JOB SUMMARY: The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation to ensure accurate capture of diagnoses in compliance with CMS risk adjustment guidelines and ICD-10-CM coding standards. This role plays a critical
Pro Fee Coding Specialist Job Summary: The Pro Fee Coding Specialist reviews documentation and reviews, adds or corrects diagnosis and procedure codes that have been submitted by the provider. This role utilizes coding knowledge learned through valid coding resources in
Job Title This role will report directly to the Supervisor of Clinical and Risk Coding and is responsible for clinical and risk adjustment audits for both Medicare Advantage and ACA Programs. Ensuring accurate and appropriate documentation. Audits
Pro Fee Coding Specialist Full Time Days Schedule: Monday through Friday, 8-hour shifts primarily during standard business hours. Candidates must be flexible to adjust their schedule as needed to support departmental and operational needs. Job Summary: The
Specialized Coders Wanted Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of
JOB SUMMARY: The Provider Performance Specialist plays a key role in strengthening relationships between the health plan and its provider network by offering education, support, and guidance on performance improvement initiatives. This position collaborates closely with
Responsible for the advanced design, development, optimization, and governance of business intelligence solutions. This role provides strategic guidance, leads complex BI initiatives, and ensures the reliability, scalability, and performance of BI tools that empower leadership to
Tulsa, Oklahoma, United States of America Extraordinary Care. Extraordinary Careers. With one of the nation’s largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career. Boomer Solutions of
Become a Hero and join us on our mission to help underserved kids! Generous pay with monthly bonus opportunities PTO and paid holidays Career growth within your practice and the region Medical, dental, vision insurance, 401K
Req ID: 78265 Location: Tulsa -TUL, Denver -DEN Areas of Interest: Information Technology Pay Transparency Salary Range: $145,000 - $165,000 Application Deadline: 08/31/2026 BOK Financial Corporation Group includes BOKF, NA; BOK Financial Securities, Inc. and BOK
Explore opportunities with Assured Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people
JOB SUMMARY: The Medical Review Examiner Nurse is responsible for auditing provider and facility claims. Identifying issues related to and/or participates in various projects aimed at identifying areas of non-compliance and/or potential fraud, waste and abuse,
JOB SUMMARY: Responsible for overseeing the day-to-day execution, performance, and optimization of the risk adjustment program across vendor management, medical record retrieval, coding quality, analytics, reporting, and audit readiness. This role drives process improvement, monitors operational and financial
JOB SUMMARY: The Automation Engineer delivers end-to-end automation solutions by combining business analysis, RPA development, and artificial intelligence to optimize enterprise operations. Using UiPath and AI technologies such as document understanding, OCR, and LLMs, this role
Job Summary The Crane Operator/Loader is responsible for handling materials as related to the shipping and receiving of inventory and customer orders. This position reports directly to the Operations Manager. Job Responsibilities Crane and Forklift Operation:
Registered Nurse In Home Health Explore opportunities with Assured Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we
Lead Engineering Leader As a Lead Engineering Leader, you will help shape and communicate a strategic vision for modern software engineering. You will provide hands-on leadership across multiple high-impact products, ensuring our solutions are innovative, effective,
Firm Enterprise Solutions Director, Group Engineering Leader As a Firm Enterprise Solutions Director, Group Engineering Leader, you will shape and communicate a strategic vision for modern software engineering. You will provide hands-on leadership across multiple high-impact
Engineering Manager As an Engineering Manager, you will actively engage in your engineering craft, taking a hands-on approach to multiple high-visibility projects. Your expertise will be pivotal in managing engineering teams to deliver solutions that delight
Nurse Practitioner (NP) or Physician Associate (PA) Job Category: Primary Care Location: Your Town, OK Position Type: Full-Time Compensation: $175,000 - $250,000 Triad Backs the Pracs Were not only here for the operations, admin, and full