- Humana (Salt Lake City, UT)
- …and coding improvement opportunities and give guidance around operational and clinical best practices in the risk adjustment methodology. This role reports ... to the Risk Adjustment Manager and will work closely with market operations, finance, and clinical team to effectively influence a provider to adopt best… more
- UPMC (Pittsburgh, PA)
- …education of providers/practices related to risk adjustment, coding, and clinical documentation improvement. + Assess workflow processes in physician practices ... quality of patient care and maximize risk adjustment revenue. + Assist Senior Manager in development of education objectives and programs. + Collaborate with Risk… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Supervisor Medical Records Location: Hybrid | Eagan, Minnesota Career Area: Customer Service /Operations About Blue Cross and Blue Shield of Minnesota At Blue Cross ... of solutions; proactively implement process improvements. * Working with the manager , implements communication and reporting processes for record retrieval projects… more
- Datavant (Baton Rouge, LA)
- …mouse, etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service -style management and mentorship (we're in this ... a pivotal role in elevating coding quality, ensuring compliance, and optimizing service outcomes in both hospitals and alternative care settings. **What You Will… more
- Katmai (Fort Carson, CO)
- …patients (CMHS Referral Management Team including the Central Referral Center- CRC and MTF Referral Management Centers) in processing referrals to specialty ... in providing, assessing, and improving a wide variety ofcustomer service and relations. + Assist in the management of...from alternative levels of care and involve the case manager as needed to provide direction in care management.… more
- Datavant (Hagatna, GU)
- …and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service -style management and mentorship (we're in this ... responsibilities. + Communicate with co-workers, management, and hospital staff regarding clinical and reimbursement issues. + Function in a professional, efficient,… more
- Amazon (IL)
- …team, the Medical Coder I will be responsible for supporting Amazon One Medical Clinical and Revenue Cycle teams in reviewing the coding accuracy of claims. This ... role reports into the Manager I, Revenue Cycle. As part of Amazon Health...through AAPC or CCS certification through AHIMA required * CRC must be obtained within one year of hire… more
- CenterWell (Washington, DC)
- …with coding leaders/teams. + Monitor quality and address performance gaps. + Research and interpret correct coding guidelines and internal business rules to respond ... + Participate in chart reviews to identify educational opportunities. + Conduct research as needed. + Participate in Payer calls/chart reviews. + May participate… more