Government Programs Risk Adjustment Coder - Harrisburg, PA

Position Description · Base pay is influenced by several factors including a candidate's qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates. The salary range display ...

Position Description · Base pay is influenced by several factors including a candidate's qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates. The salary range display ...

The Risk Adjustment Program Director oversees Capital's Medicare and ACA Risk Adjustment strategy.Responsibilities include leading risk adjustment functional areas driving optimal outcomes: Chart Retrieval Coding Analytics/Reporting Encounter Data Submissions. · ...

The Director Risk Adjustment Program will oversee Capital's Medicare and ACA Risk Adjustment Program strategy and operations to ensure regulatory compliance. · ...

Position Description · Base pay is influenced by several factors including a candidate's qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates. The salary range display ...

The Senior Provider Audit Specialist leads complex audits of hospital billing and charge practices. · Lead end-to-end audits of provider charge masters. · Maintain current knowledge of CMS guidelines and payer policies. · ...

Supports accurate and compliant provider billing by conducting audits of hospital charge data and claims. Analyzes chargemasters, identifies billing irregularities, and ensures adherence to regulatory standards. · Conduct end-to-end audits of provider charge masters (CDM) and ass ...

The CDI Specialist-Inpt facilitates improvement in clinical documentation quality through interaction with providers and multidisciplinary team members. · In collaboration with providers and staff identifies principle diagnoses procedures and assigns DRG · ...

The Senior Provider Audit Specialist leads complex, high-impact audits of hospital billing and charge practices to drive financial integrity and compliance across the organization. · Lead end-to-end audits of provider charge masters (CDM) and associated claims to evaluate billing ...

Position Description · Base pay is influenced by several factors including a candidate's qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates. The salary range display ...

· Position Description · Base pay is influenced by several factors including a candidate's qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates. The salary range disp ...

The Member/Provider Services Representatives are responsible for handling customer inquiries through multiple channels by using resources materials tools accuracy precision effectively presenting discussing products services creating maintaining positive relationships exceeding q ...

The CDI Specialist-Inpt facilitates improvement in clinical documentation quality and completeness to assure accurate coding assignment. They interact with providers and multidisciplinary team members, educate on documentation issues, guidelines, and regulations. · Identifies pri ...

Position Description · Base pay is influenced by several factors including a candidate's qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates. The salary range display ...

+Job summary · Member / Provider Services Representatives are responsible for handling customer inquiries through multiple channels. · +ResponsibilitiesManage telephone, electronic, and face-to-face interactions professionally. · Effectively present and discuss products and servi ...

The Risk Adjustment Program Director oversees Capital's Medicare and ACA Risk Adjustment Program strategy ensuring regulatory compliance accurate chronic conditions documentation appropriate care coordination. · ...

The Provider Audit Specialist supports accurate and compliant provider billing by conducting audits of hospital charge data and claims. · Conduct end-to-end audits of provider charge masters (CDM) and associated claims to evaluate billing accuracy, · ...

The Senior Provider Audit Specialist leads complex, high-impact audits of hospital billing and charge practices to drive financial integrity and compliance across the organization. As a subject matter expert on chargemaster structures and reimbursement methodologies, the senior s ...

Position Description · Base pay is influenced by several factors including a candidate's qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates. The salary range display ...

Member Services Representative will handle customer inquiries through multiple channels by using resources materials tools with accuracy precision. The incumbent will create maintain positive relationships exceed quality productivity performance goals. · ...