• Clinical Coding & Audit

    BrightSpring Health Services (Louisville, KY)
    Our Company BrightSpring Health Services Overview The Clinical Coding and Audit Specialist monitors, responds and performs the clinical coding ... across the Home Health enterprise for all payor types striving to improve clinical documentation and minimize lost revenue. Conducts analysis on timely submission of… more
    BrightSpring Health Services (04/04/24)
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  • Senior Hierarchical Condition Category (HCC)…

    Highmark Health (Frankfort, KY)
    …set by the management team.20% + Contributes to Risk Adjustment Data Validation (RADV) audit coding review, including analysis of claims data to ensure chart ... Affordable Care Act (ACA) through Hierarchical Condition Category (HCC) coding , medical coding , clinical terminology...Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information… more
    Highmark Health (04/18/24)
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  • SIU Pharmacy Intake Specialist - Remote…

    Prime Therapeutics (Frankfort, KY)
    …and drives every decision we make. **Job Posting Title** SIU Pharmacy Intake Specialist - Remote - Must Reside in CA **Job Description Summary** Responsible for ... in accordance with procedures or to present to management to recommend for audit or investigation. Serves as a corporate resource on fraud, waste and abuse… more
    Prime Therapeutics (04/25/24)
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