6 Hipaa Standards Jobs

As a Cloverleaf Interface Analyst, you will be responsible for monitoring and supporting production interfaces on the Cloverleaf Integration Engine. Your role will involve proactively detecting and resolving interface errors, transmission failures, and system alerts. Additionally, you will perform real-time issue resolution, log review, and error tracking for various message formats such as HL7, X12, and custom formats. Effective communication with internal teams, clinical users, and external vendors will be crucial for resolving data transmission issues. Moreover, you will be required to escalate unresolved technical issues to senior interface developers or support vendors when necessary. M...

As a Medical Billing Specialist at our company, your role will involve sending appropriate appeals, accurate requesting information, supporting documentation, and effective communication to complete the recovery process. Additionally, you will assist with special A/R projects as needed, requiring analytical skills and the ability to communicate results effectively. It is essential to act cooperatively and courteously with patients, visitors, co-workers, management, and clients. You must also ensure the use, protection, and disclosure of patients" protected health information (PHI) in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards. Key Responsibilities: ...

Role Overview: As a Coding Auditor, you will be responsible for inpatient and outpatient coding and auditing for various specialties. Your role will also involve preparing and presenting audit results to internal and external parties. Key Responsibilities: - Perform coding audits and compliance audits for providers, including physicians and mid-level providers - Prepare reports of audits and present findings to relevant parties - Apply appropriate coding and documentation guidelines accurately, such as E&M and surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidance - Provide physician education based on audit findings or edit and deni...

You are an experienced Cloverleaf Interface Analyst with 3 to 5 years of hands-on experience in Cloverleaf interface engine monitoring and support. Your role involves daily monitoring, support, and maintenance of production interfaces to ensure data integrity and system uptime across critical healthcare applications. Your responsibilities include monitoring and supporting production interfaces on the Cloverleaf Integration Engine, proactively detecting and resolving interface errors, communicating effectively with internal teams and external vendors to resolve data transmission issues, maintaining interface documentation, assisting in interface testing and go-live support, participating in o...

You will play a crucial role in supporting various initiatives that enhance the healthcare financial experience at Zelis India. Your responsibilities will include managing the settlement of provider claims, acting as a specialist for the team. This position requires strong negotiation skills, a deep understanding of claims processes, and the ability to support and guide junior team members. Your duties will involve investigating and settling provider and client billing inquiries, including renegotiating claims to secure savings and meet or exceed department KPI goals. You will also be responsible for maintaining comprehensive tracking and documentation of all necessary information related to...

The Medical Claims Analyst plays a crucial role in the organization by handling collections, account follow-up, billing, and allowance posting for assigned accounts. Your responsibilities include meeting daily productivity/quality standards, adhering to established policies and procedures, analyzing claims issues to reduce denials, communicating identified trends to management, initiating appeals when necessary, correcting billing errors, and sending accurate appeals with supporting documentation. You will also assist with special A/R projects, demonstrate analytical skills, maintain confidentiality, and act professionally in all interactions. To qualify for this role, you should have comple...