6 jobs found in New Haven

GeBBS Healthcare Solutions is looking for a flexible CMS HCC/Risk Validation Auditor for a seasonal project in East Haven, Connecticut. The role offers full-time opportunities at either 30 or 40 hours weekly, with flexible hours, including nights and weekends. The ideal candidate will have at least 5 years of verifiable risk adjustment coding experience and required active certification with AAPC or AHIMA. Responsibilities include reviewing member and claim data, confirming diagnoses, and adding valid risk-adjusting diagnoses. #J-18808-Ljbffr

Yale Cancer Center seeks a Medical Billing Auditor to coordinate audits for Yale Medicine Administration. This remote position requires expertise in ICD-10 and CPT-4 coding, strong communication skills, and data analysis capabilities. A Bachelor’s degree and 5 years’ experience in a relevant field are mandatory. Responsibilities include conducting audits, evaluating billing compliance, and training staff in accurate coding. CPC certification is required or must be obtained within the first year. #J-18808-Ljbffr

Description This is a flexible CMS HCC/Risk Validation Audit role for a seasonal project. Other opportunities for continued work may be available at the conclusion of the project. Full time opportunities are available at either 30 or 40 hours weekly. Flexible work hours - nights and weekends are acceptable. Responsibilities Coders will review member and claim data validation aspects, which include: Member name, Member DOB, Gender, Dates of service, claim type, and provider signature Coders will be presented with all risk-adjusting diagnoses billed on a claim for a particular date of service or inpatient stay Must be able to identify acceptable provider specialty Coder must have knowledge of ICD-10-CM IP and OP coding Coders will confirm or not confirm each diagnosis Coders will add risk-adjusting diagnoses that are valid but not reported Requirements Active certification through AAPC or AHIMA is required Minimum 5 years verifiable risk adjustment coding experience post...

Overview Fair Haven Community Health Care For over 54 years, FHCHC has been an innovative and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of whom are patients themselves, we take pride in being a healthcare leader dedicated to delivering high-quality, affordable medical and dental care to everyone, regardless of their insurance status or ability to pay. Our extensive range of primary and specialty care services, along with evidence-based programs, empowers patients to make informed choices about their health. As we expand our reach to underserved areas, our commitment to prioritizing patient needs remains unwavering. FHCHC\'s mission is to enhance the health and social well-being of the communities we serve through equitable, high-quality, and culturally responsive patient-centered care. Job purpose Responsible for maintaining the professional reimbursement program....

Fair Haven Community Health Care  For over 54 years, FHCHC has been an innovative and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of whom are patients themselves, we take pride in being a healthcare leader dedicated to delivering high-quality, affordable medical and dental care to everyone, regardless of their insurance status or ability to pay. Our extensive range of primary and specialty care services, along with evidence-based programs, empowers patients to make informed choices about their health. As we expand our reach to underserved areas, our commitment to prioritizing patient needs remains unwavering. FHCHC's mission is to enhance the health and social well-being of the communities we serve through equitable, high-quality, and culturally responsive patient-centered care. Remote in Connecticut Job purpose Responsible for maintaining the professional...

Yale Cancer Center is looking for a Senior Associate Director to address professionalism and leadership challenges within the School of Medicine. The role includes overseeing investigations into faculty conduct, developing initiatives for professional development, and collaborating with various university departments. The ideal candidate will possess a Bachelor's degree and have at least eight years of relevant experience, along with proven coaching and conflict resolution skills. This is a vital position that supports maintaining a healthy academic environment. #J-18808-Ljbffr