• Hierarchical Condition Category (HCC) Coding…

    Highmark Health (Providence, RI)
    …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
    Highmark Health (03/04/25)
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  • Referral & Resource Specialist

    Elevance Health (Smithfield, RI)
    **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
    Elevance Health (01/10/25)
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  • Coding Auditor Educator

    Highmark Health (Providence, RI)
    …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
    Highmark Health (02/07/25)
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  • Investment Performance (PMA) Business Analyst

    Eliassen Group (Smithfield, RI)
    …of companies reach further and achieve more with their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With ... to join the Performance Measurement & Analysis (PMA) product area's Performance Specialist Team. This team is dedicated to supporting PMA in delivering new… more
    Eliassen Group (03/08/25)
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