- Elevance Health (Waukesha, WI)
- ** 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
- Centers for Independence (Milwaukee, WI)
- **Manager- Clinical PSN** **Job Details** **Job Location** MCFI Main Campus - Milwaukee, WI **Position Type** Full Time **Travel Percentage** Minimal; Less than 10% ... **Job Shift** Day **Description** **Job Purpose:** The clinical manager is responsible for organizing and directing the daily operations of the Pediatric Skilled… more
- Molina Healthcare (Green Bay, WI)
- …with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ... + Performs clinical /medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which an appeal has been submitted, to… more
- Banner Health (WI)
- …patient care. POSITION SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care team for the health ... record(s) and for quality assurance in the alignment of clinical documentation and billing codes. Works with...findings. 4. Acts as a knowledge resource to ancillary clinical departments, patient financial services and revenue integrity… more
- Elevance Health (Waukesha, WI)
- …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 (Madison, WI)
- …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
- Walmart (Monona, WI)
- …this your chance to be part of it. A Walmart Associate Optometrist is the clinical partner to the Vision Center Manager, and core to our mission of advancing eyecare ... are aligned with company and regulatory standards for prescriptions and claims doctor and optician certificationslicensure and associate training Guides associates… more