- CenterWell (Daytona Beach, FL)
- …care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with ... medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by Clinical… more
- Molina Healthcare (Rio Rancho, NM)
- JOB DESCRIPTION **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal ... management, CMOs, physicians and member/provider inquiries/appeals. + Provides training and support to clinical peers. + Identifies and refers members with special… more
- Oracle (Seattle, WA)
- …part of a team of smart, motivated, and diverse people and given the autonomy and support to do your best work. It is a dynamic and flexible workplace where you'll ... Oracle's Cloud Infrastructure. You should be both a rock-solid coder and a distributed systems generalist, able to dive...offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and… more
- Molina Healthcare (Bothell, WA)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to ... regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and grievance outcomes. * Requests… more
- Cognizant (Austin, TX)
- …rules and tables remain current. + Partner with operations teams to support organizational growth and process improvements. + Communicate ideas effectively and ... applicants in the United States. Regardless of your working arrangement, we support a healthy work-life balance through various wellbeing programs. **What you need… more
- Elevance Health (Latham, NY)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... concepts. + Develops concept ideas on their own to support the goals of the department and organization. +...as a Cert Coding Specialist** and/or **CPC Cert Professional Coder .** **Preferred Qualifications:** + Proficiency with MS Outlook, Word… more
- CenterWell (Richmond, VA)
- …care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with ... medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical… more
- Humana (Salt Lake City, UT)
- …work of a similar nature, and supervises a group of typically support and technical associates; coordinates and provides day-to-day oversight to associates. Ensures ... **Preferred Qualifications** + Bachelor's Degree + CPC (Certified Professional Coder ) Certification + 2 or more years of management/supervisory experience… more
- Humana (Jackson, MS)
- …+ Complete appropriate system(s) entry regarding claim/encounter information + Support and participate in process and quality improvement initiatives **What ... Experience with the Claims Life Cycle including Accounts Receivable + 3M Coder software experience **Additional Information** **Work at Home Requirements** * At… more
- Texas Health Resources (Arlington, TX)
- …ensuring the organization remains compliant and proactive. Strategic Planning Assistance - Support the Director in developing the annual work plan to strengthen ... training, and best practices for areas vulnerable to compliance errors. Denial Support & Case Review - Conduct additional reviews to assist departments handling… more