Data Analyst Fraud Waste & Abuse
of healthcare claims experience Preferred Qualifications: Industry certifications: Certified Professional Coder (CPC...
of healthcare claims experience Preferred Qualifications: Industry certifications: Certified Professional Coder (CPC...
Documentation Integrity Specialist, Coder/DRG Analyst with a clinical background, Care Manager, Utilization Review Specialist...
. Certification(s): CRC (Certified Risk Adjustment Coder) or CPC, plus clinical coding and compliance training. Hands-on experience...
experience Preferred Qualifications: Industry certifications: Certified Professional Coder (CPC) or Certified Fraud Examiner...
established by the Centers for Medicare and Medicaid Services (CMS). Monitor’s accuracy of centralized coder’s charge capture... and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts...
experience Preferred Qualifications: Industry certifications: Certified Professional Coder (CPC) or Certified Fraud Examiner...
at early-stage startups. ✅ A technical expert – Strong background in Rust and is an active coder. ✅ A team coach & mentor...
Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders...
organizations, escalating issues when appropriate. Required Licenses/Certifications Certified Professional Coder (CPC...
leadership to identify focused prospective records that need to be reviewed. Identifies coder education opportunities, team... assignment following notification from the Inpatient coder. Determine the appropriate DRG based on coding guidelines. Provide...