Prisma Health

Payor Contract Administrator F/T Day Remote

Prisma Health · Full Time · 2 hours ago

Prisma Health

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

Performs operational and financial analysis to evaluate managed care projects and ensure contract performance and compliance. Resolves reimbursement issues and maintains relationships with managed care organizations while providing education to staff and providers.

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Ambulatory Coder III, FT, Days, - Remote

Prisma Health · Full Time · 5 hours ago

Prisma Health

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

Responsible for abstracting and validating CPT, ICD-10, and HCPCS codes across inpatient, outpatient, and clinic settings. The role involves serving as a subject matter expert, resolving pre-billing edits, and mentoring other coders.

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Ambulatory Coder III, FT, Days, - Remote

Prisma Health · Full Time · 5 hours ago

Prisma Health

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

Responsible for abstracting and validating CPT, ICD-10, and HCPCS codes across inpatient, outpatient, and clinic settings. The role involves serving as a subject matter expert, resolving pre-billing edits, and mentoring other coders.

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Urgent Admission Specialist, FT, Days- Remote

Prisma Health · Full Time · 5 hours ago

Prisma Health

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Responsible for communicating with payors to secure initial notifications and authorizations for inpatient admissions and observation. Ensures accurate insurance verification and documentation to facilitate timely reimbursement for the healthcare organization.

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Ambulatory Coder III, FT, Days, - Remote

Prisma Health · Full Time · 5 hours ago

Prisma Health

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

Responsible for abstracting and validating CPT, ICD-10, and HCPCS codes across inpatient, outpatient, and clinic settings. The role involves serving as a subject matter expert, resolving pre-billing edits, and mentoring other coders.

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Epic Ambulatory Analyst, FT, Days, - Remote

Prisma Health · Full Time · 5 hours ago

Prisma Health

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The role involves analyzing workflows and implementing Epic application solutions to meet department needs. Responsibilities include system configuration, build maintenance, and providing technical support and training to end users.

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Registered Nurse (RN)- Discharge Care, Part-Time, Remote (SC or TN residents only), Weekends

Prisma Health · Full Time · 4 days ago

Prisma Health

🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare

Conduct post-discharge outreach calls to patients to assess recovery, medication adherence, and understanding of discharge plans. Coordinate follow-up care with providers and document all interactions in the EHR to prevent readmissions.

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Epic Analyst Senior, Clindoc, FT, Days, - Remote

Prisma Health · Full Time · 6 days ago

Prisma Health

🌎 United States ⭐ 5-10 yrs exp 💼 Others

Lead the analysis and development of clinical and technical processes to implement and optimize Epic modules. Manage system upgrades, coordinate with vendors, and mentor junior analysts to ensure data integrity and operational efficiency.

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Epic Ambulatory Analyst, FT, Days, - Remote

Prisma Health · Full Time · 15 days ago

Prisma Health

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The role involves analyzing workflows and implementing Epic application solutions to meet department needs. Responsibilities include system configuration, build maintenance, and providing expert support and training to end users.

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Ambulatory Coder III, FT, Days, - Remote

Prisma Health · Full Time · a month ago

Prisma Health

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

Responsible for abstracting and validating CPT, ICD-10, and HCPCS codes across inpatient, outpatient, and clinic settings. The role involves serving as a subject matter expert, resolving pre-billing edits, and mentoring other coders.

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Ambulatory Coder III, ENT, FT, Days, - Remote

Prisma Health · Full Time · 2 months ago

Prisma Health

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

Responsible for abstracting and validating CPT, ICD-10, and HCPCS codes across various healthcare settings. Serves as a subject matter expert for the ENT specialty and mentors other coding team members.

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Ambulatory Coder II Professional Billing, FT, Days, - Remote

Prisma Health · Full Time · 2 months ago

Prisma Health

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

The role involves validating, reviewing, and assigning coding for various medical settings while adhering to compliance guidelines. The coder will also communicate with providers regarding coding issues and assist in identifying training needs.

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Pharmacist-System Specialist (FT, Days)

Prisma Health · Full Time · 2 months ago

Prisma Health

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Pharmacist-System Specialist leads and manages projects and systems to ensure successful delivery within defined constraints. They collaborate with various teams to enhance operational productivity and performance.

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Health Information Management Inpatient Coder, FT, Days, - Remote

Prisma Health · Full Time · 2 months ago

Prisma Health

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

Responsible for coding medical information into billing systems using ICD and ICD-PCS guidelines for inpatient records, including NICU and major traumas. Ensures accurate DRG assignment and validates documentation for complications, comorbidities, and quality indicators.

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Epic Analyst Senior, Radiant, FT, Days, - Remote

Prisma Health · Full Time · 2 months ago

Prisma Health

🌎 United States ⭐ 5-10 yrs exp 💼 Others

Lead the analysis and development of Epic Radiant modules to meet clinical and business requirements. Oversee system upgrades, manage project timelines, and mentor junior analysts while serving as the primary technical liaison for vendors.

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Trauma Registry Analyst FT, Day-Remote

Prisma Health · Full Time · 3 months ago

Prisma Health

🌎 United States ⭐ 0-2 yrs exp 💼 Others

The Trauma Registry Analyst is responsible for all aspects of Trauma Registry Data, including abstraction, entry, and coding, to support the Trauma Program's verification and designation requirements. This involves applying comprehensive knowledge of medical terminology and coding systems like ICD-10 and AIS to collect complex data on trauma patient diagnoses, treatment, and quality metrics.

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Ambulatory Coder III, FT, Days, - Remote

Prisma Health · Full Time · 5 months ago

Prisma Health

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

Responsible for abstracting and validating CPT, ICD-10, and HCPCS codes for various healthcare settings. Communicates billing-related issues and participates in meetings to improve overall billing.

medical feedback training compliance

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Trauma Registry Analyst, PT, Day-Remote

Prisma Health · Full Time · 6 months ago

Prisma Health

🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare

The Trauma Registry Analyst is responsible for all aspects of the Trauma Registry Data including abstraction, entry, and coding. They must accurately identify patients for inclusion in the trauma registry and abstract clinical data from various sources.

medical time-management medical-terminology

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Trauma Registry Analyst, PT, Day-Remote

Prisma Health · Full Time · 6 months ago

Prisma Health

🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare

The Trauma Registry Analyst is responsible for all aspects of the Trauma Registry Data including abstraction, entry, and coding. They must accurately identify patients for inclusion in the trauma registry and abstract clinical data from various medical records.

medical time-management medical-terminology

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Provider Relations Coord-CIN, Corporate Maryville TN, FT, Day, Remote

Prisma Health · Full Time · 7 months ago

Prisma Health

🌎 United States ⭐ 5-10 yrs exp 💼 Others

The Provider Relations Coordinator is responsible for managing client/member services and communications between the Clinically Integrated Network and provider practices. This role involves training, relationship building, and ensuring compliance with network goals and policies.

communication reporting training leadership negotiation

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