- Molina Healthcare (Rio Rancho, NM)
- …QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional ... of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement… more
- University of Southern California (Los Angeles, CA)
- …Coding from Patient Financial Services (PFS). Respond timely to all internal/external coding audit results and any feedback from other revenue cycle ... conventions. + Ability to improve APC/HCC assignments specific to medical necessity documentation & coding of PDx,...Dept. coders who historically/previously met the ≥ 90% internal/external coding audit standards of the previously held… more
- CIBC (Miami, FL)
- …CIBC.com (https://www.cibc.com/en/about-cibc.html) **What You'll Be Doing** As a Group Portfolio Manager within Commercial Banking, you will play a pivotal role in ... credit. + Commitment to maintaining documentation and processes that meet audit and compliance standards. + **Technical Proficiency** + Advanced proficiency in… more
- CIBC (IL)
- …**What you'll be doing** The Risk, Insights, Strategy and Controls (RISC) Manager will partner with first line of defense teams to enable effective ... have at least 7-10 years of experience in compliance, operational risk, or audit ; preference for experience within a regulated financial services organization. + You… more
- L3Harris (San Diego, CA)
- …air, land, sea and cyber domains in the interest of national security. Job Title: Manager , Software Engineer / Group Lead Job Code: 31872 Job Location: San Diego, CA ... progress. + Technical Responsibilities: + Contribute to requirements analysis, design, coding , testing, integration, and maintenance. + Design and reverse engineer… more
- DoorDash (New York, NY)
- …risk. About the Role Our team is looking for a Staff Security Program Manager who will be responsible for helping drive our most important security-wide initiatives. ... Google Workspace, Google Cloud, etc.) + Proficiency in SQL data analysis, Python coding , and other automation tooling. + Project planning and execution skills that… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Revenue Cycle Revenue ... **Summary:** The Revenue Integrity Analyst uses advanced knowledge of coding , CDM, charge capture, and auditing to solve complex...charges in the Epic EHR. * Advanced knowledge of medical terminology as well as medical billing… more
- Covenant Health Inc. (Knoxville, TN)
- …with correct coding initiatives. Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting. Assists ... medical record to determine ICD-10 CM and CPT-4 coding that is needed to comply with billing and...ensure accuracy and timely billing. + Participates in quality coding and audit reviews for each provider.… more
- BJC HealthCare (St. Louis, MO)
- …+ Will have Direct Reports + Full-time Benefits Package **Overview** **Missouri Baptist Medical Center** , an acute care hospital in St. Louis County, offers a ... full continuum of medical and surgical services, including heart care, cancer, women...through audits; determine individual or unit corrective plan if audit discloses readiness issues; follow up to ensure compliance… more
- UPMC (Pittsburgh, PA)
- …(NCD) or Local Coverage Determination (LCD). + Evaluate referrals from Pharmacy Benefit Manager (PBM) by analyzing medical and pharmacy claims and associated ... policies and procedures. + Conduct provider education, as necessary, regarding audit results. Communicate effectively with Medical Directors and ancillary… more