NewIR Technologist Intermountain HealthIR TechnologistOmaha, NE35.60 - $54.93 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. As an Interventional Radiology Technologist, you’ll play a hands‑on role in cutting‑edge diagnostic and interventional procedures—circulating, scrubbing, monitoring, and operating advanced IR imaging systems.
NewUltrasound Technologist Intermountain HealthUltrasound TechnologistOmaha, NEFrequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. $39.16 - $60.42 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
NewNuclear Medicine PET CT Technologist Intermountain HealthNuclear Medicine PET CT TechnologistOmaha, NEFrequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. $43.09 - $66.47 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
NewInterventional Radiology Technologist $15,000 Bonus Intermountain HealthInterventional Radiology Technologist $15,000 BonusOmaha, NEFrequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. $39.16 - $60.42 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
NewRadiology Technologist Intermountain HealthRadiology TechnologistOmaha, NEFrequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. $29.43 - $45.39 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
NewMRI Technologist Intermountain HealthMRI TechnologistOmaha, NEFrequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. American Registry of Radiologic Technologists (ARRT)(MR) or American Registry of Magnetic Resonance Imaging Technologists (ARMRIT) or American Registry of Radiologic Technologists (ARRT)(R) cross-trained in MRI.
NewSupervisor Coding CommonSpirit HealthSupervisor CodingOmaha, NEActing as a key liaison, you will coordinate with physicians, practice managers, and other stakeholders to resolve issues related to coding, billing, and documentation, contributing directly to coding compliance and charge capture optimization. Your ability to effectively manage staff, troubleshoot difficult coding challenges, and ensure adherence to all regulatory guidelines will be key to driving 'coding excellence' and contributing to the financial health and operational integrity of our organization.
Coding Educator & Auditor Nebraska Methodist Health SystemCoding Educator & AuditorOmaha, NEOutpatient Education Coordinator/Auditor will resolve APC Edits using CSG Edit Report to ensure all accounts reflect appropriate Current Procedure Terminology (CPT) codes, modifiers, and units of services to facilitate correct outpatient billing as defined by Medicare. Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) and/or Certified Coding Specialist (CCS) or Certified Procedural Coder (CPC) or Certified Outpatient Coder (COC) required.
Coding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorNE$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Coding Educator & Auditor Nebraska Methodist HospitalCoding Educator & AuditorOmaha, NebraskaOutpatient Education Coordinator/Auditor will resolve APC Edits using CSG Edit Report to ensure all accounts reflect appropriate Current Procedure Terminology (CPT) codes, modifiers, and units of services to facilitate correct outpatient billing as defined by Medicare. Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) and/or Certified Coding Specialist (CCS) or Certified Procedural Coder (CPC) or Certified Outpatient Coder (COC) required.
NewInstant Online Coding Tutor Earn On-Demand, Remote Varsity Tutors, a Nerdy CompanyInstant Online Coding Tutor Earn On-Demand, RemoteOmaha, NERemoteA leading online tutoring platform is seeking Coding Tutors for immediate online help nationwide. This is a full-time entry-level role, perfect for those who are passionate about education and helping students succeed.#J-18808-Ljbffr.
Outpatient Coding Auditor SIGNATURE PERFORMANCE, INC.Outpatient Coding AuditorOmaha, NEAdvanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), Procedural Coding System (PCS), Current Procedural Terminology (CPT-4 and Healthcare Common Procedure Coding System (HCPCS). We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself.
NewDirector of Coding-CDI-HIM Nebraska Methodist HospitalDirector of Coding-CDI-HIMOmaha, NebraskaOversees the full lifecycle of Recovery Audit Contractor (RAC) and Targeted Probe and Educate (TPE) audits, including audit tracking, documentation collection, response preparation, coordination with clinical and revenue cycle teams, appeal support, and adherence to CMS requirements and submission deadlines. Provides leadership and oversight of the Clinical Documentation Improvement (CDI) program, ensuring completion of daily concurrent and follow-up reviews, timely physician query resolution, ongoing provider education, and collaboration with coding staff to support accurate DRG assignment and reimbursement.
NewDirector of Coding-CDI-HIM Methodist Health SystemDirector of Coding-CDI-HIMOmaha, NEClinical Documentation Improvement (CDI) (20%) Provides leadership and oversight of the Clinical Documentation Improvement (CDI) program, ensuring completion of daily concurrent and follow-up reviews, timely physician query resolution, ongoing provider education, and collaboration with coding staff to support accurate DRG assignment and reimbursement. Oversees the full lifecycle of Recovery Audit Contractor (RAC) and Targeted Probe and Educate (TPE) audits, including audit tracking, documentation collection, response preparation, coordination with clinical and revenue cycle teams, appeal support, and adherence to CMS requirements and submission deadlines.
Director of Coding-CDI-HIM Nebraska Methodist Health SystemDirector of Coding-CDI-HIMOmaha, NEOversees the full lifecycle of Recovery Audit Contractor (RAC) and Targeted Probe and Educate (TPE) audits, including audit tracking, documentation collection, response preparation, coordination with clinical and revenue cycle teams, appeal support, and adherence to CMS requirements and submission deadlines. Provides leadership and oversight of the Clinical Documentation Improvement (CDI) program, ensuring completion of daily concurrent and follow-up reviews, timely physician query resolution, ongoing provider education, and collaboration with coding staff to support accurate DRG assignment and reimbursement.
CAC Medical Biller OneStaff Medical LLCCAC Medical BillerOmaha, NEThis role is responsible for reviewing patient care reports, applying proper ambulance billing codes, ensuring compliance with federal and state regulations, and submitting clean claims for timely reimbursement. Required: Certification as a Certified Ambulance Coder (CAC), Certified Ambulance Documentation Specialist (CADS), or equivalent EMS billing certification.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorNE$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Certified Coder I Nebraska Methodist HospitalCertified Coder IOmaha, NebraskaReviews Current Procedural Terminology (CPT) procedure codes and CPT charge codes to ensure all accounts reflect appropriate charges for services provided by reviewing Correct Coding Initiative (CCI) edits, attaching modifiers and adding or modifying charges to the account. Certification as Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Associate (CCA) or Certified Coding Specialist-Physician-based (CCS-P) or registration as Registered Health Information Tech (RHIT) required.
Certified Coder I Nebraska Methodist Health SystemCertified Coder IOmaha, NEReviews Current Procedural Terminology (CPT) procedure codes and CPT charge codes to ensure all accounts reflect appropriate charges for services provided by reviewing Correct Coding Initiative (CCI) edits, attaching modifiers and adding or modifying charges to the account. Certification as Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Associate (CCA) or Certified Coding Specialist-Physician-based (CCS-P) or registration as Registered Health Information Tech (RHIT) required.
Clinic Coder II CommonSpirit HealthClinic Coder IIOmaha, NECandidates with professional coding certifications (CPC, CCS, RHIT, RHIA, etc.) and experience in a revenue cycle optimization environment are highly desired, demonstrating your ability to thrive with limited oversight in a financial services in healthcare setting. You'll play a critical role in optimizing revenue cycle management, ensuring compliant data submission, and contributing to the overall success of our clinic's financial services.
Patient Financial Advocate Firstsource Solutions LtdPatient Financial AdvocateOmaha, NEThe Patient Financial Advocate is responsible for screening patients on-site at hospitals for eligibility assistance programs either bedside or in the ER. Essential Duties and Responsibilities: Review the hospital census or utilize established referral method to identify self-pay patients consistently throughout the day.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorNE$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
NewBilling Specialist Charles Drew Health Center IncBilling SpecialistOmaha, NEMeet regularly with Revenue Cycle Team to discuss and resolve reimbursement issues or billing obstacles, and attend monthly staff meetings and continuing educational sessions as requested. Computer proficiency particularly experience using practice management software, word processing and spreadsheet applications, with a minimum of 40 wpm typing speed and 10-key by touch.
Risk Adjustment Compliance Project Manager Medica Health Plans IncRisk Adjustment Compliance Project ManagerNE$70,200–$105,315 / yearThe Risk Adjustment Compliance Project Manager is responsible for leading compliance focused initiatives that ensure the accuracy, integrity, and regulatory adherence of Medica's Risk Adjustment programs across Medicare Advantage, Medicaid, and ACA lines of business. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the positions scope and responsibility, internal pay equity and external market salary data.
CDI Specialist ImmanuelCDI SpecialistOmaha, NebraskaCollaborate and provide on-going education and training with providers and interdisciplinary team members to clarify documentation and improve coding accuracy and the importance of complete, accurate chart documentation to support reimbursement. Immanuel Pathways PACE® is seeking a Clinical Documentation Integrity Specialist to join our team at our Home Office, located at 1044 North 115th Street in Omaha, NE.
Payment Integrity Analyst SIGNATURE PERFORMANCE, INC.Payment Integrity AnalystOmaha, NEOur performance-driven philosophy boasts competitive pay and additional position specific incentives, where world-class training and development, resources, and events drive our award-winning culture where everyone thrives. In the role of Payment Integrity Analyst, you will be responsible for ensuring the accuracy and compliance of healthcare claim payments across commercial, Medicare, and Medicaid lines of business.
NewRevenue Cycle Supervisor Think Whole Person HealthcareRevenue Cycle SupervisorOmaha, NEHere is a breakdown of the essential job functions associated with this role: ESSENTIAL JOB FUNCTIONS: Staff Management: Select, train, orient, develop, and evaluate the performance of all revenue cycle staff members. They play a critical role in ensuring that the revenue cycle functions efficiently and effectively to maximize collections, improve cash flow, and maintain compliance with external regulations and internal protocols.
Certified Surgical Coder Nebraska Methodist HospitalCertified Surgical CoderOmaha, NebraskaReviews Current Procedural Terminology (CPT) procedure codes and Healthcare Common Procedure Coding System (HCPCS) device codes in the code summary and charge viewer to ensure all accounts reflect appropriate charges for services and devices provided; by reviewing Correct Coding Initiative (CCI) edits, attaching modifiers and adding or modifying charges to the account. Enters ICD-10-CM diagnosis code(s) and Current Procedural Terminology (CPT) procedure code(s) into the code summary to maintain disease and operation index, to allow for timely submission of claims to insurance companies by assigning correct diagnosis and procedure codes and the reason for the encounter per department procedure.
Medical Office Coordinator/Patient Navigator HealogicsMedical Office Coordinator/Patient NavigatorOmaha, NebraskaLearn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.
Insurance Coordinator Oral Surgery PartnersInsurance CoordinatorOmaha, NebraskaThe role requires strong communication skills, attention to detail, and the ability to work effectively with various stakeholders, including patients, insurance companies, and healthcare providers. This includes processing claims, verifying insurance coverage, handling patient or client inquiries, and ensuring compliance with relevant regulations.
Medical Billing Supervisor University of Nebraska Medical CenterMedical Billing SupervisorOmaha, NE$60,900–$91,400 / yearPreferred Computer Applications: Microsoft Access, Microsoft Excel, Microsoft Publisher Preferred Other Computer Applications: EPIC, One Chart, Maximus, Availity, Microsoft Teams, OneDrive, OneNote, SharePoint Preferred Additional Knowledge, Skills and Abilities: Knowledge of mental health claims processing. Posting Category Operations Working Title Medical Billing Supervisor Job Title Admin Bus Op Specialist Salary Grade AB22S Appointment Type B1 - REG MGR PROF SALARY Salary Range $60,900 - $91,400/annual Job Requisition Begin Date 05/04/2026 Application Review Date 05/12/2026 Review Date Information: Initial application review will begin on the date provided in the field above.
Medical Office Coordinator/Patient Navigator Healogics IncMedical Office Coordinator/Patient NavigatorOmaha, NE$17.81–$21.90 / hourLearn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.
Certified Surgical Coder Nebraska Methodist Health SystemCertified Surgical CoderOmaha, NEReviews Current Procedural Terminology (CPT) procedure codes and Healthcare Common Procedure Coding System (HCPCS) device codes in the code summary and charge viewer to ensure all accounts reflect appropriate charges for services and devices provided; by reviewing Correct Coding Initiative (CCI) edits, attaching modifiers and adding or modifying charges to the account. Enters ICD-10-CM diagnosis code(s) and Current Procedural Terminology (CPT) procedure code(s) into the code summary to maintain disease and operation index, to allow for timely submission of claims to insurance companies by assigning correct diagnosis and procedure codes and the reason for the encounter per department procedure.
Claims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystOmaha, NERemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.
Coder Lead CommonSpirit HealthCoder LeadOmaha, NEReporting- Charge lag weekly report out, Bi-weekly report out to clinics, quality reporting, production reporting, running special reporting as requested by clinic or revenue cycle leaders. From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy.
Medical Records Technician OrthoNebraskaMedical Records TechnicianOmaha, NEFull timePhysical requirements: This position is classified as Sedentary Work in the Dictionary of Occupational Titles, requiring the exertion of up to 10 pounds of force occasionally) up to (33% of the time) and/or a negligible amount of force frequently (33%-66% of the time) to lift, carry, push, pull or otherwise move objects, including the human body. OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes.
Certified Medical Assistant (CMA) – Regional Drug Dependency Unit Akicita FederalCertified Medical Assistant (CMA) – Regional Drug Dependency UnitOmaha, NebraskaThis role is responsible for assisting with patient care activities, performing routine clinical tasks, managing patient records, and supporting the overall operation of the unit, ensuring compassionate, culturally sensitive care for individuals undergoing substance abuse treatment. $50,000 - $65,000 a year Position Summary The Certified Medical Assistant (CMA) will provide clinical and administrative support to the healthcare team in the Regional Drug Dependency Unit (RDDU) at the Great Plains Area facility in Winnebago, NE.
Director of Clinical Informatics (RN) - Vetter Senior Living Vetter Senior LivingDirector of Clinical Informatics (RN) - Vetter Senior LivingElkhorn, NEWe are seeking a Director of Clinical Informatics who is passionate about advancing clinical excellence, supporting our teams, and ensuring that documentation and coding practices truly reflect the care we provide. This is a unique leadership opportunity for an RN who thrives at the intersection of clinical care, education, technology, and compliance — and who is energized by building relationships and strengthening teams across our communities.
NewSenior Patient Billing Representative Nebraska Methodist HospitalSenior Patient Billing RepresentativeOmaha, NebraskaDemonstrates ability to learn, maintain working knowledge and train staff on the following Health System Applications: * Cerner Profit / Cerner Workflow / Revenue Manager / Patient Records / Medicare Online System (FISS) / MREP / Application Xtender / PC Print / Record Link / Powerchart / Word / Excel / Outlook / all Payer Websites. Health System Applications Used: Cerner RCA/Profit, Revenue Manager, Patient Records, Medicare online System (FISS), MREP, Application Xtender, Record Link, Powerchart, PC Print and/or all Payers Websites.
Senior Patient Billing Representative Nebraska Methodist Health SystemSenior Patient Billing RepresentativeOmaha, NEEquipment/Machinery/Tools: Explosives (pressurized gas) Electrical Shock/Static Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc) Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) Rare (1-33%): Chemical agents (Toxic, Corrosive, Flammable, Latex) Mechanical moving parts/vibrations. • Demonstrates ability to learn, maintain working knowledge and train staff on the following Health System Applications: • Cerner Profit / Cerner Workflow / Revenue Manager / Patient Records / Medicare Online System (FISS) / MREP / Application Xtender / PC Print / Record Link / Powerchart / Word / Excel / Outlook / all Payer Websites.
Supervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminOmaha, NERemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
Insurance Processing Associate Nebraska MedicineInsurance Processing AssociateOmaha, NEWorking knowledge of medical terminology including International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) coding preferred. Insurance Processing Associate: Provide customer service through efficient processing of required information throughout the process of scheduling, pre-registration/pre-admission, and insurance verification in a timely, organized, courteous and professional manner.
Field Reimbursement Manager - Kidney (Great Plains - NV, UT, CO, NE, KS) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (Great Plains - NV, UT, CO, NE, KS)NE$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Business Development Executive (MedInsight) Milliman IncBusiness Development Executive (MedInsight)Omaha, NERemote$120,635–$199,065 / yearMedInsight is a subsidiary of Milliman; a global, employee-owned consultancy providing actuarial consulting, retirement funding and healthcare financing, enterprise risk management and regulatory compliance, data analytics and business transformation as well as a range of other consulting and technology solutions. Primary Responsibilities: Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape) to engage prospects as a credible advisor.
NewRevenue Cycle Consultant SIGNATURE PERFORMANCE, INC.Revenue Cycle ConsultantOmaha, NEIn the role of Revenue Cycle Consultant, you will be responsible for supporting and leading healthcare consulting engagements focused on revenue cycle assessments, operational due diligence, performance improvement, and transformational initiatives for hospitals, health systems, physician practices, and other healthcare organizations. Lead and support comprehensive revenue cycle assessments across patient access, mid-revenue cycle, health information management, coding, charge capture, billing, follow-up, denials management, cash posting, credit balances, and patient financial services.
Sr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerOmaha, NERemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
Claims Reviewer TriWest Healthcare AllianceClaims ReviewerOmaha, NERemoteFull timeProficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.
EPIC Revenue Cycle Optimization Analyst SIGNATURE PERFORMANCE, INC.EPIC Revenue Cycle Optimization AnalystOmaha, NEIn the role of EPIC Revenue Cycle Optimization Analyst, you will be responsible for optimizing, configuring, and supporting EPIC revenue cycle modules to drive measurable financial performance for managed services clients. We need someone who can bridge operations, technology, and analytics to ensure EPIC workflows align with real-world revenue cycle processes across patient access, coding, billing, and accounts receivable.
Utilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerOmaha, NERemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Insurance Processing Associate The Nebraska Medical CenterInsurance Processing AssociateOmaha, NebraskaWorking knowledge of medical terminology including International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) coding preferred. Knowledge of Correct Coding Initiative (CCI), Outpatient Code Editor (OCE), National Coverage Determination (NCD), and Local Coverage Determination (LCD) edits preferred.