The HSCRC Coding Reviewer performs compliance audits and clinical data abstraction to ensure accurate payment methodologies based on medical records. They are responsible for generating audit work papers, writing reports, and providing feedback to hospitals regarding audit findings.
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Conducts reviews and determinations for independent dispute resolutions at Federal and State levels by analyzing medical records and billing. Ensures decisions are well-supported with robust rationale and comply with regulatory guidelines to resolve claims disputes.
The Program Manager is responsible for overall program execution, client relationship management, and strategic alignment with DHA and military health stakeholders. They will drive successful delivery across all program phases, from MVP through full operational capability, while managing cross-functional teams and government expectations.
The DHA Client Executive will lead client relationships to drive the adoption of DHA capabilities and identify opportunities for growth. They will collaborate with cross-functional teams to develop strategic plans and deliver compelling proposals to senior decision-makers.