- Highmark Health (Hartford, CT)
- …members to optimize data collection and review, provider education and outreach, and coding quality .20% + Develops and presents process improvement and training ... Act (ACA) through Hierarchical Condition Category (HCC) coding , medical coding , clinical terminology and anatomy/physiology, Centers for Medicare and… more
- Highmark Health (Hartford, CT)
- …, medical coding , clinical terminology and anatomy/physiology, and Centers for Medicare and Medicaid Services (CMS) coding guidelines. Works closely with ... team members, and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) risk… more
- Highmark Health (Hartford, CT)
- …not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid ... , Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient… more
- Humana (Hartford, CT)
- …issues. Conduct code reviews, provide constructive feedback, and ensure adherence to coding standards, design principles, and quality guidelines. Advises leaders ... Qualifications** + Bachelor's degree in Computer Science or related field + 8 or more years of progressive IT...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Cardinal Health (Hartford, CT)
- …preferred + Patient Support Service experience, preferred + Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers' policies and guidelines ... 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience preferred + 1-2 years' experience with...with high volume production teams with an emphasis on quality preferred + Intermediate to advanced computer skills and… more