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
Are you passionate about accuracy in medical coding and ready to make a real impact in healthcare quality? EXL Health is looking for an experienced Outpatient Quality Analyst – QC Coder to join our remote team! If
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 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 dedicated
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
Department/Unit:Health Information Management Work Shift:Day (United States of America) Salary Range:$59,066.00 - $88,599.00 The Inpatient Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnosis and
Department/Unit:Health Information Services Work Shift:Day (United States of America) Salary Range:$59,066.00 - $88,599.00 The Inpatient Hospital Coder applies skills and knowledge of currently mandated inpatient coding and classification systems, and official resources to select the appropriate diagnostic
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
Clinician, Denials Prevention The Clinician, Denials Prevention, uses their clinical and administrative skills to analyze denials and appeal outcomes; share opportunities with clients to reduce first pass denials by ensuring proper patient status, authorizations, clinical documentation
Clinical Documentation Specialist III The Clinical Documentation Specialist III is a senior technician, responsible for improving the overall quality and completeness of clinical documentation, and proficient in all three grouper systems. Expert knowledge of ICD-10 CM/PCS and
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.
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