- buyer (New York, NY)
- …building strong relationships with its members and providers.Position OverviewAs a Claims Adjustment Specialist I, this individual will be responsible for ... research to determine accuracy and mitigate payment errors. The Claims Adjustment Specialist I will also be responsible for adjusting medical claims thatresult… more
- Century Companies (Pewaukee, WI)
- …craftsmanship for safer communities. Join us at Century Companies as a Billing Specialist in Pewaukee, Wisconsin, where we believe in the power of stewardship, ... each day to shape a better tomorrow. The Billing Specialist will be responsible for ensuring accurate and timely...request a reasonable accommodation, such as the modification or adjustment of the job application process due to a… more
- Lucile Packard Children's Hospital (Palo Alto, CA)
- …summarizes the general nature, level and purpose of the job. The Child Life Specialist works under the supervision of leadership and the child life team to assist ... the child/family in their adjustment to the hospital, diagnosis, and treatment plan. This...treatment plan. This is an entry level Child Life Specialist role with entry level experience and knowledge of… more
- Veterans Benefits Administration (Colorado Springs, CO)
- Summary The Vocational Rehabilitation Specialist (VRS) position is within the Veteran Readiness and Employment (VR&E) Program. The Vocational Rehabilitation ... Specialist (VRS) carries out all duties related to assisting...all rehabilitation services, employment services, documentation of progress and adjustment , and maintenance of case records according to VA… more
- Knox Community Hospital (Mount Vernon, OH)
- …3 years' experience in physician office setting required Experience in Risk Adjustment and quality measures ie (Hedis/Stars, eCQM's, PCMH) Knowledge of ICD10 and ... 1 or more quality measures listed above Ability to work effectively with common office software, coding software, EMR Any equivalent combination of experience and training that provides the required knowledge, skills and abilities more
- PhysEmp (Suwanee, GA)
- …sleeping aids, attention deficit medications, psychotropic medications, for which specialist referrals are suggested).Familiarity with E/M coding guidelines and ... from Monday to Friday (4.5 workdays per week), with room for adjustment if necessary.Closed on weekends and major holidays.Patient scheduling: Typically two (2)… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …screens and phone, email, and/or Internet activity. + Fast paced environment. #LI-EG1 Adjustment Specialist II M-F 8am-4:30pm At Fifth Third, we understand the ... supervision of team lead and supervisor, researches and resolves complex adjustment cases and teller transaction discrepancies related to Check, ACE/MICR, Branch… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk ... and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior coding specialists are… more
- CDPHP (Latham, NY)
- …these values and invites you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart review and ICD-10 diagnosis ... coding of risk adjustment eligible members. This position will have responsibility for...GED required. Associates degree preferred. + CCS/CCS-P (Certified Coding Specialist ) or CPC/CPC-A (Certified Coding Professional) required. If CCA… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …medical terminology necessary to correctly code diagnoses. The Certified Risk Adjustment Coding/Audit Specialist analyzes and translates concurrent, prospective ... to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/Audit Reviewer is a physician facing position and...to understand the impact of diagnosis coding on risk adjustment payment models. Understand the audit process for risk… more
- Actalent (Dallas, TX)
- Job Title: Adjustment SpecialistJob Description A global leader in automated material handling systems (AMHS) is seeking an Adjustment Technician to support the ... would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please… more
- Samaritas (Grand Rapids, MI)
- …young individuals navigate the challenges of displacement, trauma, and cultural adjustment . The Youth Specialist will provide emotional support, coordinate ... Position Details We are seeking a compassionate and dedicated Youth Specialist to support refugee youth residing in a residential setting. This role is vital in… more
- City of New York (New York, NY)
- …the Account Coordinators for the Account Auditing, Account Maintenance and Payment Adjustment units, the Account Specialist Supervisor, with latitude for ... documents received from courts or other jurisdictions. The Account Specialist Supervisor ensures that adjustments, monies disbursed, misdirected, and unapplied… more
- Humana (Newark, NJ)
- …caring community and help us put health first** The Medical Records Retrieval Specialist (Risk Adjustment Representative 2) travels to provider offices within ... records are reviewed by Humana's Coding staff. Medical Records Retrieval Specialist (Risk Adjustment Representative 2) + Travels up to 100% in assigned territory… more
- Highmark Health (Pittsburgh, PA)
- …Coding for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs comply with all applicable guidelines, regulations and laws established ... may have budgetary responsibility and authority. + Quality Improvement Specialist (QIS) Program:Vision and direction for leading embedded coder/ clinicians… more
- State of Colorado (Denver, CO)
- …Mobility (O&M) OR Vision Rehabilitation Therapy (VRT) Specialist OR O&M/VRT Specialist Print ... Orientation & Mobility (O&M) OR Vision Rehabilitation Therapy (VRT) Specialist OR O&M/VRT Specialist Salary $64,908.00 -...a successful experience for the PWS with DVR's Personal Adjustment Training program within the Blind and Low Vision… more
- Apex Health Solutions (Houston, TX)
- Job Title: Clinical Data Abstraction Specialist Supervisor: Director, VBC Operations Required License(s)/ Certification(s): Certified Risk Adjustment Coder ... (CRC), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS) FLSA Status: Nonexempt Summary: Clinical Data Abstraction Specialist is… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- Summary The position is a Vocational Rehabilitation Specialist , organizationally aligned to Vocational Rehabilitation Program, Social Work Service Line, Richard L. ... in order to successfully obtain suitable employment. The Vocational Rehabilitation Specialist determines the extent to which the program participant possesses the… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** The Sr Specialist , Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality and ... risk adjustment outcomes through effective provider engagement activities. Ensures the...have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to… more
- Molina Healthcare (Longview, TX)
- **JOB DESCRIPTION** **Job Summary** The Provider Engagement Specialist , role implements Health Plan provider engagement strategy to achieve positive quality and risk ... adjustment outcomes through effective provider engagement activities. Ensures the...have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to… more
