...Nurse Reviewer I Description Nurse Reviewer I Location: Within 50 miles of a pulse point Shift : Monday - Friday from 9:30 am - 6...  ...Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PO and POS plans... 
Suggested
Holiday work
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Work experience placement
Local area
Remote job
Shift work
Monday to Friday

Elevance Health

Denver, CO
3 days ago

$58k - $60k

UR (Utilization Review) Specialist Sunshine Behavioral Health is looking for a UR Specialist to join our motivated team. This position is fully remote. We offer Medical, Dental, Vision, 401k, and other worksite benefits, and a salary of $58,000 - $60,000! Work schedule... 
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Full time
Remote job
Shift work
Sunday

Sunshine Behavioral Health

Denver, CO
5 days ago
About the Role Varsity Tutors is looking for experts like you to tutor learners online! Earn cash while making a difference. With Varsity Tutors, you will empower learners' success with flexible, personalized tutoring from the comfort of your home. Varsity Tutors...
Suggested
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Freelance
Flexible hours

Varsity Tutors

Aurora, CO
3 days ago
 ...the Nurse Practice Act. Bachelor degree preferred as well as Coding experience. Thorough knowledge of current federal and state...  ...Must have excellent documentation skills and have the ability to review documentation identifying compliance and case management. REPORT... 
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Holiday work
Local area
Immediate start
Work alone
Weekend work

Alliant Home Health

Denver, CO
3 days ago
 ...determination to deliver compassionate kidney care Risk Adjustment Coding Analyst The Risk Adjustment Coding Analyst is responsible...  ...Assist with regulatory audits by performing first coding review and ranking of charts Build partnerships and work within coding... 
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Holiday work
Local area
Flexible hours

Strive Health

Denver, CO
1 day ago
 ...Mandarin Language Document Reviewer Employment Type: Full Time, Mid-Level Department: Legal As a CGS Mandarin Document Reviewer you will play a key role in supporting various aspects of the company's litigation portfolio including eDiscovery activities, workflow... 
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Holiday work
Full time
Relief
Flexible hours

Contact Government Services, LLC

Denver, CO
1 day ago
 ...POSITION SUMMARY The Seasonal Code Enforcement Officer enforces City Ordinances related to municipal codes specifically for grass, weeds and overgrowth. Conducts inspections and investigates complaints related to grass, weeds and overgrowth. Gathers issues warnings... 
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Hourly pay
For contractors
Work experience placement
Seasonal work
Flexible hours
Shift work

City of Englewood

Englewood, CO
2 days ago
 ...the University of Colorado. We are seeking a motivated Medical Coding Auditor (Psychiatry) to join our Audit, Compliance & Education...  ...of the EHR functionality being used, completing second level reviews on high complexity services. Conduct educational documentation... 
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Remote job
Work experience placement

CU Medicine

Aurora, CO
3 days ago
 ...below for details! About this Unit: The Administrative Review Division's (ARD) vision is to create a safe and promising future...  ...knowledge utilizing Volume 7 Regulations and the Colorado Children's Code, and Colorado child welfare processes or other state child... 
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Remote job
Holiday work
Permanent employment
Full time
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Work from home
Home office
Flexible hours
Night shift

Colorado Department of Human Services

Denver, CO
8 hours agonew
 ...educating coders, and working on various projects that involve coding and education. You would be working in a team environment with...  ...Evaluation and Management coding, procedure, ICD-10 and HCPC quality reviews as well as other projects related to physician coding... 
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Remote job
Local area
Flexible hours

LifePoint Health

Denver, CO
1 day ago
 ...Risk Adjustment audits and related projects. Responsible for coordinating efforts with National and Regional CPMG, Revenue Cycle, Coding, and Medicare Finance leaders, with the goal of ensuring accurate and timely submissions to CMS. Maintains and optimizes the encounter... 
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Local area

Kaiser Permanente

Denver, CO
4 days ago
Career Opportunities: Compliance Manager - Ad Review (29794) A career at Janus Henderson is more than a job, it’s about investing in...  ...willing to adhere to the provisions of our Investment Advisory Code of Ethics related to personal securities activities and other disclosure... 
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Flexible hours

Janus Henderson U.S.

Denver, CO
2 days ago
 ...and out of state candidates will be considered. The Medical Coding & Regulatory Education Specialist will provide formal and informal...  ...and changes in requirements as needed. Conduct follow-up reviews after initial training, determine if additional education is necessary... 
Suggested
Work experience placement
Remote job

CU Medicine

Aurora, CO
1 day ago
 ...We do not lose sight of that. It fuels our passion and drives every decision we make. **Job Posting Title** Physician Clinical Reviewer- GI - REMOTE **Job Description Summary** Key member of the utilization management team, and provides timely medical review of... 
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Work experience placement
Internship
Local area

Prime Therapeutics

Denver, CO
1 day ago
**Become a part of our caring community and help us put health first** Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator... 
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Full time
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For contractors
Apprenticeship
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Shift work
Monday to Friday

Humana

Denver, CO
22 hours ago
Interested in Online Medical Billing & Coding Training? My Medical Career Can Help! Rapid ONLINE Training National Accreditation Financial Aid Assistance* Career Placement Services* Medical Billing & Coding - HIGH JOB OUTLOOK RATE! The medical field plays a vital role... 

My Medical Career

Denver, CO
10 hours ago
 ...com to see how we empower creators to own their own destiny. We're seeking a highly motivated Senior Manager of Security Risk & Reviews who will help us continue to evolve our Risk function by using engineering principles and data-driven strategies to precisely... 
Remote job
Hourly pay
Holiday work
Gangs
Flexible hours

Klaviyo

Denver, CO
2 days ago
 ...Affordable Care Act (ACA) through Hierarchical Condition Category (HCC) coding, medical coding, clinical terminology and anatomy/physiology,...  ...RESPONSIBILITIES Conducts data analyses from medical record reviews; proactively summarizes opportunities to enhance provider... 
For contractors
Local area
Remote job
Flexible hours

Highmark Health

Denver, CO
1 day ago
 ...Hebrew Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Hebrew Familiarity with document review workflows Examples: Privilege/Responsiveness Review, Redactions, Conceptual... 
Remote job

Contact Government Services, LLC

Denver, CO
2 days ago
 ...Fully On-Site Role  Utilization Review Specialist Salary/Hourly: $23- $31.00/hour     Members of our team Enjoy: Working with a highly engaged staff Healthy staffing levels Flexible scheduling Career growth Competitive compensation Health... 
Hourly pay
Full time
Flexible hours

Springstone, Inc

Englewood, CO
19 days ago