- CenterWell (Denver, CO)
- …of our caring community and help us put health first** The IPA Coding Leader manages a diverse team responsible for ensuring clinical documentation supports accurate ... coding and is reflective of the disease prevalence within...smooth integration of newly acquired IPA affiliates. **Productivity and Quality Management:** + Establish Key Performance Indicators (KPIs) for… more
- Highmark Health (Denver, CO)
- …, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient ... assigned. **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/ coding , health insurance, healthcare or… more
- Highmark Health (Denver, CO)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG/APC structure according to regulatory requirements. Reports findings both verbally… more
- University of Colorado (Denver, CO)
- …**Job Summary:** The Referral Specialist is responsible for providing efficient, effective, quality customer service through a variety of duties including, but not ... e-verification or by telephone. + Enters referral information into EPIC using correct coding procedures. + Documents sufficient referral detail into EPIC so it is… more
- CenterWell (Denver, CO)
- …also need to incorporate EMR, compliance, primary care policy and procedure, coding and documentation, quality , utilization, customer service standards, team ... chart review, data review, and provide guidance to ensure that the quality of care being provided meets appropriate standards and to ensure cost-effective… more
- Humana (Denver, CO)
- …**Required Qualifications - What it takes to Succeed** + 2 years of coding certification or equivalent (Industry-recognized coding certification from PHIA, AAPC ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Highmark Health (Denver, CO)
- …stakeholders to translate requirements into technical specifications and deliver high- quality solutions. Key activities include conducting code reviews for junior ... for one or many of the following tasks: analyzing, designing, coding , testing andimplementingtechnical solutions, as well as providing general production monitoring… more
- Highmark Health (Denver, CO)
- …for one or many of the following tasks: analyzing, designing, coding , testing andimplementingtechnical solutions, as well as providing general production monitoring ... ensure solution alignment to enterprise goals and standards + Mentor other associate and intermediate technical engineers as needed + Perform technical analysis and… more
- Humana (Denver, CO)
- …teams to construct and enhance systems that elevate application testing and quality assurance. Your diligent efforts will guarantee that each software release ... adheres to the highest standards of quality , advancing both your career and Humana's technological frontiers....platform APIs and Services. You should be proficient in coding within languages and frameworks compatible with that ecosystem… more
- University of Colorado (Denver, CO)
- …to position patients and use equipment skillfully to capture useful, high- quality diagnostic images. **Key Responsibilities:** + Positions patient and performs ... imaging procedure(s). Analyzes results and identifies issues with the quality of imaging results. + Takes appropriate action to resolve image quality issues,… more
- Humana (Denver, CO)
- …Data Architect, you will play a pivotal role in designing and delivering high- quality data products, from conception to launch. Your responsibilities will span from ... such as Data Mesh, ensuring metadata management, lineage, discovery, and quality standards are established. + **Technology Leadership** Stay ahead of industry… more
- Humana (Denver, CO)
- …duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and ... skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home… more
- Humana (Denver, CO)
- …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home… more
- Humana (Denver, CO)
- …- Ability to navigate complex situations and independently produce high quality deliverables. * Consultative - Build/sustain relationships and inform the work ... + MPH, MBA, or similar higher-level education. + Clinical operations and medical coding experience. + Proven ability to bring new benefits to market with… more
- Humana (Denver, CO)
- …be limited to, an overview of clinical documentation, Letter of Agreements, coding practices, Clinical Integration, Long Term Services & Supports, and Case ... interpretation skills with 5+ years of experience focusing on quality management, utilization management, discharge planning, rehabilitation services, and/or home… more
- Principal Financial Group (Denver, CO)
- …of scalable, secure, and efficient systems while applying best practices in coding , design patterns, and software architecture + Identify, debug, and resolve complex ... for more than 140 years. **Who You Are** + Associate 's or bachelor's degree (preference in a computer science,...do - from the products we develop to the quality service we provide. We're driven by the belief… more
- University of Colorado (Denver, CO)
- …skills to help our clinic run smoothly, providing our patients with top-notch quality care. The Patient Care Tech I-III (PCT) is responsible for providing patient ... requirements at the time of hire.** **Preferred Qualifications:** + Associate 's degree. + 1+ year experience in a medical...procedures. + Strong knowledge of value-based care and risk-based coding procedures in Primary Care. + Strong knowledge of… more
- University of Colorado (Denver, CO)
- …skills to help our clinic run smoothly, providing our patients with top-notch quality care. The Patient Care Tech I-III (PCT) is responsible for providing patient ... qualifications at the time of hire.** **Preferred Qualifications:** + Associate 's degree + 1+ year experience in a medical...procedures + Strong knowledge of value-based care and risk-based coding procedures in Primary Care + Strong knowledge of… more
- University of Colorado (Denver, CO)
- …skills to help our clinic run smoothly, providing our patients with top-notch quality care. The Patient Care Tech I-III (PCT) is responsible for providing patient ... be able to travel to alternate locations as assigned** **Preferred Qualifications:** + Associate 's degree + 1+ year experience in a medical office/hospital setting +… more