- Highmark Health (Washington, DC)
- …categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing ... **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health… more
- Eliassen Group (Washington, DC)
- …of companies reach further and achieve more with their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With ... **Enterprise Operations Center Specialist - Senior** **Washington, DC** **Type:** Contract-to-Hire **Category:**...un-badged personnel in Data Center). + Knowledge Management and Documentation - maintain POC and site information for remote… more
- ThermoFisher Scientific (Bethesda, MD)
- …- with the customer always top of mind. **Role Details:** The Quality Specialist serves as subject matter authority for process/vendor audits or activities in area ... staff where required. + Reviews batch records and associated documentation for completeness and accuracy of data. + Applies...the department with incoming material inspection + Participates in risk assessments. + Leads set up and filing of… more
- Baylor Scott & White Health (Washington, DC)
- …**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and compliance with standards of ethical ... + Conducts provider audits and creates provider scorecards to offer feedback on Risk Adjustment Methodology + Interprets health record documentation to code and… more
- Charles River Laboratories (Rockville, MD)
- …specifications such equipment and software. Responsible for maintaining all documentation pertaining to validation activities. Serve as an information resource ... computerized systems, including Validation Plans, Requirement Specifications, Configuration Specifications, Risk Assessments, Test Scripts, Traceability Matrices, and Summary Reports.… more
- Highmark Health (Washington, DC)
- …Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier ... areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in… more
- AmeriHealth Caritas (Washington, DC)
- …3 years of clinical practice experience as a RN working with high- risk ante and post-partum patients with complex medical and behavioral health diagnoses within ... the appropriate level of intervention based upon the member's needs and clinical progress. + Schedules follow up calls as necessary, makes appropriate referrals.… more
- Fresenius Medical Center (Bethesda, MD)
- …applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, ... patients according to established FMCNA guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to… more