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Physicians, nurse practitioners, physician assistants, physical therapists, pharmacists, social workers, psychologists, specialized technicians, and nurses work together while intentionally integrating health care students, residents, and fellows to deliver care to our community. The Coding and Documentation Specialist serves as a resource to clinicians regarding documentation and coding requirements and proactively identifies opportunities to improve documentation, coding accuracy, and revenue cycle performance.

University of North Texas System

Coding and Documentation Specialist

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The Audit Abstractor is responsible for, including but not limited to, responding to third party payer requests, appeals, denials, QIO, Mass Health, RAC, CMS, ADR, HEDIS, Medicare Risk Adjustment, CERT, CDAC, DPH reporting, DRG, charge audits, joint venture audits, internal compliance audits, DME, Patient Financial Services (PFS), OIG, and/or third party payer audits. Effectively utilizes Cobius, (emDR and esMD, including accessing requests, posting pdf’s, merging and delivering pdf’s), secure delivery server, e-fax, Adobe (searching, redacting, merging files, and securing security settings), portals, legacy applications, archived systems, and scanning documents.

Mass General Brigham

Healthcare, Release of Information Audit Abstractor

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Coach other coders by training and advising on coding and abstracting according to ICD-10-CM/PCS conventions and guidelines, responding to coding inquiries, reviewing and noting coded charts, providing feedback and monitoring chart corrections to ensure that noted changes have been made to facilitate coding consistency, accuracy, efficiency and appropriate billing and reimbursement. Facilitate a positive working relationship with management, coders, physicians, nurses, medical staff, COPCs, Financial Control, Business Services and hospital employees, to ensure that medical record information is documented and coded according to established conventions and Parkland’s policies and guidelines.

Parkland Health

Coding Specialist III

You will partner closely with customers, engineering, user experience, data science, clinical informatics, implementation, support, sales, and go-to-market teamsto deliver scalable applications that help providers, payers, risk-bearing organizations, and care teams improve quality, financial performance, operational efficiency, and patient outcomes. Ensure product workflows reflect real-world clinical operations and support efficient, coordinated work across physicians, nurses, care managers, pharmacists, social workers, analysts, administrators, and payer teams.

YEAR

For over three decades, Oracle has been the center of innovation for business software birthplace of the first commercially available relational database, the first suite of internet-based applications, and the next-generation enterprise-computing platform, Oracle Fusion. Today, Oracle provides the world's most complete, open, and integrated business software and hardware systems, with more than 370,000 customers including - 100 of the Fortune 100 - representing a variety of sizes and industries in more than 145 countries around the globe. And Oracle's 110,000 global employees - including 30,000 developers working full-time on Oracle products -are critical to that success.
Oracle Supports Workforce Diversity

Oracle

Principal Product Manager

IRecruitee

You must complete Thrive2Liv Powered by Philips medical clearance requirements, which include, but may not be limited to, evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation that precludes you from being vaccinated against these diseases. Completes pre- and post- visit chart prep for provider visits; ensures all quality and patient outcome metrics are elevated for providers to address.

Thrive2Liv

Medical Assistant

Collaborate with stakeholders to develop, implement, and maintain clinical programs across all lines of business, including but not limited to drug utilization review, opioid management, adherence, pharmacogenomics, disease management, and other clinical initiatives. The clinical programs manager collaborates with both internal and external stakeholders to develop and maintain clinical programs, such as analytics, product, finance, marketing, client services, sales, operations, and vendors.

Capital Rx, Inc.

Clinical Programs Manager

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Monitor care gaps associated with applicable quality programs, including HEDIS, Medicare Stars, accountable care organizations (ACOs), value-based care initiatives, and internal quality improvement programs, as relevant to the organization. Through telephone calls, text messages, patient portal communications, and other approved outreach methods, the quality care coordinator engages patients, addresses barriers to care, facilitates appointment scheduling, and documents completed interventions.

NeighborHealth Center, Inc.

Quality Care Coordinator

FULL_TIME

MAs are responsible for assisting with direct patient care, preparing for visits and procedures, and collaborating with both clinical and administrative teams to deliver team-based, patient-centered care. Medical Assistants (MAs) are integral members of the care team, supporting providers and clinical operations to ensure efficient, high-quality care and an excellent patient experience.

HOUR

Vanguard Medical Group

Certified Medical Assistant

[AW]-iCims

Founded in 2013, Palm Medical Centers is a provider of value-based, capitated primary care services with a focus on high-quality clinical outcomes, cost-effective care, and a patient-centric experience. Collaborate closely with care teams including nurse practitioners, medical assistants, case managers and specialists to insure seamless patient care.

Palm Medical Centers

Primary Care Physician

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The CMA Level II demonstrates proficiency in routine Medical Assistant duties, anticipates provider and patient needs, and collaborates with the care team to support efficient workflows and the delivery of team-based, patient-centered care. Ability to independently perform routine clinical and administrative responsibilities, including in-office testing, injections, medication documentation, and chart preparation, within scope of practice and under appropriate provider direction.

Certified Medical Assistant II

OTHER

Verifies each facility is prepared to successfully launch I-SNP according to schedule and oversees all aspects of a compliant ISNP program at the facility by coordinating all activities across Longevity for the facility, with Longevity vendors and back-office operations, and acts as the liaison with relevant and local provider network. This position of Licensed Account Manager is a field-based role which reports to the Market Vice President and whose major focus is to support the member care delivery system and skilled nursing facility partners in providing high quality patient-centered care for I-SNP members.

Longevity Health

Licensed Account Manager

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In addition to performing core Medical Assistant responsibilities, this position provides training, support, and coaching to new clinical support staff and Medical Assistants to help them successfully support clinicians, patients, and office workflows. This role follows established clinical workflows and participates in both clinical and administrative tasks to support efficient, high-quality care delivery.

Certified Medical Assistant III

Manage multiple requests and prioritize appropriately; Ability to function in a faced paced setting with a variety of patients and staff; Attention to details and prompt follow up; Includes walking and standing for long periods of time, sitting for short periods of time, hand dexterity, clear hearing and speaking ability. Planning, prioritizing and goal setting: Able to prepare for emerging patient / customer needs; manage multiple projects; determine project urgency in a meaningful and practical way; use goals to guide actions and create detailed work plans and action plans; organize and schedule self, people and tasks.

Manet Community Health Center Inc

Director Risk Management & Regulatory

Directs data collection and analyses to support quality improvement reporting by: overseeing statistical analysis for quality improvement evaluations, special projects, and other work for multidisciplinary review; establishing the long-term plans for the integration and use of multiple utilization data reporting systems to develop and maintain a variety of statistical reports to support evidence driven improvement across KP; presenting and interpreting quality improvement metric reports to executive management to demonstrate improvements and effectiveness of quality improvement programs to a variety of technical and nontechnical audiences, such as executive management and external agencies; and serving as a technical expert to executive internal and external stakeholders by advising on strategies to improve data collection, analysis, and reporting, at the organizational level to monitor success of long-term success of KP goals/objectives. Master's degree in Business Administration, Health Care Administration, Nursing, Public Health, or related field AND Minimum eight (8) years of experience in health care quality assurance/improvement or directly related field OR Bachelor's degree in Business Administration, Health Care Administration, Nursing, Public Health, or related field AND Minimum ten (10) years of experience in health care quality assurance/improvement or directly related field OR Minimum thirteen (13) years of experience in health care quality assurance/improvement or a directly related field.

Veracity Software Inc

Sr. Director, Clinical Quality Governance & Regulatory

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As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.

CenterWell

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.

Consultative Coding Professional

Under the direction of the Clinical Team Manager, the Medical Assistant supports the patient centered medical home by actively participating in the interdisciplinary care team and assists providers in the delivery of primary care services. Follow rooming procedure including asking about recent ER/Hospital visits, taking vital signs, reviewing medication list and due HEDIS or UDS measures, completing screening tests and health maintenance orders as identified in the chart preparation.

Family Health Center Inc

Medical Assistant, Full-Time w/Benefits

As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships.

Consultative Medical Coding Professional

Lead enterprise HEDIS strategy, annual submission activities, and roadmap execution, including management of work plans, timelines, data acquisition strategies, vendor and provider data exchanges, audit readiness, accreditation support, and continuous quality improvement initiatives across all lines of business. QUALIFICATIONS: Education Level: Bachelor''s Degree in business administration, health policy, health services research, public health, economics, mathematics, computer science, or a related field OR in lieu of a Bachelor''s degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Hedis Review Nurse Jobs in the United States

Coding and Documentation Specialist University of North Texas System

Healthcare, Release of Information Audit Abstractor Mass General Brigham

Coding Specialist III Parkland Health

Principal Product Manager Oracle

Medical Assistant Thrive2Liv

Clinical Programs Manager Capital Rx, Inc.

Quality Care Coordinator NeighborHealth Center, Inc.

Certified Medical Assistant Vanguard Medical Group

Primary Care Physician Palm Medical Centers

Certified Medical Assistant II Vanguard Medical Group

Licensed Account Manager Longevity Health

Certified Medical Assistant III Vanguard Medical Group

Director Risk Management & Regulatory Manet Community Health Center Inc

Sr. Director, Clinical Quality Governance & Regulatory Veracity Software Inc

Medical Assistant CenterWell

Consultative Coding Professional CenterWell

Medical Assistant, Full-Time w/Benefits Family Health Center Inc

Primary Care Physician CenterWell

Consultative Medical Coding Professional CenterWell

Quality Business Operations Director (Hybrid) Blue Cross and Blue Shield Association

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