- The Cigna Group (Bloomfield, CT)
- …oversight of a team of Coding Analysts specializing in HHS Risk Adjustment medical record diagnostic coding and quality audit review for the Individual and Family ... team of certified coding professionals to accurately perform Risk Adjustment medical record reviews and audits, assigning appropriate ICD-10-CM diagnosis codes, and… more
- CVS Health (Columbus, OH)
- …skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate clinical providers for ... administration of benefits. + Using holistic approach consults with supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals… more
- Datavant (Washington, DC)
- …you will play a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and engage in direct communication ... with providers to enhance documentation clarity, completeness, and overall medical record quality. By ensuring accurate and comprehensive physician documentation,… more
- CDPHP (Latham, NY)
- …eligible members. This position will have responsibility for review of medical records to identify accurate ICD-10 diagnosis codes, chart retrieval activities, ... a health care setting preferred. + Strong knowledge of medical terminology, anatomy and physiology, and medical ...of medical terminology, anatomy and physiology, and medical chart review required. + Knowledge of ICD-10 diagnosis… more
- Patterson Companies, Inc. (St. Paul, MN)
- …Designer Suggests, creates, and plans designs with Autodesk Revit for dental, medical , and veterinary offices and laboratories based on information gathered from ... and Showcase to provide 3D Renderings and walkthroughs of potential dental, medical , veterinary office layouts to internal and external customers + Completes… more
- Henry Ford Health System (Grand Blanc, MI)
- …coding expertise to facilitate audits of the quality and completeness of medical record documentation for outpatient encounters, including but not limited to clinic ... Through concurrent, prospective and retrospective evaluation and assimilation of the medical record, the OP Audit - outpatient complex audit specialist will… more
- IQVIA (Phoenix, AZ)
- …are excited to announce that currently we are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** ... **Patient Support Medical Claims Processing Representative** _Remote Role - Location (Open to Remote US)_ As the only global provider of commercial solutions,… more
- CareFirst (Baltimore, MD)
- …processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations to be ... + Completes research of procedures. Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality… more
- CareFirst (Baltimore, MD)
- …needs. + Assessment: May gather clinical information including past medical history, medications, physical/psychosocial factors, cultural influences, evaluation of ... and community resources for the comprehensive assessment of the member/enrollee's medical , behavioral health needs and Social Determinants of Health. Obtains verbal… more
- The Cigna Group (Bloomfield, CT)
- …in the content management system + Present revised clinical guidelines to the Medical Advisory Committee (MAC) + Present to external stakeholders as needed + Work ... in the content management system + Present revised clinical guidelines to the Medical Advisory Committee (MAC) + Present to external stakeholders as needed + Work… more