About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to
Your Role The Risk Adjustment Compliance Coding Specialist (Consultant) helps to ensure organizational compliance with laws related to Risk Adjustment across our Marketplace (ACA), Medi-Cal (Medicaid), and Medicare Advantage lines of business. Specifically, the role helps to
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united
Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical
Join the Team Modernizing Medicine At ModMed, we’re not just building software—we’re reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: we hired
Compliance Consultant IV - Medical Coding - Risk Adjustment The Compliance Consultant IV, Medical Coding independently reviews inpatient, outpatient, professional, and supplemental medical records to assign supported ICD-10-CM diagnosis codes and applicable hierarchical condition categories. The coder validates that
CDPHP in Albany, NY is seeking a Payment Integrity DRG Coding & Clinical Validation Analyst with deep ICD-10/DRG expertise to review acute inpatient records and validate DRG assignments. You will audit claims, ensure CMS guideline compliance, and mentor
The Coding Auditor 1 at Baylor Scott & White Health performs coding quality audits across coders, including third-party suppliers, using ICD-10-CM/PCS, HCPCS and CPT references to ensure accurate classification and DRG grouping. Applicants must have 5 years of coding experience
Job Description: Summary 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 current MS-DRG, and APR-DRG
About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live
Albany Medical Center is seeking a Senior Hospital Coder to perform thorough coding quality audits and provide staff education. This remote position demands expertise in ICD-10-CM coding and effective communication skills. Key responsibilities include optimizing reimbursement, educating healthcare providers
Clinical Documentation Specialist - Coding Immediate need for a talented Clinical Documentation Specialist - Coding. This is a 06 months contract opportunity with long-term potential and is located in California (Remote). Key Responsibilities: Conduct concurrent medical record reviews
Risk Adjustment Compliance Coding Specialist (Consultant) The Risk Adjustment Compliance Coding Specialist (Consultant) helps to ensure organizational compliance with laws related to Risk Adjustment across our Marketplace (ACA), Medi-Cal (Medicaid), and Medicare Advantage lines of business. Specifically, the
Overview Manages multiple or all units in the Health Information Management department, ensuring operations for retention and security of patient care information. Interfaces with clinical, research, legal, reimbursement, and other departments across the organization. Works under
Overview Under the general direction of the Associate Director or designee, the Fraud, Waste, and Abuse (FWA) Auditor serves a crucial role in identifying, investigating, and preventing fraud, waste and abuse for Medicaid programs. A major
This role sits at the intersection of regulatory privacy and compliance, health plan operations, and revenue cycle integrity. The Senior Regulatory Compliance & Revenue Cycle Analyst is responsible for advancing compliance across payer relationships, reimbursement practices,
Career-defining. Life-changing. At iRhythm, you’ll have the opportunity to grow your skills and your career while impacting the lives of people around the world. iRhythm is shaping a future where everyone, everywhere can access the best
Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists
Please note: this is a temporary assignment (3 months) with potential to extend. Fully onsite at Zuckerberg SF General. The Practice Coordinator (PC) serves as a key administrative and customer service representative for the practice, acting
JOB SUMMARY As a patient-focused organization, UCSF Medical Center exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and