Medical coding supervisor jobs in Kearney, NE

 ...JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for both members and providers and ensuring members receive the most... 

 ...JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching... 

 ...member needs, closes health care gaps, develops action plans and prioritizes goals, and educates members on best practices to manage medical needs. - Provides condition-specific education designed to assist members and their families in better understanding specific... 

 ...federal/state QI compliance activities. Job Duties The Supervisor, HEDIS/Quality Reporting supervises staff who contribute to one...  ..., including the identification, collection and abstraction of medical records and other data in support of annual HEDIS project management... 

 ...regarding reporting needs. + Creates reporting for strategic analysis, profitability, financial analysis, utilization patterns and medical management. + Interfaces and maintains positive interactions with Health Plan and Corporate personnel. + Management Health Plan Encounter... 

 ...audit projects and deliverables related to accurate billing and coding. This role also works with the Health Plan Risk/Quality leaders...  ...source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of training... 

**JOB DESCRIPTION** **Job Summary** Focuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning and issue/risk management. **KNOWLEDGE...

 ...end close with Accounting staff; review all non-IBNR reserves for appropriateness monthly + Work collaboratively with Actuarial and Medical Economics partners to evaluate correlation among various parameters impacting IBNR, including bed days and admits per 1,000,... 

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Job Summary Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies...