- Fallon Health (Worcester, MA)
- …a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon ... Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top...Professional Coders) of any of the following Certified Coding Specialist (CCS), Certified Risk Adjustment Coding (CRC) or Certified… more
- Hackensack Meridian Health (Hackensack, NJ)
- …& levels of appeal iv. Root cause analysis & trends v. Participation in Managed Care Contracting & distribution of contract terms where appropriate + Utilization ... **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity… more
- Mohawk Valley Health System (Utica, NY)
- …, end-of-life- care and hospice. + Apply knowledge of Health Insurance and Managed Care Programs, along with values- based care , pay-for-performance ... advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and...concurrent appeals). + Act as a liaison between the CDI professional, HIM, and the hospital's medical staff to… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Coder Analyst Specialist , Clinical Document Integrity Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and ... managed medical practice organization, with more than 300 top...300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include… more