DBS Bank
Atlanta, Georgia

Support Wealth Management and Institutional Business of the Bank and oversee payment servicing, loan and deposit processing, treasury administration and relevant support functions/reporting under Wealth Management Operations. Degree holder in Finance or related disciplines with at least 5 years hand...

Promoted
VirtualVocations
Norcross, Georgia

A company is looking for a Manager, Payment Operations. ...

Promoted
VirtualVocations
Norcross, Georgia

A company is looking for a Claims Program Manager - Payment Integrity. ...

Promoted
Capital One
Atlanta, Georgia

Senior Manager AI/ML Risk Guide - Enterprise Services Risk Office. The Enterprise Services Business Risk Office provides risk management support to several lines of business including: Tech, Enterprise Product & Experience, Brand, Enterprise Supplier Management, Capital One Ventures, External Affair...

Promoted
Avanos Medical
Alpharetta, Georgia

The Associate Business Analyst will be a key member of the cross-functional team responsible for business and operations analysis, financial planning and reporting, and other financial, strategic, and tactical services. Job Title:Finance Business Analyst I. We are currently seeking an Associate Busi...

Promoted
IBEX IT Business Experts
Norcross, Georgia

IBEX is an 8(a) and Women-Owned Small Business (WOSB), certified through the Small Business Administration (SBA) and the Women's Business Enterprise National Council (WBENC) respectively. In doing so, we help our clients develop world-class, business-centric services and business change environments...

Promoted
Garney Construction
Atlanta, Georgia

Traveling Assistant Project Manager. Work with project scheduling system. Track, audit, and project labor hours. ...

Promoted
VirtualVocations
Norcross, Georgia

A company is looking for a Building Materials Buyer. ...

Promoted
WH BASS INC
Duluth, Georgia

The Project Manager coordinates all preconstruction and construction activities throughout the duration of the project and is the main point of contact between Bass, the Client, Engineers, city/municipality and Architect. Financial Understanding – understands project cost reporting systems and...