Adventist Health

RN, Care Manager, Utilization Management (Full-time, Remote)

Adventist Health · Full Time · 13 hours ago

Adventist Health

🌎 United States 💵 $59.23 - $81.24 per hour ⭐ 5-10 yrs exp 💼 Healthcare

The Care Manager performs clinical reviews of acute medical patients using Optum/InterQual tools to ensure appropriate care settings and resource utilization. They collaborate with healthcare teams and insurance providers to develop comprehensive care plans and prevent claim denials.

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Patient Access Scheduling Representative (Remote)

Adventist Health · Full Time · 4 days ago

Adventist Health

🌎 United States 💵 $25 - $30.91 per hour ⭐ 0-2 yrs exp 💼 Others

The representative performs patient access and scheduling functions, including verifying insurance eligibility and obtaining necessary authorizations. They also coordinate with providers to ensure accurate registration and provide exceptional customer service to patients and internal teams.

insurance customer-service medical

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Marketing Automation Coordinator (Remote)

Adventist Health · Full Time · 9 days ago

Adventist Health

🌎 United States 💵 $35.83 - $49.15 per hour ⭐ 2-5 yrs exp 💼 Marketing

Develop and execute multi-channel communications and automated workflows to drive engagement and brand reputation. Partner cross-functionally to manage content calendars, optimize email campaigns, and monitor performance metrics.

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Manager, Coding Quality Review (Remote)

Adventist Health · Full Time · 10 days ago

Adventist Health

🌎 United States 💵 $114K - $171K per year ⭐ 5-10 yrs exp 💼 Others

Leads the coding quality review team by overseeing audits, education, and reporting for ambulatory coding to ensure accuracy and regulatory compliance. Manages projects related to charge capture and documentation integrity while performing root cause analysis to drive process improvements.

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Patient Access Scheduling Representative (Remote)

Adventist Health · Full Time · 10 days ago

Adventist Health

🌎 United States 💵 $25 - $30.91 per hour ⭐ 2-5 yrs exp 💼 Others

Perform patient access and scheduling functions, including coordinating appointments and verifying insurance eligibility. Ensure patients are properly prepared for services and provide high-quality customer service to all stakeholders.

insurance customer-service medical

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Sr. Certified Coder, Acute Inpatient (Remote)

Adventist Health · Full Time · 25 days ago

Adventist Health

🌎 United States 💵 $36.91 - $48.16 per hour ⭐ 2-5 yrs exp 💼 Software Development

Reviews inpatient records to assign accurate diagnosis and procedure codes for reimbursement and statistical data submissions. Collaborates with clinical documentation and quality departments to ensure compliance with federal and state regulatory agencies.

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Acute Coding Quality Review Auditor (Remote)

Adventist Health · Full Time · a month ago

Adventist Health

🌎 United States 💵 $36.91 - $50.62 per hour ⭐ 5-10 yrs exp 💼 Finance

Performs quality reviews and audits to ensure compliance with DRG, ICD-10/PCS, and CPT coding guidelines for inpatient and outpatient services. Acts as a subject matter expert to improve data integrity, physician documentation, and reimbursement accuracy.

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RN, Quality Assurance (Home Health) Remote

Adventist Health · Full Time · a month ago

Adventist Health

🌎 United States 💵 $38.02 - $52.14 per hour ⭐ 2-5 yrs exp 💼 Software Development

Coordinates organization-wide quality improvement activities and performs concurrent and retrospective chart audits. Prepares analytical reports and monitors compliance with internal and regulatory standards to improve patient care.

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RN, Quality Assurance (Home Health) Remote

Adventist Health · Full Time · a month ago

Adventist Health

🌎 United States 💵 $38.02 - $52.14 per hour ⭐ 2-5 yrs exp 💼 Software Development

Coordinates organization-wide quality improvement activities and performs concurrent and retrospective chart audits. Monitors compliance with internal and regulatory standards to identify and correct deficiencies in patient care.

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Sr. Certified Coder, Acute SDS-OBSV (Remote)

Adventist Health · Full Time · 2 months ago

Adventist Health

🌎 United States 💵 $33.78 - $44.07 per hour ⭐ 2-5 yrs exp 💼 Software Development

Reviews and assigns ICD-10-CM and CPT codes for same day surgery and observation records to ensure accurate reimbursement. Audits medical records for compliance with federal and state regulatory agencies and provides feedback to leadership.

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Sr. Certified Coder, Acute Inpatient (Remote, Part-time)

Adventist Health · Full Time · 2 months ago

Adventist Health

🌎 United States 💵 $31.41 - $47.07 per hour ⭐ 2-5 yrs exp 💼 Software Development

Reviews inpatient records to assign accurate diagnosis and procedure codes for reimbursement and statistical data submissions. Collaborates with clinical documentation and quality departments to ensure compliance with federal and state regulatory agencies.

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Epic‑Certified EHR Systems Analyst I (Prelude – Registration)

Adventist Health · Full Time · 2 months ago

Adventist Health

🌎 United States 💵 $89603 - $134K per year ⭐ 2-5 yrs exp 💼 Others

The analyst is responsible for the design, build, implementation, and support of Epic Prelude EHR software. This includes analyzing workflows, performing needs assessments, and providing on-call technical support to end-users.

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Lead Certified Coder, Acute Inpatient (Remote)

Adventist Health · Full Time · 3 months ago

Adventist Health

🌎 United States 💵 $24.4 - $32.49 per hour ⭐ 5-10 yrs exp 💼 Software Development

Reviews inpatient records to ensure accurate diagnosis and procedure coding in accordance with guidelines. Performs audits, manages payor denials, and provides educational feedback to coding associates and leadership.

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Epic Certified EHR Systems Analyst II (ClinDoc)

Adventist Health · Full Time · 3 months ago

Adventist Health

🌎 United States 💵 $85336 - $128K per year ⭐ 2-5 yrs exp 💼 Others

The Systems Analyst will design, build, implement, and support Epic EHR software while ensuring alignment with clinical workflows. They will also perform needs assessments, troubleshoot system issues, and provide on-call support for critical applications.

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