- 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
- Baylor Scott & White Health (Providence, RI)
- …**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
- Highmark Health (Providence, RI)
- …requesting and obtaining medical records from healthcare providers to ensure accurate documentation of members' health conditions and optimize risk adjusted ... Health Record (EHR) systems preferred. + Proficiency in navigating and retrieving clinical information from EMR/HER systems + Working knowledge of HIPAA requirements… more
- Aspen Medical (Newport, RI)
- …Clinical Information Systems (CIS), and various other databases, participate in clinical staff Performance Improvement (PI) and Risk Management (RM) ... completion of education and experience as a behavioral science specialist /technician in the United States military and proof of...the last two (2) years attesting to the HCW's clinical skills. A minimum of one (1) of the… more