- BrightSpring Health Services (Louisville, KY)
- …Plan (formerly Signature Advantage Plan) is seeking a detail-oriented and technically skilled Quality Medical Coder to support our clinical operations. The ... coding, data integrity, and working with healthcare systems. Responsibilities + The Quality Medical Coder is responsible for reviewing and assigning accurate… more
- Molina Healthcare (Louisville, KY)
- …suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... of care provided to members. Contributes to overarching strategy to provide quality and cost-effective member care. Candidates with UM and Appeals experience are… more
- Molina Healthcare (Louisville, KY)
- …suite/applicable software program(s) proficiency. **Preferred Qualifications** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure… more
- Elevance Health (Louisville, KY)
- …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
- Molina Healthcare (Louisville, KY)
- …accurate billing and coding. This role also works with the Health Plan Risk/ Quality leaders to strategically plan for supplemental data source (SDS) acquisition from ... providers as well as Electronic Medical Record (EMR) access. This position oversees management of...aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. + Develops… more