- The Cigna Group (Bloomfield, CT)
- …occur be before/after normal business hours) + Perform the minimum number of coding quality reviews consistent with established departmental goals. + Maintain ... audit departments regarding compliance, coding , and inappropriate coding . + Attend risk adjustment and quality ...inappropriate coding . + Attend risk adjustment and quality provider meetings for assigned provider groups to provide… more
- Providence (CA)
- …who will:** + Be responsible for the management and supervision of all Coding Policy development, quality , implementation, publication, and interim or routine ... Manage certified Coding Policy Analysts and all coding -related reviews, work queues, and analyst metrics...process improvements which result in team growth, savings, and quality + Be responsible for setting Coding … more
- Highmark Health (Dover, DE)
- …in the areas of compliance, process improvement, medical record review and coding , and member and provider satisfaction for all product lines. Recommends and ... implements process improvements related to the potential of quality medical care and service to members and to...improve documentation of these services for appropriate ICD 10-CM coding . Serves as a resource and educator regarding provider… more
- Cedars-Sinai (Los Angeles, CA)
- …ID** : 1372 **Working Title** : Associate Data Analyst - Hybrid Remote **Department** : Data Quality and Governance **Business Entity** : Cedars-Sinai ... supply chain as well as clinical progression of care. The Enterprise Data Quality Analyst will interact with various business data owners, data production… more
- Penguin Random House (New York, NY)
- …Business Systems Analyst , Publishing Operations, Penguin Random House (Open to Remote ) Penguin Random House (PRH), the world's largest trade book publisher, is ... and large data set manipulation. This is a business analyst position and does not require coding ....you review our applicant resources pageand look over our open-to- remote guidelines on our FAQs page. The Role: *… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Sr. Rebate Trade Analyst - Remote **Job Description** The Senior Trade Relations Analyst ... suggested net cost improvements, and responding to inquiries + Assist in new analyst training, creation of training documentation and new procedures + Create new… more
- Penguin Random House (New York, NY)
- …want and need? If so, you might be the perfect candidate for the Analyst , Consumer Insights role at Penguin Random House. The Penguin Random House Consumer Insights ... for synthesizing different kinds of data to answer business questions. The Analyst will primarily support the management of an in-house research community panel,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …physicians and/or hospitals across the region. The Resolute Billing Application Analyst will work the Community Connect Senior Resolute Billing Application ... Analyst to configure and maintain professional billing workflows including...validity of data passed among programs. Understands and uses quality assurance processes, tools, and scripts for testing purposes.… more
- Vanderbilt University Medical Center (Nashville, TN)
- …**Organization:** Finance Reimb/Acct **Job Summary:** The primary purpose of the financial analyst is to support and perform analyses of financial matters related to ... care center, and others. Requires familiarity with clinical operations, billing, and coding . Research analysis outcomes at the patient detail level using available… more
- Cengage Group (Columbus, OH)
- …. **What you'll do here:** The **Sales Compensation Analyst , Revenue Operations** will lead the creation and ongoing ... Excel, or similar toolsets + Proficient in basic SQL coding and database management **Recommended but not required:** +...new standard of service for our customers, we deliver quality , easy-to-use course materials from textbooks and eBooks to… more
- Trinity Health (Livonia, MI)
- …Works closely with the Data Developers and Data Governance ensuring the quality of our products. Develops, tests, documents and implements solutions, utilizing the ... best practices around source to target mappings. + Partners with Business Analyst and Data Governance to understand business requirements for new product… more
- Molina Healthcare (Albuquerque, NM)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial… more
- CareFirst (Baltimore, MD)
- …Quality , Finance and Actuarial areas to optimize Risk Adjustment performance, accurate coding and drive overall quality of care. + Establishes standards with ... Supports Risk Adjustment & Stars organization to optimize Risk Adjustment revenue and coding accuracy through data-driven approach to closing gaps and risks in … more
- Trinity Health (Conshohocken, PA)
- …used to manipulate large data sets, conduct system/data integrity and quality checks/audits, access applications and utilize relational database management or ... network is required. 3. Knowledge of relational database principles and coding , examples include: SQL, Cognos, PowerPlay, and Business Objects. Application… more
- Vanderbilt University Medical Center (Nashville, TN)
- …through preeminent programs in patient care, education, and research. **Organization:** CPPA Coding - Brown **Job Summary:** Reviews and accurately assigns codes to ... and accurate assignment of codes to survey data. * Maintains departmental quality , data reliability and ensures productivity standards. * Assists with aggregation… more
- Trinity Health (Livonia, MI)
- …reports and summaries that support department projects and initiatives. Uses data manipulation coding (ie, SAS & SQL) to extract claims and membership data to ... used to manipulate large data sets, conduct system/data integrity and quality checks/audits, access applications and utilize relational database management or… more
- University of Washington (Seattle, WA)
- …in related rules, regulations and coding changes; makes recommendations to maintain coding compliance, quality and mitigate risk + Performs regular coding ... Health Information has an outstanding opportunity for an **OUTPATIENT ANALYST ** . **WORK SCHEDULE** + 8:00 am - 5:00...5:00 pm + Mondays - Fridays + 100% FTE, Remote **POSITION HIGHLIGHTS** + Performs daily activities related to… more
- Nuvance Health (Carmel, NY)
- Certified Coder/ Analyst Location: Carmel, NY, United States Requisition ID: 8997 Salary Range: 17.07 - 32.47 HOURLY Work Shift: Monday-Friday Day Shift FT/PT/PD: ... FULL-TIME Exempt/Non-Exempt: Non-Exempt Share: Apply Now Save Job Saved **Description** ** Remote Coder positions are available in all states** **EXCEPT CA and HI**… more
- Northrop Grumman (San Diego, CA)
- …for you to join our team as a Principal or Sr. Principal Software Configuration Analyst based out of San Diego, CA. As a Principal or Sr. Principal Software ... Configuration Analyst at Northrop Grumman you will have a challenging...of configuration management tools and the implementation of software quality standards. Software (SW) Configuration Management (CM) analysts are… more
- Meijer (Grand Rapids, MI)
- … II with experience in data engineering and tool configuration and administration. Developer/ Analyst II is responsible for coding , and testing data movement ... position is not eligible for student visa (OPT) candidates or visa sponsorship. Remote and hybrid work schedules available, must live within the Meijer 6-state… more