Take ownership of data analysis for Commercial Risk Adjustment CMS submissions, ensuring compliance while supporting audits and migrations to cloud technologies. Drive innovation and automation within a dynamic, collaborative environment.
Join a dynamic team where you will lead appeal reviews for Medicare services, ensuring optimal medical care quality and cost-effectiveness while providing consultation and implementing programs that enhance outcomes and operations.
Manage and enhance external client programs by overseeing development, compliance, and strategic initiatives. Foster partnerships with business areas to ensure program success and adapt to industry trends, driving impactful outcomes.
Join our team to conduct thorough audits of inpatient medical records, ensuring compliance with clinical documentation and reimbursement standards, while leveraging advanced coding expertise for efficient documentation improvement.
Shape the future of healthcare auditing by leading a dynamic team in DRG coding and clinical validation. Drive strategic initiatives, ensure compliance, and enhance operational efficiency to improve patient outcome and revenue assurance.