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Optum Senior Community Care provides the Patient Connect Program for United Healthcare members in a short stay/transitional setting with focus on reduction in 30-day hospital readmissions, improved completeness and coding accuracy of diagnosis and medical record documentation, increased closure of STAR/HEDIS quality measures, improved completion rates of Advanced Care Planning Directives, and improved patient and family satisfaction and discharge and post discharge support.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Assist departmental staff with issues related to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals. Seeking experienced Utilization Review nurse.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Masters use of clinical systems to ensure efficient and excellent supportive documentation, appropriate and optimal coding levels, charge capture, and follow-through on all patient care orders.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The Salesforce Developer implements solutions based on the overall technical strategy for the platform, following specified documentation, coding and design patterns and best practices. T. Rowe Price is an equal opportunity employer and values diversity of thought, gender, and race.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The Trainer, under the supervision of the Manger of Training, will be responsible for ensuring success in coding compliance and documentation improvement. The Trainer will participate in coding roundtable (CRT) discussions, participate in updating the Internal Coding Manual and updating the UMMS Coding Library to include creating folders, web parts, uploading documents, etc.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Continually refreshes and applies knowledge of government regulations as they relate to coding and billing. Understanding of the importance of compliance with all government, department, and contractual regulations regarding coding and billing; and provider requirements.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Knowledge of, or willingness to learn, federal and state regulatory requirements related to healthcare privacy, security and compliance, including the Health Insurance Portability and Accountability Act, new State privacy regulatory requirements, federal billing, coding and documentation requirements, Stark and Federal False Claims Act. Experience with Microsoft Office Suite and ability to manage databases.
Starting at $77,000 a yearFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Consults with various teams, including the Quality, Risk Adjustment, Practice Transformation Consultants, Medical Policy Analysts and Provider Networks colleagues to interpret coding and documentation language and respond to inquiries from providers.
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The Research Coordinator will perform administrative functions for ongoing pediatric studies including creating and maintaining study protocol and IRB documentation, assisting with research participant recruitment and scheduling, and collecting, coding, and archiving data.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Utilizes extensive HEDIS and coding knowledge, combined with medical policy, credentialing, and contracting rules knowledge to help build the effective guides and resources for providers on the expected methodologies for billing and code submissions to maximize quality outcomes and STARs outcomes while not compromising payment integrity.
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Experience in coding and documentation, including Medicare Advantage and HCC. Access to Vera care center services, VeraDirect telehealth, health coaching. Experience in coding and documentation, including Medicare Advantage and HCC.
InternExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Newly Added Responsibility: Past programming experience or ability to do light scripting preferred (Python, R, Matlab, or any object-oriented coding language) Strong skills in software testing and documentation.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.
Full-timeRemoteExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Facilitate the improvement in the overall quality, accuracy and completeness of concurrent medical record documentation to help identify and close gaps in care for ongoing health conditions, achieve accurate ICD10 diagnosis and procedural coding and monitor severity of illness using risk adjustment indices, such as HCC and ACG.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Minimum 2+ years with case management emphasizing health prevention and population health management. Vera Whole Health is leading the critical shift to value-based care across the United States. Assess patient population needs and work with team members to drive participation in annual whole health evaluations, health coaching, and other health promotion activities.
ExpandApply NowActive JobUpdated 11 days ago
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