Medical Policy & Coding Support Coordinator (CPC/CPC-A Preferred) As a Medical Policy & Coding Support Coordinator, you will play a key role in supporting medical policy functions by providing medical coding, system configuration, and administrative and operational support. Using your medical
As a Senior Review Coordinator, you will be responsible for conducting utilization review/medical management including prospective, concurrent and retrospective review for all services. You will be responsible for training/mentoring other team members and performing preliminary research on
Job Title Handle the daily processing of disbursements for the Companies that we service while providing excellent customer service and maintain a high level of attention to detail. Responsibilities include: Processing of all disbursements for the
Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organizations coding procedures and standards. - Accurately enter coded data in a system and validate data entered. -
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
Billing Office Specialist Under general supervision, performs various billing office functions including insurance follow-up, denial follow-up, resolution of contact variances, and ensures all actions of the billing responsibilities are performed accurately and efficiently to support patient
Regional MDS / PDPM / CMI / RAI Consultant Are you ready to make a change? We are seeking an experienced Regional MDS / PDPM / CMI / RAI Consultant to provide remote reimbursement, MDS, PDPM,
Company Description Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated
Are you an organized and detail‑oriented professional? Do you want to strengthen our Project Management team by setting up projects, supporting project administration, and ensuring smooth operations from kickoff to closeout? Here’s an offer for you!