This position follows a hybrid model with 1-2 onsite days. $15k Sign On Bonus eligible Job Description Conducts concurrent and occasionally onsite medical chart reviews for pediatric and neonatal ICU patients. Collaborates with medical directors and
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive
Calamatta Cuschieri Moneybase plc is a privately held Financial Services Group that operates in Investment Services, Payments and Fund Administration. With roots dating back to 1971, the Group today is evolving at a fast pace whilst
Eastman Credit Union is now hiring a Part Time Member Contact Center Specialist! Our ideal candidate will conduct themselves in a way that reflects our high standards of professionalism and customer service. These standards include excellent
Manager, Revenue Assurance The Manager, Revenue Assurance oversees all revenue integrity, auditing, and compliance activities across the organization to ensure complete, accurate, and compliant revenue capture. This leader directs audit initiatives, ensures adherence to coding and
Coder I The Coder I reviews, analyzes and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD-10-CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge
Clinical Documentation Specialist This position is responsible for reviewing patient medical records to facilitate modifications to clinical documentation through concurrent (pre-bill) interaction with providers and other members of the healthcare team to promote accurate capture of
Job Title The Coder II reviews, analyzes, and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD-10-CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge
Sr. Revenue Integrity Pharmacy Analyst The Sr. Revenue Integrity Pharmacy Analyst is responsible for expert review of pharmacy related charge audits, denials, quarterly HCPCS updates, and value analysis. They will review and analyze pharmacy claims, collaborating
Coder I The Coder I reviews, analyzes and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD-10-CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system