- Owens & Minor (Indianapolis, IN)
- …**POSITION SUMMARY:** This representative will be required to request Medical documentation and assure received documentation meets insurance payer guidelines. ... including: + Prepayment audits/development letters + Post payment requests for documentation + Overpayment refund requests + Medical necessity documentation … more
- Highmark Health (Indianapolis, IN)
- …Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but ... (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment… more
- Amazon (Indianapolis, IN)
- Description Amazon Pharmacy is seeking a customer-obsessed Learning Specialist Program Manager who enjoys working in and thrives in an innovative, dynamic ... Surface and address business and learner needs through rigorous application and documentation of analysis tools (root cause analysis (RCA), performance gap analysis,… more
- Highmark Health (Indianapolis, IN)
- …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 ... Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding… more
- Evolent (Indianapolis, IN)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more