- Datavant (Lansing, MI)
- …will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining ... quality assurance program Play a key role in ensuring coding compliance and accuracy Monitor the performance of the...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
- Cognizant (Little Rock, AR)
- About the role As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance Perform Peer Reviews of Company...of Federal, state and payer regulations Capable of interpreting medical records reports and chart entries Able to work… more
- Elevance Health (St. Louis, MO)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The DRG CODING AUDITOR is responsible for ... and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Mason, OH)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The DRG Coding Auditor Principal is responsible ... business, and its clients. Specializes in review of DRG coding via medical record and attending physician's...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Highmark Health (Harrisburg, PA)
- …performing audits and research related to special projects and providing coverage for coding manager (s). (10%) Depending on location provides or arranges for ... GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- Fairview Health Services (St. Paul, MN)
- …Microsoft-based computer software Expert knowledge of ICD-10 and CPT and related coding /abstracting rules and guidelines Expert knowledge of medical terminology, ... Job Overview Job Overview: Fairview is looking for a Coding Documentation Liaison to join our team! Coding...Conducts formal meetings and/or team meetings in lieu of Manager as designated. Successfully develops and strategizes project plans… more
- Humana (Salem, OR)
- …federal regulations. Cultivate effective partnerships in a matrix environment of coding educators, medical director, clinical and market operations. Facilitate, ... community and help us put health first The Senior Coding Educator will work closely with providers to identify...adjustment methodology. This role reports to the Risk Adjustment Manager and will work closely with market operations, finance,… more
- Christus Health (Canton, TX)
- …issues. Competent in financial reimbursement, billing and collections, CPT, ICD9 and HCPCS coding and medical group operations, as well as managed care concepts. ... in lieu of education. 2-12 years of experience in diversified positions within a medical practice with at least one year in a supervisory position. CMOM is preferred… more
- Trinity Health (Livonia, MI)
- Employment Type: Full time Shift: Description: CERTIFIED RISK ADJUSTMENT CODING SPECIALIST Location: Trinity Health PACE Corp Michigan Status: Full time Remote ... and claims processing. Duties also include abstracting and validating data from medical records and providing education on documentation to support HCCs. Position… more
- Cardinal Health (Little Rock, AR)
- …or related field preferred. 6+ years of experience in physician and/or hospital coding and auditing, medical necessity reviews, or related work; cancer and ... documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation coding rules; medical terminology; E/M rules; healthcare compliance audit… more
- J&J Family of Companies (Cincinnati, OH)
- …setting, building strong customer relationship. Demonstrated expertise with both pharmacy and medical /buy & bill benefits (as applicable), coding , and billing. ... Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include Dayton, OH,… more
- PedIM Healthcare (Crystal River, FL)
- …a Medical Billing Specialist in a healthcare setting. Strong knowledge of medical billing and coding procedures. Proficiency in medical billing software ... Florida. We are currently seeking a detail-oriented and experienced Medical Billing Specialist to join our team. If you're...a remote position. This position reports to the Billing Manager . The schedule is M-F, 8:30AM-5:00PM. Apply today Apply… more
- UnitedHealth Group (Ashland, MS)
- …Educate providers to ensure they have the tools needed to meet quality, coding and documentation, and total medical cost goals per business development ... of care. Join us to start Caring. Connecting. Growing together. The Account Manager has geographic responsibility for the quality and economic performance of the… more
- PwC (Boston, MA)
- …and technical support to our payer and provider clients. As a Senior Manager you lead large projects, innovate processes, and maintain operational excellence while ... with clients at a senior level to drive project success. You analyze medical claim data, support mergers and acquisitions, and develop predictive analytics to help… more
- EY (Philadelphia, PA)
- …it to go. Join EY and help to build a better working world. Senior Manager - Financial Services - Insurance and Actuarial Advisory Services - Modeling - Advisory EY ... needs Ideally, you'll also have Prior experience with key platform library coding modules specific to actuarial modeling platforms worked with previously (asset,… more
- Citizens (Westwood, MA)
- Description The Portfolio Impact Manager serves as a strategic and operational lead to ensure portfolio management quality and consistency across markets for grants ... the central point of contact for Public Affairs to the Business Support Manager , Corporate Giving and leadership to ensure market compliance with grant guidelines,… more
- General Motors (Warren, MI)
- Job Description We are seeking an experienced Early Career Technical Recruiting Manager to lead our efforts in attracting top early career talent for technical roles ... teams to build scalable early talent programs. The Early Career Technical Recruiting Manager plays a pivotal role in shaping and executing a comprehensive strategy… more
- UnitedHealth Group (Eugene, OR)
- …tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy. The person in this role is expected to work directly with care ... contact could occur) Primary Responsibilities: The Associate Practice Performance Manager is responsible for program implementation and provider performance… more
- Sedgwick (Toledo, OH)
- …a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Manager , Client Services | SIU PRIMARY PURPOSE : To manage accounts of multiple ... preparation for assigned clients. Coordinates pricing and completes location coding parameters; prepares and distributes stewardship and other reports. Coordinates… more
- L3Harris (Bristol, PA)
- …sea and cyber domains in the interest of national security. Job Title: Associate Manager , FPGA Engineer Job Code: 30405 Job Location: Bristol, PA Job Schedule: 9/80 ... generation of specifications, component selection, high-speed digital circuit design, FPGA coding , simulation, and analyses, support of PWB layout, and integration &… more
