- Elevance Health (Wallingford, CT)
- ** Clinical Documentation and Claims Integrity Director** **Location:** **Virtual:** This role enables associates to work virtually full-time, with the ... through home-care and community based services. **The Clinical Documentation and Claims Integrity Director** will lead CareBridge's efforts in diagnostic… 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
- Elevance Health (Wallingford, CT)
- …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues ... accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance Health...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical… more
- Evolent (Hartford, CT)
- …risk adjustment coding team and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure ... and that impact the team. Provide individual and team training on clinical documentation requirements, risk adjustment coding guidelines, and updates. +… more
- Elevance Health (Wallingford, CT)
- …employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon ... Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary...medical-expense spending. The Manager of DRG Coding Audit & Clinical Validation leads a high-performing team responsible for auditing… more
- ZOLL Medical Corporation (New Haven, CT)
- …to promote consistent use (Local Medical Education Programs, Tradeshows, clinical symposiums and conferences). Call points include: Physicians (Cardiologists, ... essential ordering and billing requirements.Essential Functions + Provide customers with relevant clinical data that supports the risk of Sudden Cardiac Death in… more