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If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Outpatient Coding Auditor (Surgical Specialty, Outpatient Surgery Coding, E&M and APC) - PPI Coding Disputes Team with Humana.
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Certified Professional Coder Apprentice (CPC-A) OR Certified Professional Coder (CPC) OR Certified Risk Coder Apprentice (CRC-A) OR Certified Risk Coder (CRC) OR Certified Coding Specialist (CCS) OR Registered Health Information Technician (RHIT.
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2+ experience with coding and scripting (Python, SQL, Java, JavaScript, Golang, Bash, Perl or Ruby) Utilize programming languages like Java, Python, SQL, Ruby and Go, Container Orchestration services including Docker and Kubernetes, CM tools including Ansible and Terraform, and a variety of AWS tools and services.
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At least 3 - 5 years of previous experienced in managed care, health plan operations in provider contracting, provider relations, customer service, coding or claims. Serves in an account management (non-sales) role as the primary business to business liaison between ConnectiCare and its provider network and is responsible for all interactions between the organizations.
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Collaborates with clinical leadership and coding manager to resolve DRG coding and documentation discrepancies, clinical disparities education and training needs for physicians, clinical documentation team and coding staff.
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Knowledge of clinical processes, charge master maintenance, clinical coding (CPT, ICD-10, revenue codes and modifiers), charging processes and audits, and clinical billing, charge documentation, charge audit or charge capture activities.
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AAPC Coding certification and 3+ years of experience in medical coding. Certified Professional Coder (AAPC) or other comparable coding certification. The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers.
$40,600 - $89,300 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Coding experience in Python, SQL, and R. Data visualization tools such as Power BI or Qlik Sense. Machine learning or deep learning algorithms, natural language processing techniques. Apply statistical, machine learning, and NLP techniques to identify patterns, extract meaningful insights, or develop new tools or solution for the business stakeholders.
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The successful candidate for this role will not only provide significant hands-on design/coding contribution but also act as an Agile Program Manager (APM). Job Summary The Unqork Application Development Director (internally known as Director, Software Engineering) provides leadership in aligning information systems development with business objectives for assigned business applications and/or technologies.
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Perform coding and charge capture for facility services including but not limited to emergency department and IV services. Effectively communicates with patient financial services to resolve coding and billing questions or concerns.
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Acts as a resource to physicians, non-physician providers, clinicians, program leaders and management concerning the interpretation and implementation of Medicaid, Medicare and other third party payer documentation, coding and billing requirements.
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The role requires expertise in areas that include performance management/analytics, data exchanges, electronic medical record systems, provider workflow and processes, health information management, risk adjustment operations (particularly on the prospective side), value-based care, ICD-10, CPT and HCPCS coding principles and guidelines, and population health management.
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This position reports to Inpatient Coding Manager. Certified Coding Specialist (CCS) required and maintained thereafter. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders and adheres to official coding guidelines.
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Ensures monthly production and key metrics are met and provides coaching as needed; Collaborates with the CDI Physician Champion and Coding Manager to resolve DRG coding and documentation discrepancies, clinical disparities education and training needs for physicians, CDI and Coding staff; Identifies opportunities for improvement by studying the variances form policies and practices.
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The State of Connecticut Judicial Branch is seeking an Information Technology Analyst II , who will primarily be responsible for supporting/coding Open VMS COBOL and development of. Developer skills should include hands on experience of COBOL, coding and testing skills for both batch and online applications, knowledge in Open VMS environment.
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coding job in West Hartford, CT
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