Medical Coder CPC / CCS
$18 - $24.25/hr
... with Risk Adjustment. Provide overall coding expertise as well as administrative and technical ... Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic ...
$18 - $24.25/hr
... with Risk Adjustment. Provide overall coding expertise as well as administrative and technical ... Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic ...
$18 - $24.25/hr
... with Risk Adjustment. Provide overall coding expertise as well as administrative and technical ... Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic ...
Columbus, OH · Remote
$94K - $128K/yr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)candidates without this background will receive structured training. * Multi-setting background ...
Columbus, OH · Remote
$94K - $128K/yr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)candidates without this background will receive structured training. * Multi-setting background ...
Columbus, OH · On-site
$99K - $135K/yr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ... Bend, stoop, and kneel as needed to conduct assessments in non-clinical home settings (e.g ...
Columbus, OH · On-site
$99K - $135K/yr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ... Bend, stoop, and kneel as needed to conduct assessments in non-clinical home settings (e.g ...
Columbus, OH · On-site
$16.75 - $22.75/hr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ... Bend, stoop, and kneel as needed to conduct assessments in non-clinical home settings (e.g ...
Columbus, OH · On-site
$16.75 - $22.75/hr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ... Bend, stoop, and kneel as needed to conduct assessments in non-clinical home settings (e.g ...
Perform comprehensive, non-invasive physical assessments. * Review medical history and ensure ... We believe that happiness should be a fundamental part of every role in risk assessment. Our ...
Perform comprehensive, non-invasive physical assessments. * Review medical history and ensure ... We believe that happiness should be a fundamental part of every role in risk assessment. Our ...
Columbus, OH · On-site
$19 - $26/hr
Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Columbus, OH · On-site
$19 - $26/hr
Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Columbus, OH · On-site
$19 - $26/hr
Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Columbus, OH · On-site
$19 - $26/hr
Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Manage specific assigned geographic areas and successfully drive the FUJIFILM HCC Risk Biomarkers ... But we don't stop at healthcare; our Non-Destructive Testing (NDT) team harnesses advanced ...
Manage specific assigned geographic areas and successfully drive the FUJIFILM HCC Risk Biomarkers ... But we don't stop at healthcare; our Non-Destructive Testing (NDT) team harnesses advanced ...
Westerville, OH · On-site
$170 - $200/hr
Oversees and ensures that the employee performance process for both union and non-union employees ... adjustments * Performs other duties as may be assigned. EDUCATION & EXPERIENCE: * Thorough ...
Westerville, OH · On-site
$170 - $200/hr
Oversees and ensures that the employee performance process for both union and non-union employees ... adjustments * Performs other duties as may be assigned. EDUCATION & EXPERIENCE: * Thorough ...
Westerville, OH · On-site
$170 - $200/hr
Oversees and ensures that the employee performance process for both union and non-union employees ... adjustments * Performs other duties as may be assigned. EDUCATION & EXPERIENCE: * Thorough ...
Westerville, OH · On-site
$170 - $200/hr
Oversees and ensures that the employee performance process for both union and non-union employees ... adjustments * Performs other duties as may be assigned. EDUCATION & EXPERIENCE: * Thorough ...
Westerville, OH · On-site
... held, non-union construction management and general contracting firm. This role ensures accurate ... Monitor financial operations to ensure compliance with budgets Cash Flow, Working Capital & Risk ...
Westerville, OH · On-site
... held, non-union construction management and general contracting firm. This role ensures accurate ... Monitor financial operations to ensure compliance with budgets Cash Flow, Working Capital & Risk ...
... on changes and adjustments to cost estimates. * Attend walk-throughs, pre-bid and scope ... Benefits DeBra-Kuempel offers a competitive benefits package to non-union employees, including ...
New
... on changes and adjustments to cost estimates. * Attend walk-throughs, pre-bid and scope ... Benefits DeBra-Kuempel offers a competitive benefits package to non-union employees, including ...
New
Columbus, OH · On-site
$75K - $90K/yr
... heat; risk of electrical shock and vibration. The noise level in the work environment is usually moderate to loud. DeBra-Kuempel offers a competitive benefits package to non-union employees ...
Columbus, OH · On-site
$75K - $90K/yr
... heat; risk of electrical shock and vibration. The noise level in the work environment is usually moderate to loud. DeBra-Kuempel offers a competitive benefits package to non-union employees ...
Columbus, OH · On-site
$26 - $37/hr
Non-Union Location: Columbus, OH Essential function/Responsibilities: duties include but are not limited to the following * Perform basic repairs and adjustments (i.e. carpentry work, painting ...
Columbus, OH · On-site
$26 - $37/hr
Non-Union Location: Columbus, OH Essential function/Responsibilities: duties include but are not limited to the following * Perform basic repairs and adjustments (i.e. carpentry work, painting ...
Columbus, OH · On-site
$17.49/hr
... adjustments to minimize interruptions and ensure quality product. • Replaces adhesive tape in ... Non-Union), and a Learning Management System that supports and enhances employee skills at all ...
Columbus, OH · On-site
$17.49/hr
... adjustments to minimize interruptions and ensure quality product. • Replaces adhesive tape in ... Non-Union), and a Learning Management System that supports and enhances employee skills at all ...
$17.49/hr
Makes minor machine adjustments to minimize interruptions and ensure quality product. Replaces ... Non-Union), and a Learning Management System that supports and enhances employee skills at all ...
$17.49/hr
Makes minor machine adjustments to minimize interruptions and ensure quality product. Replaces ... Non-Union), and a Learning Management System that supports and enhances employee skills at all ...
Delaware, OH · On-site
$19.75 - $27/hr
Inspect finished surfaces for imperfections, making repairs or adjustments to cracks, bubbles, or ... Starting wage aligns with local non-union standards (apart from prevailing wage jobs) and is ...
Delaware, OH · On-site
$19.75 - $27/hr
Inspect finished surfaces for imperfections, making repairs or adjustments to cracks, bubbles, or ... Starting wage aligns with local non-union standards (apart from prevailing wage jobs) and is ...
Columbus, OH · On-site
$17.49/hr
... adjustments to minimize interruptions and ensure quality product. • Replaces adhesive tape in ... Non-Union), and a Learning Management System that supports and enhances employee skills at all ...
Columbus, OH · On-site
$17.49/hr
... adjustments to minimize interruptions and ensure quality product. • Replaces adhesive tape in ... Non-Union), and a Learning Management System that supports and enhances employee skills at all ...
Columbus, OH · On-site
$17.49/hr
Makes minor machine adjustments to minimize interruptions and ensure quality product. Replaces ... Non-Union), and a Learning Management System that supports and enhances employee skills at all ...
Columbus, OH · On-site
$17.49/hr
Makes minor machine adjustments to minimize interruptions and ensure quality product. Replaces ... Non-Union), and a Learning Management System that supports and enhances employee skills at all ...
Columbus, OH · On-site
$16.50 - $22.25/hr
Non-Exempt Objective The Virtual Branch Float Representative is responsible for member outreach ... Presents and explains Credit Union services and products to Members and assists in meeting their ...
Columbus, OH · On-site
$16.50 - $22.25/hr
Non-Exempt Objective The Virtual Branch Float Representative is responsible for member outreach ... Presents and explains Credit Union services and products to Members and assists in meeting their ...
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$18 - $24.25/hr
Full-time
Re-posted 8 days ago
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Company Job Description/Day to Day Duties:
Job Summary
Directly responsible and accountable for performing chart reviews, physician education, and development of tools to ensure that our provider partners are compliant with Risk Adjustment. Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Molina Medicare's Risk Adjustment initiatives. May require some travel to various provider partner locations
Performs on-going chart reviews and abstracts diagnoses codes under the HCC Model.
Develop an understanding of current billing practices in provider offices to ensure that diagnoses codes are submitted accordingly.
Documents results/findings from chart reviews and provides feedback to management, providers, and office staff.
Responsible for administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education.
Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic segmentations). Extract information necessary to identify where there are low performing physicians; follow up with plan for education and training. Continue to audit to ensure training is implemented.
Resolve and track escalated issues. Track any coding issues identified either at the provider level (including Molina sites) or vendor; manage any non-compliance situation or potential fraud or abuse.
Utilize discretion and autonomy to select provider for further training or audits; coordinate efforts with internal clients such as Coding Manager, RAMP Director, State Medicare Directors and Provider Services.
Determine coding quality as it relates to CMS standards; selects physicians or vendors that require an audit.
Minimum Education/Qualifications/Licensures:
Coding Certification - Active CCS, CCS-P, or CPC credentialing
Coding guidelines knowledge
Travel required (with mileage)
Claims experience
Employment Type: Contract 6 months. With possibility of going perm.
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003