- Highmark Health (Phoenix, AZ)
- …government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA) through Hierarchical Condition Category (HCC) coding, medical coding, clinical ... Centers for Medicare and Medicaid Services (CMS) coding guidelines, and support of Risk Adjustment Data Validation (RADV) audits. Works closely with… more
- Highmark Health (Phoenix, AZ)
- …Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category ... independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's… more
- Highmark Health (Phoenix, AZ)
- …Adjusted government programs such as Medicare Advantage (MA) and/or Affordable Care Act (ACA) using skills including but not limited to Hierarchical Condition ... and annual coding summit. (10%) + Works in various coding applications to support departmental goals. (10%) + Other duties as assigned or requested. **EXPERIENCE**… more
- Air National Guard Units (Davis Monthan AFB, AZ)
- …SERVICE POSITION. This National Guard position is for a SUPERVISORY QUALITY ASSURANCE SPECIALIST T32, Position Description Number PDD1819000 and is part of the AZ ... systems. Applies a comprehensive knowledge of employee relations, management techniques, peer mediation, root cause analysis, trending, and statistical methods. THIS… more
- PNC (Phoenix, AZ)
- …details in relevant systems/applications. Provides reports as needed. + Serves as a peer resource and may perform general administrative support . PNC Employees ... in the Pacific, Arizona and Mountain time zones to support clients on those time zones. Some travel may...for clients, client teams or service partners and may act as an escalation point for complex client implementation… more
- Highmark Health (Phoenix, AZ)
- …set the rates. Prepares a variety of reports and provides rationale and support to other areas within the organization, clients, and possibly producers regarding one ... + Analyze member risk and engage internal departments to manage this risk. + Support other internal initiatives which may include but not limited to fraud detection,… more
- Highmark Health (Phoenix, AZ)
- …set the rates. Prepares a variety of reports and provides rationale and support to other areas within the organization, clients, and possibly producers regarding one ... Analyze member risk and engages internal departments to manage this risk. + Support other internal initiatives which may include but not limited to fraud detection,… more
- Highmark Health (Phoenix, AZ)
- …complex production issues, including outages, performance and function issues + Build and support CI/CD pipelines for both on-prem data center and cloud solutions + ... maintain internal and external documentation intended for the Application Developer community + Mentor junior team members, help team develop important skillsets,… more
- Banner Health (Phoenix, AZ)
- …have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding ... character of physician and provider stakeholders. May participate in peer review process and provider recruitment. Works with other...focus, and short and long-range goals and objectives in support of the growth and success of the organization.… more