Review and audit medical claims against patient medical records to ensure accuracy and completeness of documentation. Identify discrepancies between clinical documentation and billed services, highlighting variances and potential billing errors. Perform detailed clinical reviews to validate
Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Role summary Drive measurable quality and operational improvements across Authorization Management by owning audit, issue-tracking, and process-improvement
About the Role We are seeking an experienced Risk Adjustment Coder with strong knowledge of HCC coding, CMS guidelines, RAF score calculation, and accurate clinical documentation review. The ideal candidate will be CRC/CPC certified and able
Review and audit medical claims against patient medical records to ensure accuracy and completeness of documentation. Identify discrepancies between clinical documentation and billed services, highlighting variances and potential billing errors. Perform detailed clinical reviews to validate
This job is with Elsevier, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ business community. Please do not contact the recruiter directly. Are you a Software Engineer looking
Job Description Director – Clinical Informatics (Epic) Role Overview The Head – Clinical Informatics (Epic) is a senior leadership role responsible for building, scaling, and leading the Epic Clinical Informatics practice within the organization. This role
Position Dossier: Director / Sr. Director – Medical Coding About Us Omega Healthcare Management Services® is an AI-driven healthcare solutions company that partners across the healthcare ecosystem to deliver breakthrough results by reimagining and elevating revenue