Clinical Quality Analyst - Remote - 141282
$97K - $145K *
Transform healthcare quality by leveraging Epic's Healthy Planet to enhance monitoring tools and support clinical applications within a large-scale organization, ensuring effective implementation and...
1 week ago
$90K - $100K *
Take ownership of multi-line claims supervision, ensuring compliance and quality. Oversee investigations and claim adjustments while leading and developing team members for enhanced performance and cl...
Yesterday
Auditor Technical Trainer (Outpatient/Specialty Audits)
$105K - $125K *
Transform training effectiveness by developing and delivering comprehensive technical training programs while collaborating with subject matter experts to enhance audit productivity and client satisfa...
4 weeks ago
$89K - $161K *
Optimize patient care quality by ensuring medical necessity through reviews of inpatient admissions and outpatient services, while collaborating with clinical teams and guiding members to appropriate...
Yesterday
$72K - $109K *
Join a team that ensures precise medical coding by reviewing outpatient records using ICD-10-CM and CPT guidelines. Enhance reporting accuracy and support clinical review processes for better patient...
Reposted 6 days ago
$72K - $109K *
Join a team that's dedicated to accurate outpatient coding and risk adjustment oversight. Engage in comprehensive medical record reviews, ensuring compliance with CMS guidelines while supporting healt...
6 days ago
Senior Support Analyst-Payment Clarity
$70K - $92K *
Partner with us to enhance data operations by troubleshooting and resolving technical issues, collaborating with cross-functional teams, and driving improvements in production support processes. Shape...
3 weeks ago
Revenue Integrity Coding Billing Supervisor
$61K - $101K *
Manage revenue integrity operations by resolving billing errors and denials, ensuring compliance with payer requirements, and improving processes alongside stakeholders for optimal performance in reve...
3 days ago
$75K - $100K *
Empower your career by providing exceptional client service and support to enhance gross profit margins and customer satisfaction. Engage with internal teams and clients, driving strong relationships...
1 week ago
$110K *
Drive excellence in care and operations within assisted living communities, overseeing resident needs and regulatory compliance while collaborating with clinical and administrative teams to enhance se...
3 weeks ago
Epic Certified Clinical/Orders Analyst
$114K - $177K *
Join a team that's empowered to enhance complex healthcare systems through advanced analysis, configuration, and support. Collaborate across teams to drive operational excellence and develop innovativ...
Today
$74K - $130K *
Explore innovative educational strategies to enhance clinician expertise and improve patient care outcomes. Lead the development, execution, and evaluation of training programs while fostering a cultu...
1 week ago
Clinical Database, SME - Strategy (CDI Specialist)
$130K - $165K *
Champion innovative clinical solutions by translating complex scenarios into actionable, clinically grounded input for engineering and product teams. Collaborate cross-functionally and engage with cli...
3 weeks ago
$85K - $117K *
Lead the execution of client implementation projects, ensuring alignment across cross-functional teams to enhance operational efficiency and exceed client expectations while driving process improvemen...
2 weeks ago
Coding Auditor - Ambulatory/Professional Coding/Profee
$55K - $109K *
Explore the dynamic role of a Coding Auditor, ensuring accuracy and compliance in coding standards. Collaborate with clients and internal teams to uphold high quality in coding decisions and reporting...
3 weeks ago
Coding Auditor - Ambulatory/Professional Coding/Profee
$55K - $109K *
Transform coding accuracy by auditing coders and promoting best practices. Collaborate with teams to ensure compliance and provide actionable feedback, while upholding high ethical standards in coding...
3 weeks ago
Supervisor, Quality Practice Advisor
$70K - $126K *
Transform healthcare delivery by leading clinical quality initiatives, supervising field staff, and driving value-based contracts to enhance member care and manage risks while ensuring program effecti...
2 weeks ago
Clinical Nurse Practice Specialist - Med-Surg - Days
$91K - $140K *
Grow your career with a dynamic role as an expert clinician enhancing patient care, mentoring staff, and driving evidence-based practices across the organization to achieve optimal patient outcomes an...
2 weeks ago
Case Manager/Utilization Review
$78K - $109K *
Unlock potential by coordinating care and optimizing health services. This hybrid role involves managing utilization review processes, collaborating with medical staff, and ensuring comprehensive disc...
Reposted 3 weeks ago
Manager, Complex Clinical Review
$115K - $130K *
Join a team that's dedicated to leading clinical review audits, managing operations, and ensuring quality outcomes. Utilize your nursing expertise to support remote staff and drive strategic initiativ...
3 weeks ago
Outpatient Audit Specialist PRN - Remote
$72K - $93K *
Lead the charge in optimizing outpatient facility coding audits, enhancing compliance, and educating coders. This remote role combines customer service with expert coding analysis to uplift healthcare...
4 weeks ago
Training Specialist, Medical Review Audit - Clinical RN
$80K - $95K *
Champion the development and delivery of specialized training programs for clinical audit staff focused on IPF and IRF claims, ensuring compliance and improved accuracy through expert guidance and inn...
Reposted 1 month ago
Complex Denials Consultant (Complex Claims)
$90K - $112K *
Unlock potential by guiding healthcare providers through complex claims disputes. Represent clients in WC, MVA, TPL, and VA claims while ensuring compliance with state laws. Collaborate with teams to...
Reposted 1 week ago
Payment Integrity Policy Specialist II
$63K - $114K *
Contribute to payment accuracy and compliance by analyzing policies and regulations, ensuring effective claims adjudication, and collaborating across teams for operational implementation and stakehold...
Today
Clinical Reviewer, Inpatient RN
$94K - $141K *
Lead utilization management efforts in a dynamic inpatient setting, ensuring appropriate care and resource allocation for complex member cases while collaborating closely with providers and interdisci...
Yesterday