Senior Behavioral Health Coder & Audit Lead
MePA
CVS Health is seeking a skilled Medical Coding Auditor to ensure accuracy of CPT/HCPCS, ICD-10 and related data in behavioral health audits. You will review cases, discuss findings with Medical Directors, and research CMS guidelines to support investigations. The role requires CPC certification, 3+ years in behavioral health coding or auditing, and travel readiness. A strong mentoring mindset and proficiency with Excel/Word are essential. #J-18808-Ljbffr MePA
- CVS Health in Hartford, CT is seeking a skilled Medical Coder/Auditor to join our team. You will conduct comprehensive medical record audits to ensure CPT/HCPCS or modifiers billed align with documentation... ...certification, 3+ years in behavioral health coding or auditing,...Senior
$46.99k - $112.2k
...Senior Certified Professional Coder (Cpc) We're building a world of health around every individual shaping a more connected, convenient... ...record review for medical, behavioral, transportation and other healthcare... ...comprehensive medical record audit to ensure the CPT/HCPCS or...SeniorHourly payFull timeTemporary workWork at office- CVS Health in Hartford, CT is seeking a Senior Certified Professional Coder (CPC) to conduct medical claim reviews for the SIU, ensuring... ...documentation across medical, behavioral health, and related services.... ...behavioral health coding or audits, knowledge of CPT/HCPCS/ICD-10...Senior
- CVS Health is seeking a qualified Behavioral Health Medical Coder to conduct comprehensive medical record audits ensuring CPT/HCPCS and ICD-10 alignment with documentation. You will produce detailed written findings and articulate them to investigators, plan leadership...Senior
- CVS Health is seeking a detail-oriented Medical Coding Auditor to conduct... ...comprehensive reviews of behavioral health records and ensure CPT/HCPCS accuracy. You will audit complex cases, articulate... ...leadership, and mentor junior coders in a fast-paced environment at...Senior
- CVS Health is seeking a Senior Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations... ...policies across medical, behavioral health, and related areas. The... ...years of behavioral health coding/auditing, and travel ability. #J-18808-...Senior
- CVS Health is seeking a skilled Medical Coding Auditor focused on Behavioral Health to ensure CPT/HCPCS accuracy and proper documentation alignment. You will audit records, resolve complex coding issues, and collaborate with Medical Directors and investigators across plan...SeniorFull time
- CVS Health in Connecticut is seeking a Senior Analyst, Behavioral Health Network to support development, maintenance, and optimization of the Behavioral Health provider network, with a focus on ABA providers and related autism services. This role partners with network management...Senior
- CVS Health is seeking a Senior Analyst, Behavioral Health Network to support ABA and related autism services provider networks. You will liaise with network management, credentialing, and internal partners to ensure network adequacy, provider satisfaction, and operational...Senior
- Hartford HealthCare is seeking a qualified professional for a behavioral health role located in Manchester, Connecticut. The applicant must possess a Master’s degree in the Behavioral Health field and be licensed in the state of Connecticut as LCSW, LMFT, LPC, or LADC....Senior
$46.99k - $112.2k
We're building a world of health around every individual - shaping a more connected... ...community at a time. Position Summary The Senior Analyst, Behavioral Health Network is responsible for... ...organizational requirements. Support audits, regulatory requests, and network reporting...SeniorHourly payFull timeContract workTemporary workWork at officeLocal area- ...700.00Target Openings1What Is the Opportunity?Within the Claim Behavioral Science function, apply behavioral science frameworks, the scientific... ...research in a business setting.What Is in It for You?Health Insurance: Employees and their eligible family members - including...SeniorFull timeLocal area
$94k - $156.6k
...Pharmacy Benefit Services Internal Audit team as a Senior Internal Auditor and help... ...provide strategic insights, lead high-impact audits, and... ...support our mission of improving health and vitality. If you are... ...dental, and well-being and behavioral health programs. We also offer...SeniorFull timeLocal areaWork from home- Overview The Senior Registered Behavior Technician (Sr. RBT) plays a pivotal role in implementing advanced behavior intervention strategies while supporting and mentoring junior RBTs. This role involves executing client treatment plans with high fidelity, directly supporting...SeniorLocal area
- Root Center for Advanced Recovery in Hartford, CT is seeking a Senior Assessment Counselor to deliver counseling, assessments and treatment planning for clients with substance use and behavioral health needs. The role includes supervision, referrals, and administrative...SeniorRelocation package
- Root Center for Advanced Recovery is seeking a Senior Assessment Counselor in Hartford, CT. The role involves comprehensive counseling... ...of care for clients with substance use and related behavioral health needs. The position requires active licensure (LCSW/LPC/LMFT/...SeniorFull time
- Root Center for Advanced Recovery in Hartford, CT seeks a Senior Assessment Counselor to perform screening, assessment, education, and counseling for clients with substance use and behavioral health needs. Includes supervision and administrative duties, with collaboration...Senior
- Accenture Health Operations is seeking a Health Operations Senior Analyst to enhance accuracy in claims editing and auditing. The role analyzes complex edits, researches policies, and collaborates with customers and internal teams to resolve issues. Strong CPC background...Senior
- UnitedHealth Group is seeking a Senior Financial Analyst to join the Whole Health Solutions team. This role supports month-end close, forecasting, long-range... ...to drive growth and profitability for the Behavioral solutions book. The position is full-time and remote...SeniorRemote jobFull time
- About who needs care: Currently displaying issues with remember things. I'd like her be taken to the senior center and appointments if they fall on the days specified About the care needs: Patient, honest, friendly, likes to have a conversation. Some memory care skill...Senior
$90 - $105 per hour
...technical expertise with market-leading innovation to help our... ...regulations, processes, values, and behaviors. Human Exploration and... ...Commercial Crew Program, and Human Health and Performance. HESF support... ...of products. Offer senior-level integration systems test...SeniorHourly payPart timeCasual workWork at officeImmediate startRemote workRelocation packageFlexible hours$35 - $45 per hour
...Guided by our mission to make the world’s health data secure, accessible and actionable,... .... Sign On Bonus: 2,500 As an Inpatient Auditing Specialist, you will be instrumental in addressing... ...workflow and turnaround time Provides coder education via the auditing process...Hourly payFull timeRemote workRelocation packageFlexible hours$55 - $90 per unit
...combating the silent epidemic of mental health issues and anxiety among the elderly. Our... ...the digital health revolution. We are a behavioral health company solely dedicated to the 6... ...don't just provide therapy; we empower seniors to redefine their identity, navigate complex...SeniorRemote jobFull timePart timeFor contractorsHome officeMonday to Friday10 hours per weekFlexible hoursShift workWeekend work$28.74 - $36.72 per hour
Job Description Overview If you are a highly motivated individual with an active, unrestricted credential (CPA/EA/Practicing Attorney) and excellent communication skills, we need you to help our customers complete their taxes using Intuit TurboTax products. You will...SeniorRemote job$72.8k - $130k
...Optum Insight is improving the flow of health data and information to create a more connected... ...continuing education supporting medical coders to stay updated with evolving regulations... ..., and industry expertise to support the audit and compliance process. This position...SeniorMinimum wageFull timeWork experience placementLive inLocal areaRemote workMonday to FridayShift work- ...CVS Health Corporation seeks a seasoned ServiceNow HRSD, Employee Center Pro and Knowledge Management expert to join the HR Colleague Experience Team. You will shape a scalable product roadmap and deliver value for colleagues, HR agents, and stakeholders. You will drive...Senior
$79.3k
...ensuring quality, cost-effective care delivery, and promoting optimal health outcomes. The Case Manager assesses member needs, develops and... ...populations Advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing, or dialectical...SeniorRemote jobContract workFor contractorsWork at officeLocal area- Trinity Health Of New England is seeking an experienced Oncology Registered Nurse to provide high-level clinical support to the oncology care team. You will deliver patient-centered care, advocate for patients and families, and collaborate across the oncology team to support...Senior
$133.2k - $172.37k
...Senior Therapeutic Specialist At Gilead, we're creating a healthier... ...against the world's biggest health challenges, and our mission... ...compliance standards and ethical behavior, demonstrating peer leadership... ...Matrix Teamwork: Ability to lead within a cross-functional matrix...SeniorWork at officeLocal areaWorldwide- Terracon in Hartford, CT seeks an experienced Project Manager and Team Leader to join the leadership team. You will manage a 5-member environmental team and handle a $1M book of Due Diligence and Site Characterization-Remediation work, including asbestos/IH projects with...Senior
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