Inpatient Medical Coder Type: Remote Needs to be strong in DRG (Diagnoses Related Group) as well as have experience in APR, SOI (severity of illness), and ROM (risk of mortality) Description The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders.The Coding Auditor 1 utilizes the International Classification of Diseases (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS), including Curre

Facets Developer Remote - CST Time zone Job Description/ Responsibilities: Oversee the integration of data with Facets systems to ensure seamless workflow and system functionality.Provide expertise in Facets Benefit Configuration to optimize benefit structures and improve overall efficiency. Substantial intelligence of Facets system applications and understanding in multiple product lines (HMO, POS, PPO, Dental, Indemnity, Medicare and Medicaid).Understanding of Provider tables, i.e.; Practition

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Position- Facets Coding Analyst consultant Type- 100% Remote Visa- No H1 Rate- $50/hr on C2C Please answer the following screening questions: How many years of direct medical coding and medical billing experience do you have? Is it in a Managed Care environment?Do you have a current certification- Certified Medical Coder (CPC, RHIT or RHIA) ?Describe your knowledge of CPT, HCPCS and ICD-CM Codes. This consultant should have a minimum of five (5) years of medical coding and medical billing exp

Piper Companies is seeking an experienced Senior EDI Analyst to join a healthcare organization for a 12+ month contract. This role is REMOTE, but candidates must reside in California . The Senior EDI Analyst is a technical expert who leads and mentors the EDI team, manages complex data processes, and oversees system design and development. *Candidates must currently reside in California* Requirements: Provide technical leadership and manage projects using PMI methods. Lead EDI development and

Software Guidance & Assistance, Inc., (SGA), is searching for an Outpatient/Profee coder for a Contract assignment with one of our premier Healthcare clients in Chicago, IL. (100% remote) Responsibilities : Review clinical documentation in order to assign diagnostic and procedural codes for outpatient medical records according to the appropriate classification system Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, interna

Job Title: Facility Coding Supervisor Job Type: Permanent (Direct Hire) Job Location: 100% Remote (Must reside in approved states: AK, AL, AR, AZ, FL, ID, KS, LA, MO, MS, MT, ND, NE, NM, NV, OK, SD, TX, UT, WY) MUST be able to obtain a static IP Reporting To: Manager of the coding group Team Size: ~10 members (Inpatient, Same Day Surgery, Observation Coding) Assessment: Required for consideration POSITION SUMMARY Responsible for supervising and coordinating the timely and accurate coding and abs

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to