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Job Summary Supervises and monitors the daily activities of non-licensed and licensed staff to successfully complete the daily work, maintains contact with the clinical departments to ensure accurate charge capture and works with the CDM analyst to maintain a compliant Charge Master. Works with MBA staff to meet the daily DNB goals and contributes to meeting the Revenue Integrity Departmen...

Job Summary Supervises and monitors the daily activities of non-licensed and licensed staff to successfully complete the daily work, maintains contact with the clinical departments to ensure accurate charge capture and works with the CDM analyst to maintain a compliant Charge Master. Works with MBA staff to meet the daily DNB goals and contributes to meeting the Revenue Integrity Departmen...

Job Description Summary
The Outpatient CDI Specialist is a hybrid role that combines the expertise of clinical documentation improvement (CDI) and outpatient Hierarchical Condition Category (HCC) coding. This position will report to the Outpatient CDI supervisor and will focus on improving the accuracy, quality, and completeness of clinical documentation in outpatient medical records while ensu...

Job Details
Level: Experienced Job Location: Sacramento - Rancho Cordova, CA Position Type: Full Time Education Level: High School Diploma or GED Salary Range: $90,000.00 - $100,000.00 Salary Travel Percentage: None Job Shift: Day Job Category: Insurance
Claims Examiner III _ (Hybrid)
This is a Hybrid position at our Rancho Cordova, CA branch. Please sign the appli...

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 benefits including a fresh perspective on workplace flexibility.
Iowa Medicaid Waivers - Requires travel in Pottawattamie county, IA.
Position Purpose: Assists in developi...

The Utilization Management (UM) Clinical Specialist RN for physical health (PH) independently assesses the medical necessity of inpatient admissions, outpatient services, surgical and diagnostic procedures, and out of network services, monitors consumer treatment through ongoing and continuous review to ensure that services are delivered based on consumer need and established clinical guidelin...

Job Introduction
Maximus is hiring for a Training Coordinator to support the New York Independent Assessor Program (NYIAP). The Training Coordinator will design, develop, and implement training materials in a classroom-style training environment. The Training Coordinator will work closely with the training leadership team to assess the impact of each training course to ensure trainees are succe...

Your career starts now. We are looking for the next generation of health care leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and...

The Utilization Management (UM) Clinical Specialist RN for physical health (PH) independently assesses the medical necessity of inpatient admissions, outpatient services, surgical and diagnostic procedures, and out of network services, monitors consumer treatment through ongoing and continuous review to ensure that services are delivered based on consumer need and established clinical guideline...

Primary City/State:
Phoenix, Arizona
Department Name:
Transplant Admin-Hosp
Work Shift:
Day
Job Category:
Risk, Quality and Safety
Health care is constantly changing, and at Banner Health, we are at the front of that change. We are leading health care to make the experience the best it can be. We want to change the lives of those in our care - and the people who choose to take on this challen...

Looking to be part of a team that provides extraordinary healthcare from the heart? You Belong Here.
POSITION SPECIFICS
Title: Health Informatics Analyst - RN (Hybrid)
FTE: 1.0
Schedule: Monday - Friday (8:00am to 4:30pm)
Holiday Rotation: see below
Weekend Rotation: see below
On Call Requirements: Call rotation for after-hours and weekends
Location: Primarily Remote; Anticipate 1-4 days per m...

About Insulet
Insulet started in 2000 with an idea and a mission to enable our customers to enjoy simplicity, freedom and healthier lives through the use of our Omnipod® product platform. In the last two decades we have improved the lives of hundreds of thousands of patients by using innovative technology that is wearable, waterproof, and lifestyle accommodating.
We are looking for highly motiv...

Summary
We are currently hiring for a Clinical Training and QA Coordinator to join BlueCross BlueShield of South Carolina. In this role as Clinical Training and QA Coordinator, you will coordinate the quality control program for the medical review area, researches the Center for Medicare and Medicaid services (CMS) changes, and train new staff while providing continuing education to cli...

Summary
We are currently hiring for a Clinical Training and QA Coordinator to join BlueCross BlueShield of South Carolina. In this role as Clinical Training and QA Coordinator, you will coordinate the quality control program for the medical review area, researches the Center for Medicare and Medicaid services (CMS) changes, and train new staff while providing continuing education to cli...