- Humana (Salt Lake City, UT)
- …members accountable for following established policies. The Manager Risk Adjustment ensures coding is accurate and properly supported by clinical documentation ... regulations as well as internal policies and guidelines while analyzing coding information and medical records. May participate in provider education programs… more
- UHS (Norwich, NY)
- …Office to refine and monitor billing. Acts as a resource to physicians, clinical staff and business office staff regarding coding questions; provides regular ... for division employee management and staffing. This includes determining staffing standards based on patient care needs, patient flow, procedures and other … more
- Beth Israel Lahey Health (Cambridge, MA)
- …both clerical and clinical high quality, direct patient care in a team- based model to our BILH Breast Surgery Care-Mt. Auburn patients and supports smooth and ... efficient administrative and clinical practice operations. The Medical Assistant has the ability...phone calls relating to patient care from patients, nursing home nurse practitioners, hospitals, other physician offices, labs, and… more
- HCA Healthcare (Austin, TX)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase...+ Referral services for child, elder and pet care, home and auto repair, event planning and more +… more
- HCA Healthcare (Charleston, SC)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase...+ Referral services for child, elder and pet care, home and auto repair, event planning and more +… more
- Illumination Foundation (Santa Ana, CA)
- …once cleared. + Create, modify, or adjust claims as needed based on clinical documentation and payer requirements. + Documentation, Coding & Data Review + ... dignity, and the safety of a place to call home ." Homelessness is the largest social and public health...rate, and aging. + Interdepartmental Collaboration + Collaborate with Clinical , Admissions, UR, QA, and Accounting teams to resolve… more
- Centene Corporation (Springfield, IL)
- …NOTE: This is a hybrid remote role that meets directly with provider groups based in the Chicago area to discuss HEDIS performance and strategize ways to improve ... 4:30 pm CT * Territory: Cook, DuPage, Will, Lake County, Illinois. Work-from- home but requires travel to conduct in-person provider visits, including quarterly… more
- Veterans Affairs, Veterans Health Administration (Oklahoma City, OK)
- …Veterans, caregivers, and clinical staff by answering questions related to the home oxygen program, including but not limited to provision of items or equipment, ... to join there team. The incumbent serves as a Home Oxygen Coordinator (RRT) and works on various assignments...at the contracted vendor's site. Refers veterans to proper clinical area for evaluation with guidance from supervisor and… more
- CenterWell (Houston, TX)
- …various stakeholders/partners (internal and external) including market operations/provider relations, coding teams; medical directors, clinical and health plan ... support clinicians and staff, working collaboratively with the Stars Clinical Quality RN/s, to support staffed clinical ...Work schedule: M-F, 8AM-5PM. Occasional after 5PM meetings . Work-at- home and visits to various medical centers and or… more
- Centene Corporation (Omaha, NE)
- …educate providers on HEDIS measures. Candidates are able to work remotely from their home the remaining time. An Iowa nursing license is strongly preferred. The work ... education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving deficiencies impacting plan compliance to meet… more