Presbyterian Healthcare Services

Call Center Representative

Presbyterian Healthcare Services · Full Time · 3 hours ago

Presbyterian Healthcare Services

🌎 United States 💵 $16.79 - $24.95 per hour ⭐ 2-5 yrs exp 💼 Support

Provide high-quality customer service to members and providers across various PHP benefit plans via phone, chat, and email. Handle inquiries and maintain quality standards while functioning effectively within a team environment.

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Remote PRN IP Facility PCS/ICD coder

Presbyterian Healthcare Services · Full Time · 5 days ago

Presbyterian Healthcare Services

🌎 United States 💵 $22.79 - $34.8 per hour ⭐ 2-5 yrs exp 💼 Software Development

Assign appropriate CPT, ICD, and MS-DRG codes to inpatient and outpatient records for financial reimbursement and research. Resolve pre-bill edits and denials while maintaining a 95% accuracy rate and meeting productivity standards.

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Remote PRN IP Facility PCS/ICD Coder

Presbyterian Healthcare Services · Full Time · 5 days ago

Presbyterian Healthcare Services

🌎 United States 💵 $22.79 - $34.8 per hour ⭐ 2-5 yrs exp 💼 Software Development

Assign appropriate CPT, ICD, and MS-DRG codes to inpatient and outpatient records for financial reimbursement and research. Resolve pre-bill edits and denials while maintaining a 95% accuracy rate in accordance with federal regulations.

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PFS Government A/R Specialist

Presbyterian Healthcare Services · Full Time · 18 days ago

Presbyterian Healthcare Services

🌎 United States 💵 $16.66 - $24.19 per hour ⭐ 2-5 yrs exp 💼 Others

Accurately submit insurance claims for various payer types and resolve edits, rejections, and denials. Perform A/R follow-up and appeals while maintaining compliance with CMS and federal regulations.

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Remote Pro Fee Auditor/Educator

Presbyterian Healthcare Services · Full Time · a month ago

Presbyterian Healthcare Services

🌎 United States 💵 $54516.8 - $83262.4 per year ⭐ 2-5 yrs exp 💼 Finance

Perform internal audits and reviews to ensure compliance with enterprise-wide and regulatory coding policies. Develop educational programs and corrective action plans to improve coding quality and resolve billing discrepancies.

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IP Facility Coder with CCS - Medical Records

Presbyterian Healthcare Services · Full Time · a month ago

Presbyterian Healthcare Services

🌎 United States 💵 $23.11 - $35.29 per hour ⭐ 2-5 yrs exp 💼 Software Development

The IP Facility Coder is responsible for assigning appropriate CPT, ICD, and MS-DRG codes to inpatient, outpatient, and specialty records for financial reimbursement. They must also resolve pre-bill edits and denials while ensuring adherence to hospital and federal regulatory policies.

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Clinical Pharmacy Review Specialist

Presbyterian Healthcare Services · Full Time · a month ago

Presbyterian Healthcare Services

🌎 United States 💵 $18.33 - $27.25 per hour ⭐ 2-5 yrs exp 💼 Healthcare

Provides clinical support for pharmacy services by reviewing prior authorization requests and researching clinical data for coverage determinations. Communicates with members and providers regarding benefit coverage, formulary criteria, and pharmacy policies.

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Senior Strategy Manager

Presbyterian Healthcare Services · Full Time · a month ago

Presbyterian Healthcare Services

🌎 United States 💵 $103K - $162K per year ⭐ 5-10 yrs exp 💼 Others

The role focuses on providing quantitative rigor and structured thinking to the enterprise strategy function to inform growth initiatives and partnerships. Responsibilities include synthesizing complex data into actionable insights and creating visually compelling deliverables for healthcare leadership.

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Remote PRN ProFee Multi specialty coder

Presbyterian Healthcare Services · Full Time · a month ago

Presbyterian Healthcare Services

🌎 United States 💵 $21.7 - $33.14 per hour ⭐ 2-5 yrs exp 💼 Software Development

Assign appropriate CPT, ICD, and MS-DRG codes to medical records for financial reimbursement and research compliance. Resolve pre-bill edits and denials while maintaining a 95% accuracy rate and meeting productivity standards.

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Medical Economics Analyst-Payment Integrity

Presbyterian Healthcare Services · Full Time · a month ago

Presbyterian Healthcare Services

🌎 United States 💵 $83366.4 - $127K per year ⭐ 2-5 yrs exp 💼 Healthcare

Identify and validate medical cost savings opportunities by analyzing claims data for overpayments and billing anomalies. Partner with Payment Integrity teams and vendors to develop audit strategies and translate operational activities into financial outcomes.

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IP Facility Coder

Presbyterian Healthcare Services · Full Time · 2 months ago

Presbyterian Healthcare Services

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

The IP Facility Coder is responsible for assigning appropriate CPT, ICD, and MS-DRG codes to inpatient, outpatient, and specialty records for financial reimbursement. They must resolve pre-bill edits and denials while ensuring adherence to federal regulations and hospital policies.

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Remote IP Facility CCS Coder

Presbyterian Healthcare Services · Full Time · 2 months ago

Presbyterian Healthcare Services

🌎 United States 💵 $21.7 - $33.14 per hour ⭐ 2-5 yrs exp 💼 Software Development

Assign appropriate CPT, ICD, and MS-DRG codes to inpatient and outpatient records for financial reimbursement and research. Maintain high accuracy and productivity standards while resolving pre-bill edits and denials.

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Profee Remote Auditor/Educator

Presbyterian Healthcare Services · Full Time · 2 months ago

Presbyterian Healthcare Services

🌎 United States 💵 $54516.8 - $83262.4 per year ⭐ 2-5 yrs exp 💼 Finance

The role involves performing internal audits and reviews to ensure compliance with enterprise-wide and regulatory coding policies. It also includes developing educational programs and training for clinical staff to improve documentation and coding accuracy.

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Senior AI Business/Process Analyst

Presbyterian Healthcare Services · Full Time · 2 months ago

Presbyterian Healthcare Services

🌎 United States 💵 $77563.2 - $118K per year ⭐ 5-10 yrs exp 💼 Software Development

The role focuses on identifying and optimizing business processes for automation using AI and RPA technologies. It involves collaborating with stakeholders to design technical specifications and managing the implementation and continuous improvement of automation projects.

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Certified Cardiothoracic Vascular Surgery Coder

Presbyterian Healthcare Services · Full Time · 2 months ago

Presbyterian Healthcare Services

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

The coder is responsible for assigning accurate medical codes to inpatient, outpatient, and specialty records to ensure proper financial reimbursement. They must also resolve pre-bill edits and denials while maintaining up-to-date knowledge of regulatory coding guidelines.

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APC- Sleep Medicine - CDS

Presbyterian Healthcare Services · Full Time · 3 months ago

Presbyterian Healthcare Services

🌎 United States ⭐ 5-10 yrs exp 💼 Others

The Advanced Practice Provider will provide direct patient care in a sleep medicine clinic setting. Responsibilities include diagnosing and treating sleep disorders such as apnea, narcolepsy, and insomnia while maintaining documentation according to AASM standards.

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Nurse Practitioner / Physician Assistant - Family Medicine - Santa Fe

Presbyterian Healthcare Services · Full Time · 5 months ago

Presbyterian Healthcare Services

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The provider will deliver comprehensive medical care to patients with both acute and chronic illnesses while collaborating with a healthcare team. Responsibilities include making medical judgments, prescribing treatments, managing patient relationships, and participating in health management initiatives.

assistant medical pharmacist communication behavioral-health counseling literature coaching

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Interventional Cardiologist

Presbyterian Healthcare Services · Full Time · 5 months ago

Presbyterian Healthcare Services

🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare

The Interventional Cardiologist will provide a full spectrum of interventional cardiology services in both inpatient and outpatient settings. They will also participate in a call rotation and manage the physician/patient relationship.

medical literature coaching

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MD-Gastroenterology-Clinic-Virtual-CDS

Presbyterian Healthcare Services · Full Time · 5 months ago

Presbyterian Healthcare Services

🌎 Mexico, United States ⭐ 10+ yrs exp 💼 Healthcare

The physician will deliver clinical care to patients in the GI practice and supervise the care provided by Advanced Practice Clinicians (APCs). They will also lead special clinical programs and work with the leadership team on various operational aspects.

medical risk-management leadership coaching

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Advanced Practice Clinician (NP or PA) - Family Medicine - Santa Fe

Presbyterian Healthcare Services · Full Time · 5 months ago

Presbyterian Healthcare Services

🌎 Mexico, United States ⭐ 2-5 yrs exp 💼 Healthcare

The provider will deliver comprehensive medical care to patients with both acute and chronic illnesses, while managing the provider/patient relationship. Responsibilities also include ordering diagnostic tests, prescribing treatments, and participating in health management initiatives.

assistant medical pharmacist communication behavioral-health counseling literature coaching

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