Outpatient Clinical Denial Specialist (Remote)
New Haven, Connecticut
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must gu...
19d
| Job Type | Full Time |
New York, New York
Summary of Job Perform provider and member outreach to reconcile member records and validate data entry to support continuous quality improvement in Healthcare Effectiveness Data and Information Set (HEDIS) rates and STAR measures for the e...
19d
| Job Type | Full Time |
Health Services - Coord, Utilization Mgmt I
Baltimore, Maryland
Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Utilization Management Coordinator Duration: ...
19d
| Job Type | Full Time |
Dallas, Texas
Parkland Health and Hospital System (PHHS)
Location: Virtual Employee Work Location-Remote Fully Virtual Note: Remote positions at Parkland for this team can only hire from candidates who live in these states: Arkansas Wisconsin Texas Florida (cannot hire Miami-Dade county) Primary ...
19d
| Job Type | Full Time |
HIM Coding Editor Specialist I
Dallas, Texas
Parkland Health and Hospital System (PHHS)
Location: Virtual Employee Must have experience with resolving edits and denials for Hospital Billing Services. Work Location-Remote Fully Virtual Note: Remote positions at Parkland for this team can only hire from candidates who live in th...
19d
| Job Type | Full Time |
Denver, Colorado
We are recruiting for a mission-driven NCQA Specialist/ Quality Improvement - Denver Health Medical Plan (* Weekly Hybrid Schedule Requirement *) to join our team! We're with you for life's journey. At Denver Health, purpose isn't just some...
19d
| Job Type | Full Time |
Team Leader Inpatient Coding Operations
Columbia, Maryland
About the Job General Summary of Position Responsible for assisting Inpatient Coding Operations Manager with daily activity to include assisting coding associates with coding questions scheduling and mentoring. Primary Duties and Responsibi...
19d
| Job Type | Full Time |
Coding Specialist II Inpatient - MS-DRG (CCS Required)
Columbia, Maryland
About the Job General Summary of Position The Inpatient Coding Specialist II analyzes and interprets clinical documentation to accurately code and abstract inpatient facility records for all MedStar entities in accordance with established I...
19d
| Job Type | Full Time |
Claims Auditor, Reviewer and Coder
Planned Systems International, Inc.
Claims Auditor, Reviewer and Coder Location US-Remote Job ID 2026-11718 Overview Advanced Technologies & Laboratories International, Inc. (ATL) is hiring a Claims Auditor, Reviewer and Coder. The Contractor shall provide expertise in qualit...
19d
| Job Type | Full Time |
Los Angeles, California
University of Southern California
The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, inpatient admission, ancillary services and/or chemotherapy and other inf...
19d
| Job Type | Full Time |