- CVS Health (Columbia, SC)
- …and every day. **Position Summary:** We are seeking an innovative and experienced ** Director of Engineering Clinical AI** to lead our initiatives in developing ... (EHR) systems and clinical workflows. + Understanding of clinical terminologies and coding systems (eg, SNOMED, LOINC, ICD10). + Experience with clinical… more
- J&J Family of Companies (Titusville, NJ)
- …CAPLYTA(R) Marketing team to support our growing impact in the marketplace. Director , Clinical Development, will be responsible for the leadership, oversight, ... for humanity. Learn more at https://www.jnj.com **Job Function:** Discovery & Pre- Clinical / Clinical Development **Job Sub** **Function:** Clinical … more
- Molina Healthcare (MI)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... other state specific audit projects and deliverables related to accurate billing and coding . This role also works with the Health Plan Risk/Quality leaders to… more
- Diversicare Healthcare Services & Diversicare Ther (Etowah, TN)
- …us! **Exciting Opportunity: Join Diversicare as an MDS Coordinator- RNAC and Director of Care Coordination.** Diversicare is seeking a dedicated MDS Coordinator ... and families. + Provide education related to the RAI Process and ensure accurate coding of MDS assessments. + Monitor Quality Measures and ensure MDS accuracy to… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …analyze, extract and interpret patient financial data as it relates to clinical documentation and diagnosis/procedural coding of services provided. Expertise in ... encouraged to apply at all levels. Share this job (https://uscareers-nyu.icims.com/jobs/15008/ director %2c- clinical -revenue-compliance-%28auditing%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336115631) Need help finding the right job?… more
- Centene Corporation (Jefferson City, MO)
- …regulations as well as company policies. + Responsibilities: + Oversee retrospective clinical audits to ensure accurate and timely payment of claims. + Interpret ... programs to providers and employees to streamline operational processes and ensure accurate coding . + Performs other duties as assigned + Complies with all policies… more
- CVS Health (Austin, TX)
- …opportunities to improve the quality and efficiency of health care services. ◾Apply clinical coding and reimbursement expertise to ensure alignment and correct ... quality, constituent focused medical care with a focus on clinical and payment policy. This Medical Director ...and business direction in these areas. Knowledge of Aetna clinical and coding policy and experience with… more
- Edwards Lifesciences (Raleigh, NC)
- …Heart Valve (THV) business unit continues to partner with cardiologists and clinical teams to transform patient care with devices supported by clinical ... us and be part of our inspiring journey. The Director , Global Health Economics and Reimbursement is a field-based...and physicians to ensure they recognize the economic and clinical value of the transcatheter heart valve (THV) therapy.… more
- CenterWell (Boston, MA)
- …conflict resolution skills. An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes, and ... community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews...is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Humana (Indianapolis, IN)
- …Other duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director … more