- Humana (Greenville, SC)
- …(Certified Professional Coder ) Certification + 3 or more years of medical coding education and/or auditing in a healthcare setting experience + Proficiency with ... **Preferred Qualifications** + Bachelor's Degree + CRC -Certified Risk Adjustment Coder + Experience interacting with healthcare providers + Strong technical… more
- Humana (Concord, NH)
- …CPC (Certified Professional Coder ) Certification + 2 or more years of medical record review knowledge + 2 or more years of risk adjustment provider education ... and presentation skills **Preferred Qualifications** + Bachelor's degree + Certified Risk Coder (CRC) + Experience interacting with healthcare providers + Ability to… more
- Highmark Health (Pittsburgh, PA)
- …to prevent further improper payments. Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Develop and ... payments are not issued to unauthorized parties. + Provides support as needed to internal and external law enforcement...and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Other duties as assigned or… more
- Highmark Health (Harrisburg, PA)
- …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... and abuse cases or special projects. + Provides advisory support as needed to internal and external law enforcement...and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit… more
- Stanford Health Care (Palo Alto, CA)
- …of data analytics, and process improvement techniques, this role will support the accurate capture of charges, identify meaningful opportunities to improve, ... Reports findings, provides education to both Providers and charge capture support staff. Coordinates charge capture improvement tools in collaboration with Revenue… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …You Will Have This role is a key element in Blue Cross' support for providers with value-based agreements. The role reviews provider-specific data and identifies ... of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or Certified Professional Coder...offer a comprehensive benefits package which may include: * Medical , dental, and vision insurance * Life insurance *… more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …Administrator (RHIA); Certified Coding Specialist (CCS); or Certified Professional Coder (CPC) Certification. + Certified Professional Medical Auditor ... are just the beginning. It's also about how we support one another and how we show up for...hire. **Licenses and Certifications Preferred:** + Certified Risk Adjustment Coder (CRAC). If you feel that the above description… more
- CenterWell (Fort Worth, TX)
- …the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- CenterWell (Beaumont, TX)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and...accordance with standards of care. . Follows level of medical care and quality for patients and monitors care… more
- CenterWell (Las Vegas, NV)
- …the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more