- CVS Health (Montgomery, AL)
- …CRC (Certified Risk Adjustment Coder) required. + CPMA (Certified Professional Medical Auditor ) **or** CDEO (Certified Documentation Expert Outpatient) ... CRC (Certified Risk Adjustment Coder) required. + CPMA (Certified Professional Medical Auditor ) OR CDEO (Certified Documentation Expert Outpatient) preferred.… more
- St. Luke's University Health Network (Allentown, PA)
- …for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure ... the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation… more
- State of Minnesota (Vadnais Heights, MN)
- …beginning and ending month and year._** Active certification as a Certified Professional Medical Auditor (CPMA) **AND** Three (3) years of experience in revenue ... **Working Title: DCT Revenue Cycle Quality Assurance Analyst** **Job Class: Management Analyst 4**...assessing key areas of the revenue cycle, including billing, coding , insurance verification, and claims processing. The goal is… more
- AdventHealth (Altamonte Springs, FL)
- …including attending physicians, allied health practitioners, nursing, care management and quality abstracters. The Quality Auditor Manager adheres ... to provide feedback to CDI Market Leaders + Performs quality reviews of the medical record for...them to resolves discrepancies with DRG assignments and other coding issues. + Leads out on CDI projects as… more
- Elevance Health (St. Louis, MO)
- **Performance Quality Analyst I - CarelonRx PBM** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The **Performance Quality Analyst I** is responsible for driving service quality … more
- Elevance Health (Grand Prairie, TX)
- **Performance Quality Analyst I - CarelonRx PBM** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The **Performance Quality Analyst I** is responsible for driving service quality … more
- University of Texas Rio Grande Valley (Harlingen, TX)
- …(RN) will be required after 6 months of employment. Preferred: Certified Professional Medical Auditor ( CPMA ) from American Academy Professional Coders ( ... provides supporting evidence and makes recommendations regarding identified documentation and coding deficiencies or gaps. Identifies trends and provides feedback to… more
- The City of Rochester, MN (Rochester, MN)
- …the submission of timely and accurate financial data, while maintaining quality internal controls; provide direction to staff regarding questions on accounting ... the Public Library, and recommend any programming changes needed to ensure quality internal controls. + Provide guidance and direction for various accounting… more
- Kestra Medical Technologies, Inc (Kirkland, WA)
- …team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders inspired by ... modern wearable technologies with proven device therapies. Kestra's solutions combine high quality and technical performance with a wearable design that provides the… more
- CVS Health (Tallahassee, FL)
- …achieves this goal through analyzing and sharing provider performance metrics related to quality , clinical outcomes, coding , and utilization used to support ABH ... of an internal, cross-functional team of clinical, analytics, provider relations and medical personnel. The PTA will work both internally and externally with some… more