- Humana (Salem, OR)
- …and federal regulations. Cultivate effective partnerships in a matrix environment of coding educators, medical director , clinical and market operations. ... a part of our caring community and help us put health first The Senior Coding Educator will work closely with providers to identify documentation and coding … more
- Beth Israel Lahey Health (Charlestown, MA)
- …a job, you're making a difference in people's lives. Under general supervision of the Director of Coding and Validation, the Coding Validator III is ... modifiers to assure the correct APC assignment and other imbursement impacting elements. The Coding Validator III works closely with the Director of Coding … more
- Guidehouse (St. Paul, MN)
- …of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue cycle support services through efficient review ... commensurate with skills and experience as determined by the Director of Revenue Integrity. What You Will Need :...HCPCS Level II Coding . Expertise in determining medical necessity of services provided and charged… more
- UnitedHealth Group (Minneapolis, MN)
- …to codes on claims in a telecommuting work environment Determines accuracy of medical coding /billing and payment recommendation for claims This could include ... Medical Director /physician consultations, interpretation of state and...consideration of relevant clinical information Determines appropriate level of service utilizing Evaluation and Management coding principles… more
- Insmed Incorporated (NJ)
- …of science, we're in. Are you?About the Role:We're looking for an Executive Medical Director of Ophthalmology, Clinical Development to help us expand what's ... the VP, Clinical Development - Gene Therapy, the Executive Director will have responsibility to lead clinical programs across...may affect the quality and integrity of clinical studies.Perform medical monitoring, coding , and data cleaning, and… more
- Eisai, Inc (Dallas, TX)
- …and reimbursement issues, including Payer Markets, Market Access and Reimbursement Services , Sales, Marketing, Government Affairs, Legal, Compliance, Medical , ... At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides...Neurology and Oncology disease areas related to field reimbursement services .Working closely with and reporting to the Director… more
- PwC (Boston, MA)
- Specialty/Competency: Managed Services Industry/Sector: Not Applicable Time Type: Full time Travel Requirements: Up to 60% A career in our Managed Services team ... and harness the power of technology. Our Application Evolution Services team will provide you with the opportunity to...our careers, now and in the future. As a Director , you'll work as part of a team of… more
- PwC (Greensboro, NC)
- …At PwC, our people in business application consulting specialise in consulting services for a variety of business applications, helping clients optimise operational ... and experience across various Salesforce applications. You will provide consulting services to clients, analysing their needs, implementing software solutions, and… more
- Datavant (Phoenix, AZ)
- …bold vision for healthcare. What We're Looking For We are seeking an experienced Director of Risk Bearing Provider Sales to lead our efforts in selling chart ... retrieval and HCC (Hierarchical Condition Category) coding solutions to risk-bearing providers. This role will be...health care through creating industry-defining data logistics products and services . The range posted is for a given job… more
- EY (Boston, MA)
- …world. EY-Parthenon - EY Growth Platforms - AI ML Engineering- Director The oppor tunity EY-Parthenon's unique combination of transformative strategy, transactions ... just on paper. Benefiting from EY's full spectrum of services , we've reimagined strategic consulting to work in a...to shape your future with confidence. Within the EY-Parthenon service line, the EY Growth Platforms AI ML Engineering… more
- Wolters Kluwer (Cary, NC)
- …Patterns for scalable, resilient systems. Financial/Budget Management for platform services and shared- service cost models that includes understanding ... About the Role As a Director in Software Engineering, you will provide comprehensive... SLO attainment; MTTI/MTTR; change failure rate. Adoption & Self- Service : of services on Gantry; % workloads… more
- FranklinCovey (Raleigh, NC)
- …and cultures that get breakthrough results through collective action. Our services and products are primarily delivered through our subscription offerings, which ... post-secondary schools and institutions. To learn more, visit franklincovey.com Title: Director of Engineering - FranklinCovey Enterprise Payroll Title: Director… more
- Celestica (Charlotte, NC)
- …of product development - from drawing board to full-scale production and after-market services for products from advanced medical devices, to highly engineered ... data architecture, cybersecurity, and modern, secure programming languages. GenAI, vibe coding and other modern means of software development. Customer Focus:… more
- Cardinal Health (Little Rock, AR)
- …of billing for professional (physician) services and/or hospital (technical) services . This position will also support the Director with transactional ... or related field preferred. 6+ years of experience in physician and/or hospital coding and auditing, medical necessity reviews, or related work; cancer and… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... health care programs and reimbursement methodologies (Medicaid and Medicare) Medical Coding , Compliance, Payment Integrity and Analytics...and policies (ie . Center for Medicare & Medicaid Services (CMS) & MA Medicaid, Correct Coding … more
- Datavant (St. Paul, MN)
- …in Interventional Radiology and HCC is a plus. You Will: Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... headset, and keyboard Comprehensive training led by a credentialed professional coding manager Exceptional service -style management and mentorship (we're in… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …including focused audits as they arise across professional and hospital services , including coding accuracy, documentation sufficiency, charge capture, ... including focused audits as they arise across professional and hospital services , including coding accuracy, documentation sufficiency, charge capture,… more
- UPMC (Pittsburgh, PA)
- …Surgery Center. Mail and forwards all credentialing information to physician offices and Medical Staff Services . Print and distribute a daily OR schedule after ... UPMC Community and Ambulatory Services is hiring a full-time Patient Services...monthly financial and statistical reports and forwards to the Director . Maintain and update credentialing files and lists on… more
- BayCare Health System (Raleigh, NC)
- …General Surgery, Trauma Level II, and high acuity cases. Responsibilities The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, ... Team Member who is passionate about providing outstanding customer service to our community. We are looking for an...integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Works in conjunction with the medical… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …Compliance Reviewer plans and executes risk-based audits, analyzes documentation and coding for medical necessity and regulatory adherence, and recommends ... ensure compliance with federal and state regulations, payer requirements, national coding guidelines, and internal policies. The Billing Compliance Reviewer is… more
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