- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... Develop tracking and monitoring mechanisms for all Risk Adjustment and Coding programs. Support management in ensuring that key risk adjustment performance… more
- ANSER (Alexandria, VA)
- …our success in the impact of our service. Position Overview: ANSER is seeking a senior level Workforce Policy Analyst to support the Department of Defense (DoD) ... multiple audiences. + Advises component POCs on the proper coding and/or processing of CES personnel actions, using the...and / or Defense Agencies and Field Activities. In compliance with the Americans with Disabilities Act (ADA), if… more
- Oracle (Bismarck, ND)
- …world-class platform with an ambitious spirit and a focus on excellence. As a Senior Clinical Documentation Analyst you will: Analyze clinical workflows across a ... partial medical training a plus. + Familiarity of Healthcare coding systems (SnomedCT, ICD 9/10/11) and Health care ...coding systems (SnomedCT, ICD 9/10/11) and Health care compliance standards (eg HIPAA). + Background in a clinical… more
- Commonwealth Care Alliance (Boston, MA)
- …Sr . Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective claims ... health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance , Payment Integrity and Analytics + Direct and relevant… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Supply Revenue Analyst ? At Surgery Ventures, you come first. HCA Healthcare has committed up to $300 ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...difference. We are looking for a dedicated Supply Revenue Analyst like you to be a part of our… more
- Molina Healthcare (Ann Arbor, MI)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... with operations leadership and Plan Support functions to review compliance -based issues for benefit planning purposes. **KNOWLEDGE/SKILLS/ABILITIES** + Maintains… more
- Covenant Health Inc. (Knoxville, TN)
- …determining the correct course of action, and responding appropriately to ensure compliance ; meet regulatory guidelines for coding , charging, and billing; and ... understanding of CMS NCCI Policies, Claims Processing Manual, CPT coding , and modifiers to ensure compliance with...assignments using prioritization and time management skills. Communicates to Sr . Charge Solutions Analyst concerns or when… more
- Ochsner Health (New Orleans, LA)
- …documentation. + Interpret payer guidelines, contracts, and regulatory requirements to ensure compliance . + Collaborate with clinical staff and coding teams to ... agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. Complies with the Ochsner… more
- HCA Healthcare (Salt Lake City, UT)
- …want to join an organization that invests in you as a Revenue Integrity Charge Analyst ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...We are looking for a dedicated Revenue Integrity Charge Analyst like you to be a part of our… more
- CVS Health (Charleston, WV)
- …actions that improve healthcare outcomes such as increased preventive care compliance . **Key Responsibilities** + Takes a leadership role in the development ... office staff. + Health insurance experience. + Understanding of CPT/CPTII/ICD9/ICD10 coding and medical terminology. **Education** + Bachelors Degree or equivalent… more