Empower Your Future. Make a Difference. Researches, interprets and writes healthcare correct coding edits using regulatory requirements and guidance related to CMS, CPT/AMA and major payer policies. Possesses an overall understanding of all coding principles, including facility, provider and DME.
Preferred Qualifications. Bachelor's degree in Mental Health or health related field. Experience working with patients or members with chronic conditions. Bilingual (English/Spanish); speaking, reading, writing, interpreting and explaining documents in Spanish and English.
Creates and maintains project schedules, ensures timely completion through all phases, takes the lead on quality control issues, writes and presents project plans/risks in collaboration with other team members, and proactively drives risks and action items to resolution.
Experience working with both children and adults preferred. Knowledge of community health and social service agencies and additional community resources. Bilingual (English/Spanish); speaking, reading, writing, interpreting and explaining documents in Spanish. Additional Information.
Bilingual English/Spanish. Must be able to speak, read and write in both languages without limitations or assistance. See Additional Information on testing. Case management certification. Hold an active Compact nursing license. Additional Information. Our Hiring Process.