- Highmark Health (Washington, DC)
- …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
- Somatus (Mclean, VA)
- …credentialing packages as required by hospitals, surgery centers, commercial payers, Medicare and Medicaid. Responsibilities + Maintain individual provider files to ... + Complete credentialing applications to add providers to commercial payers, Medicare , and Medicaid. + Complete re-credentialing applications for commercial payers.… more