- Evolent (Jackson, MS)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Clinical Rules Management , Analyst ** Seeking a detail-oriented ** ... Clinical Rules Management , Analyst ** who will play a critical role in ensuring the accuracy and integrity of our clinical rule engine, impacting our … more
- Highmark Health (Jackson, MS)
- …job works collaboratively riskacross Highmark Health clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible ... subject matter expert, providing insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and… more
- Banner Health (MS)
- …on location, education, & experience. In accordance with State Pay Transparency Rules . Innovation and highly trained staff. Banner Health recently earned Great Place ... such as Billing, Coding, CDM Services Expected reimbursement As a Revenue Integrity Analyst you will work with a variety of claims, correcting coding or charging… more
- Intermountain Health (Jackson, MS)
- **Job Description:** The RCO Rev Integrity Chargemaster Analyst II independently handles EPIC build, maintenance, and implementation of charge codes, fee schedules, ... and mentor teammates, provide education and guidance to revenue cycle and clinical teams, and assists with testing and validation. Supports and collaborates with… more
- Intermountain Health (Jackson, MS)
- …site teams, external business partners/vendors, compliance, legal counsel, health information management , and designated areas in the response process. 5. Assists ... and guidance to service line leadership, providers, and front line clinical associates regarding updates to charging/coding/NCCI regulations and/or errors, and… more
- Cardinal Health (Jackson, MS)
- … team to onboard new practices including Assessment Call and giving direction to Clinical Analyst owning account * Once the Rheum team grows, manage the ... training and oversite of all new Clinical Analyst Team members (working with HR,...Specialty Network requirements of the Provider Solutions, Customer Success, management , and HR Handbook rules * Assist… more
- Banner Health (MS)
- …hour, based on location, education, & experience. In accordance with State Pay Transparency Rules . A rewarding career that fits your life. As an employer of the ... range of acute care services at all Banner hospitals. 2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the… more
- CenterWell (Jackson, MS)
- …Senior Strategy Advancement Professional will bring a combination of operational support, analyst skills, and strategy oversight to the role. This individual will ... Medicare, population health, Accountable Care Organizations (ACOs), medical group management / practice management , health plans /...necessary / required actions initiated by CMS * Oversee rules and regulations of ACO programs as outlined in… more
- Banner Health (MS)
- …on location, education, & experience. In accordance with State Pay Transparency Rules . Innovation and highly trained staff. Banner Health recently earned Great Place ... edits as appropriate. Reconciliation of charges as required. 2. Abstracts clinical diagnoses, procedure codes and other pertinent information obtained from the… more