- Highmark Health (Baton Rouge, LA)
- ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted ... including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and… more
- Datavant (Baton Rouge, LA)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...healthcare from your own workspace! Preferred: Looking for Outpatient coder with DX Radiology experience. Cerner 3M360 systems. OBS/SDS… more
- Oracle (Baton Rouge, LA)
- …a start-up, with the scale and customer-focus of the leading enterprise software company in the world._ _Values are OCI's foundation and how we deliver excellence. ... Cloud Infrastructure. You should be both a rock solid coder and a distributed systems generalist, able to dive...the scale and customer-focus of the leading enterprise software company in the world._ _Values are OCI's foundation and… more
- Humana (Baton Rouge, LA)
- …CPC (Certified Professional Coder ) Certification + 2 or more years of medical record review knowledge + 2 or more years of risk adjustment provider education ... and presentation skills **Preferred Qualifications** + Bachelor's degree + Certified Risk Coder (CRC) + Experience interacting with healthcare providers + Ability to… more
- Datavant (Baton Rouge, LA)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... HCC is a plus. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and… more
- Oracle (Baton Rouge, LA)
- …bringing your technical expertise to bear. You should be both, a rock solid coder , and a distributed systems generalist. You should be able to dive deep into ... to bear. You should be both, a rock solid coder , and a distributed systems generalist. You should be...a comprehensive benefits package which includes the following: 1. Medical , dental, and vision insurance, including expert medical… more
- CenterWell (Shreveport, LA)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...documentation in a timely manner working with a quality-based coder to optimize coding specificity. + Follows policy and… more
- CenterWell (Baton Rouge, LA)
- …Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the ... business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state and federal regulations as… more
- CVS Health (Baton Rouge, LA)
- …**Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs ... passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital… more
- Elevance Health (Metairie, LA)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for ... control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions...in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years… more