Baptist Health System, Inc.

Claims Resolution Specialist II, Hospital Billing, Baptist Metro

Baptist Health System, Inc. · Full Time · 6 days ago

Baptist Health System, Inc.

🌎 United States ⭐ 2-5 yrs exp 💼 Finance

Responsible for resolving medical claims with commercial, third-party, and government payers while analyzing explanation of benefits to ensure proper payment. The role involves following up on rejected billings, denied claims, and communicating trends in denials to leadership.

insurance medical

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Revenue Cycle Senior Project Manager, Remote, Metro Square

Baptist Health System, Inc. · Full Time · 6 days ago

Baptist Health System, Inc.

🌎 United States ⭐ 5-10 yrs exp 💼 Sales

Lead complex cross-functional initiatives to drive operational excellence within the Revenue Cycle and Appeals & Denials Department. Act as a strategic liaison between operational teams and IT to translate business requirements for Epic analysts and optimize system performance.

agile reporting testing

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CDM Analyst II, Charge Master, Baptist Metro Square

Baptist Health System, Inc. · Full Time · 14 days ago

Baptist Health System, Inc.

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Coordinates and maintains the Charge Description Master to ensure regulatory compliance and appropriate reimbursement. Facilitates accurate charge capture through research, investigation, and staff education.

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Oncology Data Specialist, Part Time, Baptist MD Anderson, Remote

Baptist Health System, Inc. · Full Time · 14 days ago

Baptist Health System, Inc.

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The role involves abstracting and managing clinical oncology data from patient records to support national cancer registry reporting. The specialist will track patient data from diagnosis through follow-up and maintain a workflow of five cases per day.

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Facility Credentialing & Enrollment Analyst, Remote, Baptist Downtown

Baptist Health System, Inc. · Full Time · 15 days ago

Baptist Health System, Inc.

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Acts as a liaison between Baptist Health, payers, and governmental entities to manage credentialing and enrollment. Ensures all facilities and clinical providers are privileged in accordance with statutory and accreditation requirements.

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Inpatient Hospital Coding Auditor, Remote, Baptist Metro Square

Baptist Health System, Inc. · Full Time · 20 days ago

Baptist Health System, Inc.

🌎 United States ⭐ 2-5 yrs exp 💼 Finance

Perform retrospective and concurrent quality assurance audits of inpatient encounters to ensure accuracy and compliance with coding guidelines. Identify educational opportunities and provide feedback to coding leadership based on audit trends.

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Clinical Documentation Integrity Specialist, Baptist Metro Square

Baptist Health System, Inc. · Full Time · 22 days ago

Baptist Health System, Inc.

🌎 United States ⭐ 2-5 yrs exp 💼 Writing

Facilitate the improvement of clinical documentation quality and compliance through interaction with physicians and coding staff. Ensure accurate DRG assignment and conduct initial and concurrent reviews on admissions to measure patient outcomes.

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Inpatient Hospital Coder, Remote, Baptist Metro Square

Baptist Health System, Inc. · Full Time · a month ago

Baptist Health System, Inc.

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

Responsible for assigning diagnosis and procedure codes using ICD-10-CM/PCS and CPT for inpatient and observation accounts. The role involves auditing, resolving claim edits, and coordinating with CDI and HIM staff to optimize documentation.

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Team Lead, Inpatient Coding

Baptist Health System, Inc. · Full Time · a month ago

Baptist Health System, Inc.

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Coordinate daily inpatient coding operations to ensure accurate, compliant, and timely record processing for revenue optimization. Provide mentorship, training, and auditing support to coders and CDI staff.

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Certified Epic Reimbursement Contracts Analyst, Remote, Baptist Metro Square

Baptist Health System, Inc. · Full Time · 2 months ago

Baptist Health System, Inc.

🌎 United States ⭐ 2-5 yrs exp 💼 Legal

The analyst is responsible for loading and maintaining managed care and government contracts within the Epic system. They will validate reimbursement functionality and collaborate with stakeholders to ensure accurate contract implementation and compliance.

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APRN AgeWell

Baptist Health System, Inc. · Full Time · 2 months ago

Baptist Health System, Inc.

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The APRN consults with patients to diagnose conditions and prescribe treatment strategies, including medications. They may also engage in medical research and advocate for policies benefiting elderly patients.

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Senior Payer Strategy Analyst, Payor Strategy & Analytics, Remote, Baptist Metro Square

Baptist Health System, Inc. · Full Time · 3 months ago

Baptist Health System, Inc.

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The analyst will model reimbursement rates, analyze payer performance, and provide financial insights to influence contract negotiations. They are responsible for monitoring payer behavior and conducting ad hoc modeling to support strategic planning.

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