HEDIS Medical Record Analyst - TEMP Cambia Health SolutionsHEDIS Medical Record Analyst - TEMPTacoma, WAFull timeThe HEDIS Medical Record Analyst's primary responsibilities will be to retrieve, abstract, or overread medical records in order to capture pertinent, required, data elements for HEDIS reporting. Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history.
Medical Director - Inpatient Review HumanaMedical Director - Inpatient ReviewOlympia, WARemote$223,800–$313,100 / yearWork at Home Internet Statement** + To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Medical Records Specialist Pennant ServicesMedical Records SpecialistTacoma, WashingtonThe Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets.
Manager, Operations - Medical Record Retrieval (Remote) SharecareManager, Operations - Medical Record Retrieval (Remote)Olympia, WARemoteEssential Job Functions:** **Organizational Leadership** + Set the tone and vision for the respective, leading with compassion, respect, accountability and innovation + Organize, lead, and participate, as needed, in client meetings to ensure existing programs and services meet and/or exceed customer expectations. Through its data-driven AI insights, evidence-based resources, and comprehensive platform - including benefits navigation, care management, home care resources, health information management, and more - Sharecare helps people easily and efficiently manage their healthcare and improve their well-being.
Medical Records Administrator (Chief Health Information Management) Veterans Affairs, Veterans Health AdministrationMedical Records Administrator (Chief Health Information Management)Tacoma, WAFor example, two years above high school from an accredited college or university, with 12 semester hours in health information technology/health information management, plus one year and six months of creditable experience that included the preparation, maintenance, and management of health records and health information systems meets an equivalent combination. Coordinate plans with needs of various VA strategic health groups, provide subject matter expertise, advice, assistance, and guidance in response to questions posed by the Service Line Leaders and other System staff on health information management policy and program needs/issues at the local, VISN and national levels.
Utilization Review RN Case Manager Houston Methodist HospitalUtilization Review RN Case ManagerWAAt Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally recognized acute care indicators and criteria as approved by medical staff, payer guidelines, CMS, and other state agencies. This position collaborates with case management in the development and implementation of the plan of care and ensures prompt notification of any denials to the appropriate case manager, denials, and pre-bill team members, as well as management.
Insurance Company Collateral Review Manager Federal Home Loan Bank Of Des MoinesInsurance Company Collateral Review ManagerWA$114,474–$135,938 / yearResponsible for managing the Bank's Member Collateral Verification (MCV) loan review program for Non-Depository members, including verifying the existence, quality and eligibility of pledged loan collateral, validating pledge data accuracy and providing member collateral education. Accountabilities: Responsibilities/Duties/Function/Tasks: Select, manage and develop high-performing employees that apply critical analysis, proactive risk management and thoughtful member support through the MCV program of pledged loan collateral reviews.
Medical Coding Auditor HumanaMedical Coding AuditorOlympia, WARemote$59,300–$80,900 / yearRequired Qualifications - What it takes to Succeed** + CPC, COC, CCS, ROCC, RHIA, or RHIT Certification with a minimum of 3 years post-certification experience + Minimum of 3 years post certification experience Outpatient Specialty Surgeries and Procedures + Strong knowledge of CPT/HCPCS coding + Experience reading & coding from operative reports + Chemotherapy and/or Therapeutic Infusion experience + Demonstrated ability to exercise solid judgment and discretion in handling and disseminating information + Strong attention to detail, can work independently and determine appropriate course of action, & ability to handle multiple priorities + Comfortable working in a production-based work environment + Ability to work independently and manage workload + Strong written and verbal communication skills; strong analytical, organizational and time management skills + Working knowledge of Microsoft Office Programs (Word, Excel) **Preferred Qualifications** + 5+ years prior coding experience + Outpatient facility auditing experience + Experience with coding/auditing Radiology, Gastroenterology, Urinary, Musculoskeletal, Integumentary, Anesthesia, General Surgery, Cardiology, Respiratory, Infusion, Interventional Radiology, Outpatient Itemized Bill reviews + Ambulatory Payment Classification (APC) coding experience + Radiation Oncology coding experience + Experience in prospective payment methodologies + Experience with the Claims Life Cycle including Accounts Receivable + 3M Coder software experience **Additional Information** : **Work at Home Requirements** - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested - Satellite, cellular and microwave connection can be used only if approved by leadership - Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. As a Medical Coding Auditor for the Outpatient Facility/APC Coding Team you will: + Verify and ensure the accuracy, completeness, specificity and appropriateness of procedure codes based on services rendered + Review medical documentation for clinical indicators to ensure specific procedures meet clinical criteria and correct coding guidelines specific to Ambulatory Payment Classification (APC) and Outpatient Facility coding + Utilize encoders and various coding resources + Perform CPT/HCPCS Procedure reviews + Conduct peer reviews to ensure compliance with coding guidelines and provide reports as needed + Maintain strict patient and physician confidentiality and follow all federal, state and hospital guidelines for release of information + Maintain current working knowledge of ICD-10 and CPT coding guidelines, government regulation and protocols + Complete appropriate system(s) entry regarding claim/encounter information + Support and participate in process and quality improvement initiatives **Use your skills to make an impact** **WORK STYLE:** Remote, work at home.
Medical Assistant (Clinic) CommonSpirit HealthMedical Assistant (Clinic)University Place, WAOur comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.
Senior Director, Global Medical Safety, Global Pharmacovigilance (psychedelics) Otsuka America Pharmaceutical Inc.Senior Director, Global Medical Safety, Global Pharmacovigilance (psychedelics)Olympia, WAKey Experience and Leadership Requirements** Required + Ability to lead and operate in a highly ambiguous and evolving regulatory and scientific space + Strong decision-making ability within a rapidly evolving external landscape + Exceptional communication and cross-functional collaboration + Ability to influence without authority Preferred + Psychedelic-assisted therapy clinical trial experience + Knowledge of controlled substance regulations and DEA requirements + Experience with suicidality monitoring tools (C-SSRS, etc.) and abuse liability monitoring **Knowledge, Skills, Competencies, Education, and Experience** Knowledge: + Requires a strong medical background evidenced by clinical training. + Develops safety monitoring approach for psychedelic class, (eg acute altered states of consciousness, perceptual disturbances, emotional dysregulation, prolonged psychological effects, etc) + Partners with GCD, CM and GRA to define appropriate therapist/guide escalation procedures and emergency intervention frameworks.
Medical Assistant- Apprentice Sea Mar Community Health CentersMedical Assistant- ApprenticeLacey, WAThe MA Apprentice responsibilities include but are not limited to the following: tracking and documentation of all clinical measures and outcomes (HEDIS, UDS, etc.); using established protocols and practice, will complete all provider referrals for each patient, administer immunizations under standing orders or physicians' order, assisting the medical provider with charting office visits, ensuring communication and documentation for comprehensive patient care coordination, following protocol in rooming and exiting patients and other duties as assigned by the supervisor. Access to a computer with (1) an Internet connection; (2) a current web browser; (3) capability to watch videos and play sound (e.g., Adobe Flash player or a similar program); (4) capability to open and read PDF documents (e.g., Adobe Acrobat Reader or a similar program); and (5) capability to download and save documents, either on a hard drive or a thumb drive.
Nurse Practitioner (Per Diem) ComplexCare SolutionsNurse Practitioner (Per Diem)Tacoma, Washington$2,400–$10,000 / yearPer diemAbility to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.
Psychiatric Provider Aide Sea Mar Community Health CentersPsychiatric Provider AideFederal Way, WashingtonThe person needs to be familiar with many different types of software including Microsoft Office Windows, business websites (examples: SharePoint, Arcadia, One Health Portal, Health Plan Finder), and proprietary software (examples: electronic medical records, EKG monitors, retinal camera, etc.) Employee must be proficient with agency PM and EHR systems before end of probationary period. Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State.