- University at Buffalo (Buffalo, NY)
- …to apply including veterans and individuals with disabilities. Minimum Qualifications: + Licensed Practical Nurse or Registered Nurse . + 3 years of ... Position Title: Part-Time Adjunct Instructor - Registered Medical Assistant Program Posting Number:...or Phlebotomist or Pharmacy Technician, or Surgical Technologist or Medical Biller and/or Coder or Medical… more
- Centers Plan for Healthy Living (Garden City, NY)
- …Other duties and responsibilities, as assigned Certifications/Licensure: + Licensed LPN / Coder / RN / Medical Records Retriever Type of Experience ... for supporting the overall direction, coordination and implementation of the HEDIS Medical Record Review process for Centers Plan for Healthy Living (CPHL) under… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …to peers while maintaining performance standards is required **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... and managing all in-patient and out-patient claims from a medical standpoint to ensure proper administration of contractual limitations...State Licensure Must be a Registered Nurse with a current Louisiana license.required… more
- CDPHP (Albany, NY)
- …+ Professional clinical license valid in New York State, such as Registered Nurse , Licensed Practical Nurse , Pharmacist, Mental Health clinician or ... instances of healthcare fraud and/or abusive conduct by internal employees, the medical profession, insured members, or the broker community. They will conduct… more
- The Cigna Group (Philadelphia, PA)
- …Technician (RHIT) Registered Health Information Administrator (RHIA) + **OR - RN /LVN/ LPN licensure (must obtain one of the above coding certifications within ... required (at least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC)...least two years of hospital inpatient / outpatient or medical office coding experience, preferably two years risk adjustment… more
- CVS Health (Topeka, KS)
- …Qualifications + RHI, RHIT, CRC, or CPC certified Coder or auditor (CMAS) or RN or LPN or LISW + Ability to manage relationships with an emphasis on ... education related to National Committee for Quality Assurance (NCQA) HEDIS measures, medical record documentation, and coding. They will function as a liaison… more
- CareFirst (Baltimore, MD)
- …Credentials as Certified Fraud Examiner (CFE), Accredited Health Fraud Investigator (AHFI), RN / LPN , or Certified Professional Coder (CPC). In depth ... investigations of fraud and/or abuse theory approach analyses, provider and subscriber medical data, claims, and systems reports as required. + Performs root cause… more