- UNC Health Care (Raleigh, NC)
- …improve the health and well-being of the unique communities we serve. Summary: The Clinical Documentation Specialist will be responsible for analyzing and ... specific, accurate, clinical valid, complete, and compliant. In addition, the Clinical Documentation Specialist will be responsible for educating… more
- Baylor Scott & White Health (Raleigh, NC)
- …**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
- Centene Corporation (Raleigh, NC)
- …regulatory and accreditation standards. Interfaces with a diverse range of clinical and administrative professionals, resolves complex issues, and performs data ... practice interventions to affect greater rate increases. + Ensures that documentation produced and/or processed complies with state regulations and/or accrediting… more
- Highmark Health (Raleigh, NC)
- …requesting and obtaining medical records from healthcare providers to ensure accurate documentation of members' health conditions and optimize risk adjusted ... Health Record (EHR) systems preferred. + Proficiency in navigating and retrieving clinical information from EMR/HER systems + Working knowledge of HIPAA requirements… more
- CVS Health (Raleigh, NC)
- …management. + Develops strategy to provide intensive case management and consultation for clinical risk cases and management referrals. + Maintains accurate and ... Monday - Friday, 8:00am-4:30pm EST** Acts as a top-level specialist to provide counseling and informational services to members....complete documentation of required information to meet risk … more
- City of Durham (Durham, NC)
- … Mental Health Counselor (LCMHC) + Licensed Marriage Family Therapist (LMFT) + Licensed Clinical Addiction Specialist (LCAS) + Two or more years of crisis ... professional within any of the following areas: + Licensed or Provisionally Licensed Clinical Addiction Specialist (LCAS/A) + Licensed or Provisionally Licensed … more
- IQVIA (Durham, NC)
- …this knowledge to drive innovation and growth. + Monitoring Ambassador Resource Specialist calls to assess patient interactions to ensure program guidelines are ... adhered to for compliance. + Monitor work schedules, manage reporting, documentation accuracy and implement performance and/or disciplinary plans as needed. +… more