Payment Integrity Drg Coding & Clinical Validation Analyst The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the
Job Title This position is responsible for coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical health (PH) services for members, ensuring compliance with internal and external standards set by regulatory and accreditation
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system
Key Responsibilities • Act as the principal technical authority for integration engineering across Maximus UK, providing deep leadership across Boomi-based integration solutions. • Define and maintain integration engineering standards, patterns, guardrails, and best practices for system-to-system
Essential Duties and Responsibilities: - Perform analysis and review of system requirements, estimations, peer reviews, test data determination and preparation, designing test strategy and test cases, executing test cases, and monitoring and control of overall test
Essential Duties and Responsibilities: - Coordinate with the Functional Team to gather a detailed understanding of the business requirements. - Participate and provide support in the analysis of the requirements, fit- gap analysis, and the design
Essential Duties and Responsibilities: - Complete cost allocation plans for assigned clients. - Obtain contract renewals for multiple clients. - Manage relationships with multiple clients as well as project staff responsible for projects. - Support leadership
Essential Duties and Responsibilities: - Collaborate with project managers on various initiatives and projects to track progress and provide support as necessary. - Support leadership in ensuring that the project is delivered to specifications, is on
Calvado Care - MDS Coordinator Position Summary This position is not a remote role, will consider LPN The MDS Coordinator is responsible for overseeing the accuracy, timeliness, and compliance of the Minimum Data Set (MDS) process
PURPOSE OF THE ROLE To design, develop and improve software, utilising various engineering methodologies, that provides business, platform, and technology capabilities for our customers and colleagues. ACCOUNTABILITIES * Development and delivery of high‑quality software solutions using
Senior Full Stack Developer Location: NY Role Overview We are looking for a Senior Full Stack Developer to design, develop, and implement robust full stack solutions that drive efficiency, enhance data accuracy, and streamline financial operations.
T itle: Java + Oracle Developer Location: Buffalo, NY Long term contract Experience: 12+ years Java Plus Oracle - Core Requirements & Responsibilities Java & API Development: Deep hands-on experience designing, developing, and deploying enterprise-level RESTful