- Elevance Health (Seattle, WA)
- …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
- Molina Healthcare (Everett, WA)
- …investigations. + Conducts low to medium, and extensive investigations, including reviews of medical records and data analysis, and makes determinations as to ... waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding... medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible… more
- Humana (Olympia, WA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
- Humana (Olympia, WA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …regulatory/reporting requirements pertaining to the assigned function. Knowledge of medical terminology/abbreviations, anatomy/physiology and medical coding ... requires considerable understanding of CPT and diagnosis codes, ICD-9/10 coding , anatomy and physiology as it relates to the...or dissimilar situations. Ability to maintain the confidentiality of medical records , and to use discretion with… more
- Fresenius Medical Center (Camas, WA)
- …Manager to oversee the facility's Home Therapies Program. + Maintains integrity of medical and operations records and complies with all data collections and ... **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations.… more
- CVS Health (Olympia, WA)
- …Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard ... Stay informed about changes in the industry practices related to healthcare coding . Provide training opportunities for staff to maintain their CEUs. Assist in… more
- Datavant (Olympia, WA)
- …for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
- Amazon (Seattle, WA)
- …a technical prototype showcasing a future Alexa experience, then dive into creative coding to enhance it with LLMs or other AI technologies. After discussing ... 8+ years of front-end technologist, engineer, or UX prototyper experience - Have coding samples in front end programming languages - Have an available online… more
- CVS Health (Olympia, WA)
- …routine claims that cannot be auto adjudicated. - Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify ... or referral submission to determine, review, or apply appropriate guidelines, coding , member identification processes, provider selection processes, claim coding… more
Recent Jobs
-
FM Operations Manager (Engineering)(Nvidia)
- CBRE (Santa Clara, CA)
-
Sr. Business Controls Officer
- Bank of America (New York, NY)
-
Senior Cyber Capability Developer (Reverse Engineer)
- Leidos (Lorton, VA)
-
Senior Principal Systems Engineer
- Raytheon (Tewksbury, MA)