Specialised Part-Time Consulting Opportunity We are sharing a specialised part-time consulting opportunity for United States-based healthcare coding and risk adjustment professionals experienced in HCC coding, Medicare Advantage risk adjustment, Medicaid managed care, ACA risk adjustment, RADV audit preparation,
Job Title Responsible for the review and coding of inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding guidelines and conventions for the establishment of diagnoses and procedures. The coded data is utilized for reimbursement, clinical care
The Configuration Analyst of Office365 is responsible for managing, administering and governing the Office 365 global tenants, including SharePoint Online, MS Teams, OneDrive and other applications within the Office365 suite. The resource will work in a
The Configuration & Quality Audit Manager will help build, lead and mature the new claim configuration auditing function responsible for validating accurate, complete, and compliant provider reimbursement across claims system configuration and adjudication outcomes. This role
We Breathe Life Into Data At Komodo Health, our mission is to reduce the global burden of disease. And we believe that smarter use of data is essential to this mission. That’s why we built the
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we
Title: Sr Financial Navigation Specialist-REMOTE Location: Midtown Org Unit: CBO Pre-Authorization Work Days: Weekly Hours: 35.00 Exemption Status: Non-Exempt Salary Range: $33.24 - $36.32 *As required under NYC Human Rights Law Int 1208-2018 - Salary range
EXL USA Healthcare is seeking an IRF Auditor III to join our team. This role offers a fully remote work experience with possible 10% travel per year for team meetings and limited client onsite engagements. The
This role offers a fully remote work experience with possible 10% travel per year. The rest of the time, youll enjoy the flexibility of working from your home office. Why EXL? At EXL, we believe in
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we
We Breathe Life Into Data At Komodo Health, our mission is to reduce the global burden of disease. And we believe that smarter use of data is essential to this mission. That’s why we built the
The Outpatient Trainer plays a critical role in improving audit consistency, accuracy, and completeness by translating audit outcomes into effective learning experiences. This role supports the Outpatient Audit program by delivering and reinforcing training to improve
The DRG Manager leads the planning, coordination, and execution of DRG audit activities, ensuring teams meet client SLAs and operational goals. This role oversees inventory, aging, risks, and day-to-day performance, while collaborating cross-functionally to support program
In this fully remote position as a new graduate, you will have the opportunity to develop your skills in auditing and compliance while working with a talented team. The successful candidate will review outpatient medical records
We Breathe Life Into Data At Komodo Health, our mission is to reduce the global burden of disease. And we believe that smarter use of data is essential to this mission. That’s why we built the
Title: Revenue Cycle Supervisor, AR Credit Resolution- REMOTE Location: Midtown Org Unit: Payment Posting Refunds Work Days: Weekly Hours: 35.00 Exemption Status: Exempt Salary Range: $88,800.00 - $99,900.00 *As required under NYC Human Rights Law Int
The Quality Analyst – Data Mining, Payment Integrity plays a key role in ensuring the accuracy, quality, and consistency of audit work performed within the Data Mining program. This position is responsible for reviewing completed audit
RequisitionID: 67233 Title:Manager, Market Access and Reimbursement - Northeast Salary Range: Salary Minimum:$136,000 Salary Maximum: $170,000 The territory for this position will cover the following states: Maine, Vermont, New Hampshire, Rhode Island, New York, Delaware, Massachusetts,
Specialised Part-Time Consulting Opportunity We are sharing a specialised part-time consulting opportunity for United States-based healthcare professionals experienced in clinical documentation integrity, documentation improvement, DRG accuracy, HCC risk adjustment, physician query management, coding integrity, clinical record review,
Program Management Load all Professional, Facility, and Ancillary contracts across all EmblemHealth lines of business in a timely and accurate manner. Provide subject matter expertise in all areas of contract configuration, fee schedules/groupers, and rate reimbursement.