- Datavant (Lincoln, NE)
- …bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for ... Datavant's Retrospective Risk Adjustment Coding products, driving client data standardization, data integrations, database management, and optimization within… more
- Molina Healthcare (Bellevue, NE)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... from a tip, member benefits, and medical records to document relevant findings of a post pay clinical review....GED (or higher) **Required Experience** + 3+ years CPT coding experience (surgical, hospital, clinic settings) or 5+ years… more
- Prime Therapeutics (Lincoln, NE)
- …and long-term organizational growth. **Responsibilities** + Analyze, mine, and document complex healthcare claims and authorizations data sets to identify ... drug pricing and claims processing + Familiarity with drug coding systems (NDC) and medical coding (ICD,...unique to their job, and comply with all applicable legal , regulatory, and contractual requirements and internal policies and… more
- Highmark Health (Lincoln, NE)
- …for one or many of the following tasks: analyzing, designing, coding , testing andimplementingtechnical solutions, as well as providing general production monitoring ... issues or technical difficulties to leadership on a regular basis. + Document technical processes and procedures, and participate in technical reviews and knowledge… more
- Highmark Health (Lincoln, NE)
- …for one or many of the following tasks: analyzing, designing, coding , testing andimplementingtechnical solutions, as well as providing general production monitoring ... isses or technical difficulties to leadership on a regular basis. + Document technical processes and procedures, and participate in technical reviews and knowledge… more
- Fiserv (Omaha, NE)
- …to gather requirements and translate them into technical specifications. Perform coding , testing, and debugging of applications to ensure optimal performance and ... need to have:** + 1+ years of experience in enterprise-scale document generation and customer communication management (CCM) creating digital communications using… more
- Sedgwick (Lincoln, NE)
- …and provides report of investigation pertaining to new events, claims and legal actions. + Analyzes applicable complex liability insurance coverage and policies + ... structured settlement proposals as necessary to maximize settlement. + Coordinates legal defense by assigning attorney, coordinating support for investigation, and… more
- Catholic Health Initiatives (Omaha, NE)
- …+ Documentation: + Maintain accurate and up-to-date patient records. + Document medical findings, diagnoses, and treatment plans. + Ensure compliance with ... coding and billing regulations. + Diagnostic Procedures: + Order...and safety. + Compliance: + Adhere to ethical and legal standards in medical practice. + Stay informed about… more
- Catholic Health Initiatives (Omaha, NE)
- …+ Documentation: + Maintain accurate and up-to-date patient records. + Document medical findings, diagnoses, and treatment plans. + Ensure compliance with ... coding and billing regulations. + Diagnostic Procedures: + Order...and safety. + Compliance: + Adhere to ethical and legal standards in medical practice. + Stay informed about… more
- Catholic Health Initiatives (Omaha, NE)
- …+ Documentation: + Maintain accurate and up-to-date patient records. + Document medical findings, diagnoses, and treatment plans. + Ensure compliance with ... coding and billing regulations. + Diagnostic Procedures: + Order...and safety. + Compliance: + Adhere to ethical and legal standards in medical practice. + Stay informed about… more