- Highmark Health (Concord, NH)
- …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
- Elevance Health (Manchester, NH)
- **Referral & Resource Specialist ** **Location:** This is a **remote** position. Candidates must reside in one of the following states : **MASSACHUSETTS, NEW ... companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive… more
- Baylor Scott & White Health (Concord, NH)
- …**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
- HCA Healthcare (Manchester, NH)
- …staff services, and play a key role in the integration of HCA Clinical Strategies and HCA systems. 1. Medical Staff Administration Develop facility credentialing ... (in partnership with other key stakeholders to include Director of Advanced Clinical and IT&S personnel). Facilitate orientation for new officers, committee members… more
- Highmark Health (Concord, NH)
- …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 (Manchester, NH)
- …their optimal level of health. ;They will focus on the pediatric and high risk teen population. ;The Care Manager (RN) is responsible for engaging the member, member ... the appropriate level of intervention based upon the member's needs and clinical progress. ;Schedules follow up calls as necessary, makes appropriate referrals and… more