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Based on direction from Group Energy Manager and Global Purchasing, follow and implement purchasing policy, category strategy/processes, and related purchasing and transportation management tools/software.
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5+ years of experience in CPG or retail - ideally in a Category Manager or Insights/Analytics role. As the Category Development Manager, you will play a critical role in developing and executing retail sales strategies to drive growth.
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Lead Buyer/NAM Category Manager. The Lead Buyer is directly responsible for category management of high value and/or complex materials and services across multiple locations and Abrasives headquarters.
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This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law.
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Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories.
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3 years HCC coding and/or coding and billing. 5 years HCC coding and/or coding and billing. Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Associate degree in medical billing/coding, health insurance, healthcare or related field preferred.
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Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding.
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Hierarchical Condition Category (HCC) Coding Specialist. Hierarchical Condition Category (HCC) Coding Specialist. Engages in RPM Coding educational meetings and annual coding Summit. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements.
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Certified Coding Specialist (CCS) Build partnerships and work within coding teams and internal partners critical to HCC coding. Maintains RPM coding accuracy and productivity requirements. Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals.
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Certified Risk Coder (CRC) In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
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Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. Certified Professional Coder (CPC.
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Registered Health Information Technician (RHIT) Assists with Regulatory Audits by performing first coding review and ranking of charts. Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity.
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Works primarily out-of-the office selling products/services (sales employees) California Consumer Privacy Act Employees, Contractors, and Applicants Notice. Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
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Title: category manager Company: Tsi
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