, and abuse) by performing medical claim reviews to ensure compliance with coding guidelines through a comprehensive review... and health plan provider calls. Develop and maintain review guidelines for Corporate medical coding reviews. Performs...
: MEDICAL REVIEWER III Conducts medical record audits to determine the medical necessity and/or appropriateness of medical... and colleagues Performs other projects or duties as assigned by the Senior Medical Review Specialist or Medical Review Manager...
MEDICAL REVIEWER III Conducts medical record audits to determine the medical necessity and/or appropriateness... and colleagues Performs other projects or duties as assigned by the Senior Medical Review Specialist or Medical Review Manager...
of health care. Senior Director of Risk Adjustment Coding Primary Location Rockville, Maryland Worker Location Remote... - Physician Based OR Certified Coding Specialist Additional Requirements: Expert knowledge of medical terminology, disease...
and Job Responsibilities The Analyst II “QMPE Claims Reviewer” position will be filled by a health professional with experience in medical... coding/billing and health plan program administration to serve as a medical coding/billing specialist in the Quality...
and workflows Serve as senior technical and methodology reviewer and mentor less experienced colleagues; Ensure quality control... understanding and experience with medical and pharmacy claims reporting and billing including Diagnostic Coding ICD-10, Procedure...
and workflows Serve as senior technical and methodology reviewer and mentor less experienced colleagues; Ensure quality control...Posting Description: Senior Vice President - Commercial Health Analytics Aon is looking for a Senior Vice President...
for a mission that matters at a company where you matter. Your Impact As a Senior Application Security Engineer, you will drive... as a security partner, not just a reviewer, to enhance our security posture while maintaining speed and innovation...
for a mission that matters at a company where you matter. Your Impact As a Senior Application Security Engineer, you will drive... as a security partner, not just a reviewer, to enhance our security posture while maintaining speed and innovation...
for a mission that matters at a company where you matter. Your Impact As a Senior Application Security Engineer, you will drive... as a security partner, not just a reviewer, to enhance our security posture while maintaining speed and innovation...
of AI solutions, including data, model, training, and evaluation, employing best practices. Lead and mentor both junior and senior... applied scientists. Develop production code and advocate for the best coding and engineering practices. Participate...
peer reviewers Consults with a nurse reviewer, clinical peer reviewer or the Medical Director with questions Prepare case... of Medicaid/Medicare concepts Experience with medical terminology and medical coding Strong written and oral communication...
peer reviewers Consults with a nurse reviewer, clinical peer reviewer or the Medical Director with questions Prepare case... of Medicaid/Medicare concepts Experience with medical terminology and medical coding Strong written and oral communication...
& SKILLS: Excellent written and verbal communication skills Medical terminology and coding knowledge Experience handling... organization; based on review findings and previous history Consult with Nurse Reviewer and clarify as needed Contact provider...
and mentor both junior and senior applied scientists. Develop production code and advocate for the best coding and engineering... them into production. Strong publication record, including as a lead author or reviewer, in top-tier journals...
, translating complex analytical results into actionable insights for both technical and non-technical audiences, including senior.... Experience with analyzing large datasets (ideally coding in SQL, R, or Python). Experience conducting rigorous, insightful...
environment with a substantial charter, high visibility, and support from senior leadership. As our Principal Applied Scientist..., employing best practices. Lead and mentor both junior and senior applied scientists. Develop production code and advocate...
. We have an exciting opportunity for you to join Research Medical Center which is a part of the nation’s leading provider of healthcare... services, HCA Healthcare. Benefits Research Medical Center, offers a total rewards package that supports the health, life...
. We have an exciting opportunity for you to join Research Medical Center which is a part of the nation’s leading provider of healthcare... services, HCA Healthcare. Benefits Research Medical Center, offers a total rewards package that supports the health, life...
. We have an exciting opportunity for you to join Research Medical Center which is a part of the nation’s leading provider of healthcare... services, HCA Healthcare. Benefits Research Medical Center, offers a total rewards package that supports the health, life...