- Elevance Health (Wallingford, CT)
- ** Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model ... Document Improvement Director** is responsible for leading encounter processing, diagnostic documentation and claims integrity across CareBridge. The ideal… more
- Hartford HealthCare (Farmington, CT)
- …codes as appropriate including charge corrections 2. Identify charging, coding, or clinical documentation issues and work with appropriate leadership and ... denials that require coding and billing expertise with some clinical knowledge that are delaying claims from...Patient Financial Services, HIM, departments, etc. regarding charging and clinical documentation issues. 3. Participate as a… more
- Healthfirst (CT)
- + Prepare cases for the clinical team by gathering documentation , loading evidence, and making calls to members and providers. + Perform administrative ... + Interacts with other departments including Contact Center Operations, Claims , DSE, and E&B to resolve member and provider...denial files from delegated vendors and prepares cases for Clinical Specialist reviews. + Maintains file integrity … more