Jobtome

Required Skills & Experience Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) Strong ICD-10-CM coding experience and medical record review background Knowledge of Risk Adjustment and HCC coding methodologies Experience reviewing physician documentation and assigning accurate diagnosis codes Strong understanding of medical terminology, anatomy, physiology, and disease processes Ability to interpret complex clinical documentation with high accuracy and productivity Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience Medicare Advantage Risk Adjustment experience Experience working with CMS-HCC models CRC (Certified Risk Adjustment Coder) certification Experience with EMRs and coding software platforms Background in a health plan, physician practice, hospital, or revenue cycle environment Audit and quality assurance experience Job Description Insight Global is seeking...

Insight Global is seeking Medical Coders specializing in Risk Adjustment for a leading healthcare client in Fort Lauderdale, FL. You will review medical records and assign ICD-10-CM codes to support risk adjustment and HCC reporting. Ideal candidates have strong medical record review experience, knowledge of CMS guidelines, and the ability to ensure diagnoses are fully supported by clinical evidence. Prior Medicare Advantage and HCC coding experience is highly valued. #J-18808-Ljbffr

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities: Manages assigned staff in order to ensure steady workflow balance and high quality outcomes: Effectively directs and facilitates a multidisciplinary team to achieve its desired outcome; creates a culture supportive of personnel, fostering individual motivation, teamwork and high levels of performance and accountability, and staff retention; supports a collaborative,...

Please Note: **No Third-Party or C2C Firms** *Must be able to work in the United States without sponsorship* Hit Apply below to send your application for consideration Ensure that your CV is up to date, and that you have read the job specs first. We are looking for a Domestic Content Adder Compliance Auditor (DCACA) on behalf of our client. This is a 1-year contract assignment. (W-2) You will support domestic content compliance for renewable energy projects through detailed manual document reviews, audit support, and document control. This role is responsible for receiving, organizing, and reviewing contractor and vendor submissions against project-specific requirements, internal checklists, and audit expectations. The DCACA will confirm completeness, accuracy, consistency, and traceability of supporting records; document deficiencies; maintain review logs and version control; and coordinate timely resolution of documentation gaps. The role requires disciplined...

Make sure to apply with all the requested information, as laid out in the job overview below. Job Title: Associate Director, Medical Information Location: Foster City, CA, Raleigh NC, Santa Monica CA, Parsippany NJ Duration: 6 Months Job Type: Temporary Assignment Work Type: Hybrid Overview: TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. The below job opportunity is with one of our Biotech clients who researches develop and commercializes drugs. The company focuses primarily on antiviral drugs used in the treatment of HIV, hepatitis B, hepatitis C, and influenza, including Harvoni and Sovaldi. Job Overview: The Associate Director, Medical Information contractor will provide senior-level scientific, strategic, and operational support for Client Medical Information activities. The role will deliver accurate, balanced, and timely responses to...

Please Note: **No Third-Party or C2C Firms** *Must be able to work in the United States without sponsorship* Hit Apply below to send your application for consideration Ensure that your CV is up to date, and that you have read the job specs first. We are looking for a Domestic Content Adder Compliance Auditor (DCACA) on behalf of our client. This is a 1-year contract assignment. (W-2) You will support domestic content compliance for renewable energy projects through detailed manual document reviews, audit support, and document control. This role is responsible for receiving, organizing, and reviewing contractor and vendor submissions against project-specific requirements, internal checklists, and audit expectations. The DCACA will confirm completeness, accuracy, consistency, and traceability of supporting records; document deficiencies; maintain review logs and version control; and coordinate timely resolution of documentation gaps. The role requires disciplined...

No 3rd Parties No Visa Candidates You can get further details about the nature of this opening, and what is expected from applicants, by reading the below. Location: Hybrid – Juno Beach, FL Domestic Content Compliance Analyst Domestic Content Adder Compliance Auditor (DCACA) The Domestic Content Adder Compliance Auditor (DCACA) will support domestic content compliance for renewable energy projects through detailed manual document reviews, audit support, and document control. This role is responsible for receiving, organizing, and reviewing contractor and vendor submissions against project-specific requirements, internal checklists, and audit expectations. The DCACA will confirm completeness, accuracy, consistency, and traceability of supporting records; document deficiencies; maintain review logs and version control; and coordinate timely resolution of documentation gaps. The role requires disciplined attention to detail, strong audit documentation...

Make sure to apply with all the requested information, as laid out in the job overview below. Job Title: Associate Director, Medical Information Location: Foster City, CA, Raleigh NC, Santa Monica CA, Parsippany NJ Duration: 6 Months Job Type: Temporary Assignment Work Type: Hybrid Overview: TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. The below job opportunity is with one of our Biotech clients who researches develop and commercializes drugs. The company focuses primarily on antiviral drugs used in the treatment of HIV, hepatitis B, hepatitis C, and influenza, including Harvoni and Sovaldi. Job Overview: The Associate Director, Medical Information contractor will provide senior-level scientific, strategic, and operational support for Client Medical Information activities. The role will deliver accurate, balanced, and timely responses to...

Senior Medical Coder Job Overview We are seeking a highly experienced Senior Medical Coder to support coding, billing, documentation compliance, and revenue cycle operations in a clinic setting. This role will be responsible for accurately coding high-volume encounters, resolving coding-related claim issues, supporting providers and billing staff, and contributing to ongoing quality and process improvement initiatives. The ideal candidate will be able to work independently with minimal onboarding and begin coding accurately from day one. Key Responsibilities Medical Coding & Billing Assign CPT, ICD-10-CM, and HCPCS codes in accordance with current coding guidelines and official updates. Review and process encounters from charge review work queues for coding compliance, proper documentation, quality assurance, and maximum revenue capture. Investigate and resolve coding issues resulting in claim edits or disallowed claims. Communicate coding findings and claim resubmission...

No 3rd Parties No Visa Candidates You can get further details about the nature of this opening, and what is expected from applicants, by reading the below. Location: Hybrid – Juno Beach, FL Domestic Content Compliance Analyst Domestic Content Adder Compliance Auditor (DCACA) The Domestic Content Adder Compliance Auditor (DCACA) will support domestic content compliance for renewable energy projects through detailed manual document reviews, audit support, and document control. This role is responsible for receiving, organizing, and reviewing contractor and vendor submissions against project-specific requirements, internal checklists, and audit expectations. The DCACA will confirm completeness, accuracy, consistency, and traceability of supporting records; document deficiencies; maintain review logs and version control; and coordinate timely resolution of documentation gaps. The role requires disciplined attention to detail, strong audit documentation...

Jackson Memorial Perdue Medical Center Department: Jackson Memorial Perdue Medical Center— PMC Nursing Admin Address: 19590 Old Cutler Road - Miami, FL 33157 Shift details: Full-Time | Full-Time | Days Summary The Associate Director of Patient Care Services Level 1 is a member of the health care leadership team who assumes advocacy and responsibility in assessing, evaluating, impacting nursing practice to improve/maintain a single high standard of care. The incumbent acts as a role model and resource to all levels of staff in defining, educating, managing, implementing and evaluating resident care, nursing standards and staff. The incumbent utilizes clinical expertise, the nursing process, current concepts, principles and education, quality improvement, clinical practice and health care trends. The Associate Director retains the authority to hire, complete performance evaluations, discipline and terminate staff under their direct supervision in accordance with applicable policies...

Jobtome in New Jersey seeks an Associate Director, Integrated Medical Education and Content Strategy to lead content strategies across therapeutic areas. Translate commercial objectives and scientific data into scalable, compliant content that drives customer engagement and business impact. You will partner with Medical Affairs, Therapeutic Area Leadership, Commercial, Omnichannel, and external partners to modernize content strategy, accelerate compliant delivery, and build scalable engagement #J-18808-Ljbffr

Jobtome is seeking a highly experienced Senior Medical Coder to support coding, billing, documentation compliance, and revenue cycle operations in a clinic setting. The role requires high-volume coding, independent work, and strong collaboration with providers and billing staff. The ideal candidate will hold CPC or CCS credentials, have 5+ years of medical coding experience, and be able to work on-site 4 days per week with standard or 10-hour shift blocks. Epic EMR experience is preferred. #J-18808-Ljbffr

Insight Global is seeking Medical Coders specializing in Risk Adjustment for a leading healthcare client in Fort Lauderdale, FL. You will review medical records and assign ICD-10-CM codes to support risk adjustment and HCC reporting. Ideal candidates have strong medical record review experience, knowledge of CMS guidelines, and the ability to ensure diagnoses are fully supported by clinical evidence. Prior Medicare Advantage and HCC coding experience is highly valued. #J-18808-Ljbffr