Coding Auditor - Ambulatory/Professional Coding/Profee Huron Consulting GroupCoding Auditor - Ambulatory/Professional Coding/ProfeeWyoming, WY$26.44–$52.40 / hourPHYSICAL DEMANDS: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation.
NewCoding Specialist - Powell Community Health PartnersCoding Specialist - PowellPowell, WYRemote$20.51–$22.18 / hourOne Health is seeking a Coding Specialist to help ensure patient encounters are accurately coded, claims are submitted efficiently, and reimbursements are maximized. This role plays a vital part in supporting our providers and strengthening the financial health of our organization-while advancing our mission of exceptional patient care.
NewCoding Specialist - Powell Community Health Partners IncCoding Specialist - PowellPowell, WYRemote$20.51–$22.18 / hourHigh school diploma or GED required Coding certification preferred Preferred experience with medical billing and coding or working in a healthcare facility Strong attention to detail, organization, and problem-solving skills Ability to communicate clearly with providers, staff, and external partners. One Health is seeking a Coding Specialist to help ensure patient encounters are accurately coded, claims are submitted efficiently, and reimbursements are maximized.
Engineer III - CICD Code Signing Automation (Remote) CrowdStrike IncEngineer III - CICD Code Signing Automation (Remote)WYRemote$120,000–$180,000 / yearAbout the Role: On the Engineering Systems team at CrowdStrike, we operate and maintain many of the systems and services that support the build, test, signing, and deployment of our software to the cloud and to our customers, as well as providing consultation, troubleshooting, and engineering support for the creation and maintenance of the pipelines that provide those functions. We base all employment decisions--including recruitment, selection, training, compensation, benefits, discipline, promotions, transfers, lay-offs, return from lay-off, terminations and social/recreational programs--on valid job requirements.
Medical Biller/Coder US APPLICANT'S ONLY; SPONSORSHIP NOT AVAILABLE; POSITION LOCATED IN WYOMING Warm Valley Health CareMedical Biller/Coder US APPLICANT'S ONLY; SPONSORSHIP NOT AVAILABLE; POSITION LOCATED IN WYOMINGFort Washakie, WYFull timeCertification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Biller (CPB), or similar credentials 1-3 years of medical billing and coding experience in a healthcare setting. Veterans who meet the minimum qualifications and provide documentation of an honorable discharge (DD214) from any branch of military service are entitled to receive preference points during the interview process.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)WY$43,888–$102,081 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
NewMedical Receptionist - PT STG International, Inc.Medical Receptionist - PTYellowstone National Park, WYPart timeMaintains business office inventory and equipment by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, and scheduling equipment service and repairs. STGi is a workforce solutions company providing comprehensive healthcare delivery, Head Start and management consulting services and human capital solutions help our clients.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWY$17–$28.46 / hourPerforms claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department.
Field Reimbursement Manager-Midwest Harrow, Inc.Field Reimbursement Manager-MidwestMidwest, WYThis individual will provide non-promotional, compliant education on coverage, coding, billing, and claims processes - giving customers the confidence and technical know-how to appropriately access and be reimbursed for Harrow brands. The ideal candidate is a proactive problem-solver who thrives in the field, builds strong relationships with practice staff, and brings sharp analytical skills to identify and resolve access barriers at the account level.
NewSenior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)WY$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
Senior Product Manager (PM/RCM) - Full Time - Remote Experity IncSenior Product Manager (PM/RCM) - Full Time - RemoteWYRemote$107,750–$151,400 / yearResponsibilities: Own day-to-day execution of the Revenue Cycle Management product roadmap, ensuring on-time delivery of capabilities across charge capture, coding, claim creation and submission, payer processing, payment posting, denial management, accounts receivable, patient balances, reporting, and related billing workflows. Deep knowledge of healthcare revenue cycle management, including charge capture, coding, claim submission, clearinghouses, payer adjudication, remittance processing, denial management, accounts receivable, and payment posting.
Prior Authorization Specialist Sheridan Memorial HospitalPrior Authorization SpecialistSheridan, WYAbility to demonstrate good customer service (AIDET) Aid team members in maintaining turnaround times as expected from client Account for internal control responsibilities in line with the organizations objectives Ability to handle Protected Health Information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA) Other duties as assigned by supervisor or manager Answer questions and offer other information, as requested, to provide patient-focused service and a positive impression of the organization Suggests improvements and participates in organized efforts to improve service levels POSITION QUALIFICATIONS Education / Experience / License and Certifications High school graduate or equivalent. Ability to exercise good judgment to handle situations appropriately Ability to use online resources to and tools to achieve goals in the most efficient manner Ability to multi-task using several systems and multiple monitors at the same time Specific demands not listed: Possible exposure to blood and or body fluids / infectious disease / hazardous waste requiring the use of Personal Protective Equipment.
Informatics Consultant CVS Health CorpInformatics ConsultantWY$43,888–$102,081 / year1+ year(s) computer skills and knowledge of Microsoft Word, Excel, PowerPoint and Adobe Acrobat Pro experience with reporting platforms such as: Big data analytics, data mining, and Tableau. Become a subject matter expert for Client Management, clients and brokers related to our internal analytics tool and their client's data.
APP Health West IncAPPRock Springs, WYSupports the Health West Director of Quality, the Director of Behavioral Health, the Chief Operations Officer, and other personnel as they implement workflows and other processes aimed at improving nursing, reception, behavioral health, prescription assistance, and outreach care. Who also helps with implementing programs, workflows, and quality measures and acts as a champion for programs such as Patient Centered Medical Home (PCMH) and other programs required in a successful community health center.
Senior Data Scientist - Clinical Informatics (Analytics Enablement) CVS Health CorpSenior Data Scientist - Clinical Informatics (Analytics Enablement)WY$83,430–$222,480 / yearExperience designing patient-centric data models, feature stores, and dashboards that aggregate longitudinal data across sources, including demographics, encounters, conditions, medications, labs, utilization, cost, and enrichment attributes. A&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses.
Utilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerCheyenne, WYRemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Referral Specialist TriWest Healthcare AllianceReferral SpecialistCheyenne, WYRemoteFull timeEnsures accuracy and completion of authorization data from customer information, medical records, referral/authorization forms, Military Treatment Facility electronic transmission and other documents into medical management system. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
Medical Director - ENT CVS Health CorpMedical Director - ENTWY$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Medical Assistant Sheridan Memorial HospitalMedical AssistantSheridan, WYProcedures - EKGs properly and to process them correctly from the order to synchronizing them for EKG machine Pre and post spirometry testing Diabetic foot exams using monofilament appropriately Lab draws Procedure instrument cleaning Injection administrations Immunotherapy to include: injections and proper documentation Vision screenings Phone call triage Medication refills per protocol Lab orders per protocol 2. Point of Care Testing PT/INR testing to include: finger sticks, using CoaguChek machine correctly, and following protocol to give appropriate Coumadin dosing instructions Blood glucose testing Urine dipsticks in office correctly using Clinitek machine Urine pregnancy tests QuickVue strep tests QuickVue influenza tests Disclaimer: The above position has been designed to indicate the general nature of work performed within this position. Assists the physician(s), physician assistant(s), and Nurse Practitioners in addressing hospital and clinic related issues, serves as liaison and representative of Primary Care Clinicin resolving problems and participates on committees as appropriate.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOWY$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.