This position's primary function is to process authorization requests timely and accurately in accordance with federal, state and accreditation guidelines. This position will be responsible for the completion of authorizations, including but not limited to, data entry of information received by phone, fax or electronically, verification of member eligibility, benefit cove

This position provides quality and knowledgeable coordination of patient exam scheduling, knowledge of exams, exam preparations, accurate patient instructions, and providing customer service to the public, physicians, and all areas within Renown Health. Nature and Scope The incumbent schedules examinations for Renown Health locations. The major challenges for this positio

This position is responsible for the day to day management of the Care Management (CM) program, D SNP Care Management Program, and Transitions of Care. The position entails staff supervision and personnel management in the department. The Clinical Manager is responsible for the implementation of and management of a comprehensive Care Management and Transitions of Care Pro

Under the direction of surgical services leadership, the Surgical Pre Admission Assistant reviews patient information for accuracy prior to routing documents to appropriate queues for scheduling or day of surgery. If deficiencies are found, the Surgical Pre Admission Assistant shall contact the physician offices to obtain necessary documents. The Surgical Pre Admission As

The Care Coordinator is key member of our team, who will deliver continuous patient monitoring and care coordination by assisting (virtually) chronically ill patients from a remote setting. The Care Coordinator will work closely with the patients that are enrolled in a Chronic Care Management program (CCM) and/or Remote Physiological Monitoring program (RPM). The Care Coo

The purpose of this position is to correctly assign ICD 10 CM diagnostic/procedure CPT codes on clinical encounters in accordance with regulatory and CMS Official Guidelines for coding and reporting to ensure accurate reimbursement Nature and Scope Incumbent provides intermediate Clinical outpatient coding support through the Health Information Management department and w

Education Must have working level knowledge of the English language, including reading, writing and speaking English. High School Diploma/GED required. Experience A minimum of 2 5 years of previous inpatient coding experience is required. Experience in acute care facility inpatient and/or Trauma Level II coding preferred. License(s) None Certification(s) CCS, CPC, and/or

Willow Springs Center has an opening for a Biller/Collector position. Working at Willow Springs Center means building a career that is dynamic and satisfying; having the opportunity to work and learn from some of Nevada's leading mental health professionals; and being a part of something meaningful that changes the world, one child at a time. Work at Willow Springs Center

This position will assist in the development of new programs and services associated with Renown Regional Medical Center and the Institute for Neurosciences. Nature and Scope This position shares responsibility for administering all aspects of the neurosciences/Stroke program. The position is accountable for attaining a comprehensive clinical program(s) to include Multipl

This position provides case management for patients with end stage organ disease referred for transplantation. This position facilitates pre and post transplant care for patients through face to face or telephonic interventions, providing, facilitating, and coordinating support for transplant program initiatives, as well as education and training for both patients and pro

The Manager of Quality_Cardiovascular is a qualified individual who provides leadership, direction, and support for the Cardiovascular Service Line. The function of the role manages accreditation, certification, and survey activities in conjunction with Director of Clinical Excellence. This position utilizes data analysis to drive process improvement initiatives and promo

The Risk Adjustment Submissions Manager is a core member of the Risk Adjustment team who specializes in submission of healthcare encounter data to CMS, use of the submissions platform to manage submissions and errors, applicable regulatory edits and business rules. The Risk Adjustment Submissions Manager maintains the throughput of encounter data to the proper regulatory

A Release of Information staff member provides coverage for release of information functions for both medical records and imaging, including written and verbal requests for health information for all of the Renown Health System. The other main responsibility is patient and physician communication of medical/imaging information within the HIPAA guidelines. Duties include O

This position is responsible for clinical and medical administrative leadership for Value Based Care initiatives and programs specifically designed for Renown Medical Group and any potential affiliates and partners. In partnership and collaboration with RMG clinical and administrative leadership and other Renown partners, this medical director will provide training, analy

The Payment Integrity Program Lead will ensure that claims are paid accurately through Coordination of Benefit (COB) processing using secondary insurance coverage information. This position is directly responsible for researching and maintaining coordination of benefits of all contracted and non contracted health plan entities as reported by multiple sources. This role wi