coding supervisor

Regular Exempt **GENERAL DESCRIPTION:** Responsible for the operation of the units that manage the Comprehensive Health Risk Assessment (CHRA), retrospective projects, and clinical coding processes. Guarantees compliance with established procedures following operational guidelines and rules established by the different accrediting agencies, such...

Regular Exempt **GENERAL DESCRIPTION:** Responsible for leading outreach initiatives aimed at providers, specialists, and Independent Practice Associations (IPAs) to enhance performance under the Center for Medicare and Medicaid Services (CMS) Risk Adjustment model. Identify gaps in chronic condition documentation (HCCs), track the achievement of...

Regular Non-Exempt **GENERAL DESCRIPTION:** Analyzes, processes, and adjudicates all types of complex claims submitted in Centers for Medicare and Medicaid Services Form 1500 (CMS‑1500) and Uniform Billing Form 04 (UB‑04) formats, applying the highest level of analytical judgment to determine appropriate payment or denial. This includes the...

Regular Non-Exempt **GENERAL DESCRIPTION:** Analyzes claims and/or adjustments submitted in Centers for Medicare and Medicaid Services Form 1500 (CMS‑1500) and Uniform Billing Form 04 (UB‑04) formats, as well as member reimbursements, by applying payment rules to determine appropriate adjudication, denial, or the need for additional...

Hourly pay range for this position is $30.98–$46.33 (based on experience). In addition, the position offers medical, dental, and vision insurance, as well as a 401(k) plan. Summary The Digital Marketing Coordinator, working in collaboration with and in support of the firm’s strategic initiatives, is a key contributor within the Digital...

Who are we? For more than 30 years, CorePlus has provided Puerto Rico with anatomical pathology laboratory services and clinical analysis with innovation and precision. Our commitment is, to be a leader in the transformation of pathology to the digital world. In 2020 we deployed our digital pathology platform, being the first...