- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA-Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not ... Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration requirements… more
- Centene Corporation (New York, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... team to document authorization requests and obtain accurate and timely documentation for services related to the members healthcare eligibility and access.… more
- Devereux Advanced Behavioral Health (Downingtown, PA)
- …experience** Join our dedicated Truancy Prevention Program as a School and Community Clinical Case Manager and help students stay on track with their education. This ... problem-solving, and communication capacities in youth and families. + ** Documentation & Compliance:** Maintain accurate, timely service records and ensure… more
- UNC Health Care (Chapel Hill, NC)
- … on Fridays.** Responsibilities: 1. Collaborates with internal staff and Clinical departments regarding filing, documentation and reimbursement issues. Works ... of reimbursement from patients and insurance carriers for the assigned clinical department. Duties include reversing denials from carriers, recoding denied claims,… more
- UCHealth (Arvada, CO)
- …position is an onsite role and does not offer a hybrid or remote option Summary: Receptionist, registration, and clerical duties associated with registering patient ... with patient and/or patient's caregiver to exchange necessary information and documentation . Provides explanation of visit, instructions, and addresses concerns and… more
- Devereux Advanced Behavioral Health (West Chester, PA)
- …and implements special events and activities, as well as monitors appropriate documentation and records (IE: Special Olympics, Fall Festival, Summer Picnic, etc.) + ... Founded in 1912, Devereux operates a comprehensive national network of clinical , therapeutic, educational and employment programs that positively impact the lives… more
- UCHealth (Steamboat Springs, CO)
- …position is an onsite role and does not offer a hybrid or remote option Summary: Receptionist, registration, and clerical duties associated with registering patient ... with patient and/or patient's caregiver to exchange necessary information and documentation . Provides explanation of visit, instructions, and addresses concerns and… more
- IQVIA (Parsippany, NJ)
- ** Clinical Specialist Consultant - Spanish Speaking** **Location:** Remote / Virtual **Hours:** Estimated 10-16 hours per month **Role:** Clinical ... clinical trials. **About the Role** As a Clinical Specialist , you will play a critical...data and prepare for rater discussions with all necessary documentation . + Conduct scheduled rater interactions and provide guidance… more
- Fairview Health Services (St. Paul, MN)
- …services, hospital billing outpatient services, hospital billing inpatient services. Coding Documentation Liaisons analyze clinical documentation verifying ... quality of documentation and coding to resolve clinical documentation and charge capture discrepancies. **Position...period) + day shift + no weekends + fully remote , salaried position **Responsibilities** + Conducts formal meetings and/or… more
- Centene Corporation (Jefferson City, MO)
- …in alignment with HCCs and other risk adjustment models. Identifies and evaluates clinical documentation gaps, assesses risk levels, and communicates findings to ... Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States....Coding Clinic, AHIMA, and company coding guidelines. + Validate clinical documentation to support appropriate risk adjustment… more