Provide administrative and operational support across multiple business functions while assisting with research and presentation materials. Maintain accurate data records and handle sensitive documents while collaborating with internal and external stakeholders.
The Finance Analyst will support reimbursement operations by reviewing invoices, tracking financial transactions, and maintaining accurate financial records. They will also coordinate with various stakeholders to ensure financial actions are processed in accordance with program guidance and audit requirements.
The Technical Writer will create and maintain standard operating procedures, user guides, and help documentation while managing content organization for web and intranet platforms. Additionally, the role involves analyzing web usage and customer feedback to provide actionable insights and reports for stakeholders.
Lead and manage nationwide Business Impact Analysis, Disaster Recovery, and contingency planning programs for federal agencies. Coordinate with cross-functional teams to develop strategies, ensure quality assurance, and maintain compliance with federal information security requirements.
Perform intake and coding validation on medical records in accordance with RADV guidelines and enter data into CMS tools. Assist the Project Director with training, appeals support, and quality assurance panel contributions.
Perform diagnosis coding on medical records according to RADV guidelines and enter data into the CMS tool. Ensure intake validity, maintain PHI confidentiality, and meet productivity and accuracy standards.
The Medical Director will represent the company across federal contracts, focusing on fraud prevention through the management of NCCI edits and clinical guidance. They will serve as a subject matter expert to resolve complex medical record issues and provide clinical training to contract staff.
The Lead Senior Coder QA performs complex medical record coding and dispute reviews while ensuring compliance with RADV guidelines. They also oversee a team of up to 15 coders, providing training, feedback, and serving as an escalation point for coding inquiries.
Perform complex medical record and claim reviews to make coverage determinations based on Medicare policies and payment rules. Document findings, compile analysis reports for CMS, and ensure accuracy standards are met for the Recovery Auditor Validation Contract.
