Risk Adjustment Coder Specialist

Conduct in-depth financial modeling analyses, including performance metrics, scorecards, and profitability assessments, providing strategic recommendations to enhance business outcomes.Design and uphold performance metrics and scorecards that facilitate improved operational results while aiding executive decision-making processes.Aggregate and structure the necessary data for analysis into a comprehensive data mart, supporting interactive dashboards for executives and end users.Collaborate with management to understand business requirements, analyze information needs, and translate them into actionable strategic and tactical solutions.Engage in key initiatives and projects related to financial management, technological advancements, policy formulation, profitability analysis, and new business ventures.Act as a business advocate, partnering with management to pinpoint solutions for various financial productivity and information management challenges.Responsible for ongoing analysis of process constraints, project costing, and margin evaluations, ensuring accurate cost data is available for management's decision-making.

Roles & Responsibilities:Act as the primary point of contact for gathering, analyzing, validating, specifying, verifying, and managing the needs of project stakeholders.Retrieve and analyze operational data to evaluate and compare information, identifying effective solutions for operational production support issues or project plans.Design and create reports, summaries, and reporting tools, alongside database requirements to enhance operational effectiveness.Demonstrate a verifiable track record of managing complex IT projects, performing gap analysis between goals and existing procedures/skill sets, and designing process and system improvements to boost productivity and reduce costs.Offer recommendations for improvement and produce written documentation related to data analysis. Develop metrics, tools, and processes for large, complex projects.Design, develop, and maintain dashboards and reports that provide actionable business intelligence and data analytics for operational support.Architect IT Portal and web-based user interfaces.Serve as a liaison between customers and developers to ensure alignment and understanding.Stay updated on emerging application technologies.

Join our dynamic team at Techywhiz as a Business Analyst. In this pivotal role, you will analyze and interpret data to help drive strategic decisions within the organization. Your insights will empower various departments to enhance their operational efficiency and achieve business objectives.As a Business Analyst, you will collaborate with cross-functional teams, gather requirements, and translate business needs into actionable solutions. This is an excellent opportunity for those who are passionate about data analysis and have a keen interest in technology.

Dane Street LLC is seeking a Neuropsychologist to join their team in Dallas, Texas. The position centers on delivering in-depth neuropsychological assessments and expert evaluations that inform patient treatment and rehabilitation plans. What you will do Conduct comprehensive neuropsychological assessments for patients. Prepare detailed evaluations to assist with treatment and rehabilitation strategies. Work closely with other healthcare professionals to enhance patient care and outcomes. Location This role is located in Dallas, Texas.

Join our dynamic team at Info-Ways as an Infrastructure Business Analyst in Dallas, TX. We are seeking a motivated professional who is passionate about leveraging technology to enhance organizational efficiency and effectiveness. You will play a pivotal role in bridging the gap between IT and business stakeholders, ensuring that technology solutions align with business objectives.

Dane Street LLC is excited to expand our expert panel! We are currently on the lookout for a proficient Life Care Planner to join our team in the Dallas-Fort Worth (DFW) area for Independent Medical Examinations (IMEs). This role offers the flexibility to choose assignments that suit your schedule, enabling you to accept or decline based on your availability. Our panel consists of independent contract reviewers (1099) compensated on a per-case basis.As a national leader in the realm of Independent Medical Examinations (IMEs) and peer review services, Dane Street LLC is trusted by insurance carriers and organizations nationwide to provide objective, high-quality medical evaluations.Key Responsibilities:Conduct thorough reviews of Medical Records.Respond to clinical queries to assist in effective claims management.Deliver comprehensive IME reports within an expected turnaround time of 5 days.Requirements:Previous experience in performing IMEs is preferred.Strong analytical skills and excellent communication abilities are advantageous.Benefits:Significant opportunities for supplemental income.Flexibility in scheduling and predictable work hours—conduct exams and reviews based on your availability.Advisory-only opinions.Enhance your industry expertise, strengthening your medical practice with medical necessity and utilization review/management knowledge.Broaden your credentials as an expert in Independent Medical Exams.Enjoy fully prepared cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal.If you are a dedicated Life Care Planner seeking a flexible opportunity to apply your expertise in an IME capacity, we invite you to apply.

Join our dynamic team at Integrated Resources, Inc. as a Benefit Coder, where you will play a crucial role in ensuring accurate coding and documentation of benefits. This position offers an exciting opportunity to contribute to our mission of providing exceptional services to our clients. You will be responsible for reviewing and coding benefit-related documents, ensuring compliance with industry standards.

About Us At Hitachi Digital Services, we are a global leader in digital solutions and transformation, driven by a visionary approach to unlocking the potential of our world. Our mission is to empower communities and foster sustainable practices that enhance urban living, protect our planet, and improve lives through innovative technology and expertise. We believe in a future where technology accelerates progress, and we invite you to be part of this exciting journey. We value diversity and recognize that life experiences, character, and passion are as important as qualifications. Join us in creating a brighter tomorrow. The Team We are on the lookout for a meticulous and analytical Senior Business Analyst with robust Agile expertise. In this pivotal role, you will spearhead business process enhancements and facilitate the delivery of high-quality solutions. Collaborating with stakeholders, product owners, and development teams, you will transform business needs into actionable functional requirements to ensure the successful execution of projects. Key Responsibilities Facilitate requirements gathering workshops with stakeholders and subject matter experts to define business and technical requirements that align with our strategic objectives. Analyze current processes to design improved solutions, performing gap and impact analyses to identify optimization opportunities. Create user personas, journey maps, and functional specifications, including user stories, business rules, and data requirements. Work closely with Product Owners, developers, and solution architects to refine backlog items, support roadmap planning, and effectively manage project scope. Engage actively in Agile ceremonies (Sprint Planning, Backlog Refinement, and Retrospectives) to promote iterative delivery and continuous improvement. Coordinate User Acceptance Testing (UAT) to validate solutions against business and quality standards. Act as a liaison between business and technical teams, ensuring clear communication and successful execution of deliverables.

Data Quality AnalystProcom Services is actively seeking a skilled Data Quality Analyst for a contract role located in Dallas, Texas. This position offers an exciting opportunity to enhance data quality management within Customer MDM solutions.Key Responsibilities:Define, design, and implement data quality management strategies tailored for Customer MDM solutions.Analyze, collect, and recommend MDM process integrations with Sales, Marketing, Support, and Finance applications.Start Date: ASAPAssignment Length: 13+ MonthsPlease note, we are unable to consider candidates on H1B visas or those represented by third parties.

About Us Hitachi Digital Services is a leading global provider of digital solutions and transformation initiatives, driven by a compelling vision of the world’s potential. We prioritize people and our mission is to foster positive change. Our work involves future-proofing urban environments, conserving natural resources, protecting rainforests, and saving lives. We stand at the intersection of innovation, technology, and expertise, propelling both our company and our clients from present challenges to future opportunities through the power of acceleration. We celebrate the diverse talents and unique experiences that every individual brings to our team. We value life experiences, character, perspective, and a shared passion for achieving meaningful impact in the world. The Team You will become a vital member of a collaborative and dynamic delivery team committed to developing scalable digital solutions that support pivotal business initiatives. Our team collaborates closely with business stakeholders, product leaders, architects, and engineering teams from various global locations to create high-impact solutions. We prioritize clear communication, strong ownership, and a commitment to continuous improvement while driving agile product delivery. Team members work in tandem across business and technology domains to translate strategic objectives into actionable plans, ensuring that solutions align with organizational goals and customer needs. The Role Engage with business stakeholders to gather, analyze, and clarify requirements, converting business needs into well-defined functional and technical solutions. Decompose high-level business requirements into detailed user stories and tasks, ensuring clear scope, acceptance criteria, and technical understanding for the delivery team. Define and communicate the product and project vision, roadmap, and priorities, ensuring alignment with business objectives and organizational strategy. Own and manage the product backlog, ensuring it is continuously refined, prioritized, and development-ready. Collaborate closely with engineering and architecture teams on solution design, technical analysis, and effort estimation to support accurate sprint and release planning. Take complete ownership of releases, including scope, quality, timelines, and deployment readiness. Proactively identify and manage risks, dependencies, and issues, driving mitigation plans and facilitating timely decision-making. Ensure comprehensive documentation of requirements, designs, and decisions using collaboration tools such as Confluence and JIRA.

Join Our Dynamic Team At Hitachi Digital Services, we are a leading global provider of digital solutions and transformation initiatives, driven by a vision to unlock the immense potential of our world. We focus on people-centric approaches, striving to make a positive impact by future-proofing urban environments, conserving natural resources, protecting rainforests, and saving lives. We blend innovation, technology, and deep expertise to propel our clients from present challenges to future solutions through the power of acceleration. We recognize the diverse experiences and perspectives that each individual brings to our team. Your unique life experiences, character, and passion for making a difference are as valuable to us as your qualifications. About the Team You will be part of a collaborative and fast-paced delivery team dedicated to creating scalable digital solutions that align with critical business strategies. This team works in close partnership with business stakeholders, product leaders, architects, and engineering teams from various global locations, ensuring the delivery of high-impact solutions. We emphasize clear communication, accountability, and ongoing improvement while driving agile product delivery. Your Role Engage with business stakeholders to gather, analyze, and clarify requirements, transforming business needs into well-defined functional and technical solutions. Decompose high-level business requirements into detailed user stories and tasks, ensuring clear scope, acceptance criteria, and technical comprehension for the delivery team. Articulate and communicate the product and project vision, roadmap, and priorities in alignment with business goals and organizational strategy. Manage and refine the product backlog, ensuring it is prioritized and ready for development. Collaborate closely with engineering and architecture teams on solution design, technical analysis, and effort estimation to support precise sprint and release planning. Take full ownership of product releases, including scope, quality, timelines, and deployment readiness. Proactively identify and manage risks, dependencies, and issues, driving mitigation plans and swift decision-making. Ensure thorough documentation of requirements, designs, and decisions using collaboration tools like Confluence and JIRA.

About LanternLantern is a leading specialty care platform that connects individuals with top-tier healthcare providers precisely when they need it. By building a Network of Excellence that includes the nation’s foremost specialists in surgery, cancer care, infusions, and more, Lantern not only provides exceptional care but also offers substantial cost efficiencies for employers and their employees. Our dedicated care teams, including Care Advocates and nurses, support each member throughout their healthcare journey, ensuring they can return to good health, their families, and their work. With convenient access to specialists across the country, Lantern makes quality care accessible for most. Trusted by some of the largest employers, we deliver care to over 6 million members nationwide. Explore more about us at lanterncare.com.About You:You employ LOGIC in your decision-making and recognize that progress is essential for effecting change. You adeptly manage the execution of your tasks while thriving in a fast-paced environment, celebrating both minor and major victories.INCLUSION is a fundamental principle for you. You value a diverse and inclusive workplace and are enthusiastic about collaborating with a team that brings varied experiences and perspectives, appreciating the unique contributions of every individual.You possess the GRIT and ambition necessary to tackle significant challenges. Solving complex problems requires innovative ideas and a supportive team.You are deeply committed to your customers, ensuring HUMANITY remains at the forefront of every decision. Your customers are not just users; they are the driving force behind your motivation for change.Integrity is your guiding principle, as you prioritize TRUTH over delivering convenient answers.You flourish in a collaborative Team Environment, recognizing that teamwork is essential for innovation and transformative change.These pillars of LIGHT remind our team that our efforts contribute to guiding individuals through the often intricate and confusing healthcare landscape. We aspire that, with this LIGHT, individuals can navigate toward the best care, resources, and support they need to reclaim their lives.If this resonates with you, we would be excited to discuss potential career opportunities at Lantern.

Join Altegra Health as a Remote Certified Medical Coder in Dallas! This is a temporary, home-based position expected to continue through the end of 2015. Our Coders will be compensated per chart, ensuring flexibility and efficiency in your work. As a Remote Certified Coder, you will meticulously review medical records, applying the appropriate ICD-9-CM diagnostic codes while adhering to Altegra Health's quality assurance standards, including compliance with Official Coding Guidelines and Risk Adjustment Guidelines.Key Responsibilities:• Extract essential information from patient medical records and assign suitable ICD-9-CM codes, including HCC and/or RxHCC group assignments as needed.• Utilize Altegra Health Flagged Event codes when documentation is ambiguous or insufficient for accurate medical coding.• Stay updated on medical coding guidelines and reimbursement reporting requirements.• Review your chart assignments daily and accurately report all hours worked on a weekly basis.• Communicate any work-related concerns to your designated Coder Advocate, escalating to the Senior Manager of Clinical Operations if necessary.• Uphold the Standards of Ethical Coding as established by the American Health Information Management Association, while strictly following official coding guidelines.• Ensure compliance with HIPAA laws and regulations.• Engage in testing and training as required by the company.

Agnite Health LLC is seeking a detail-oriented and experienced Medical Billing Specialist to join our dynamic team in Dallas, Texas. In this role, you will be responsible for managing billing processes, ensuring accurate coding, and handling insurance claims with precision to support our healthcare providers in delivering exceptional patient care.

Pariveda Solutions, Inc. is a distinguished, employee-owned professional services firm located in North America. We specialize in delivering strategic and technological solutions across an array of industries. As a mission-driven entity and Certified B Corp, we empower our clients to envision and achieve more, whether it’s reaching quarterly objectives or navigating future challenges. From conceptualization to execution, we enhance our clients' capabilities for better performance and profitability. Discover more about our mission, culture, and recruitment process.We are currently searching for a Sales Operations Analyst to join our Customer Value and Experience (CVE) team in Dallas. This pivotal role will focus on ensuring the integrity, progression, and visibility of our opportunity pipeline. You will manage governance, forecasting, and analytics processes that equip leadership with the insights needed for confident, data-driven decisions. In this position, you will have the chance to cultivate robust commercial operations expertise, executive communication skills, and operational leadership abilities.Expectations:As a Sales Operations Analyst, you will collaborate within a national team at our Dallas office, reinforcing the operational foundations that support Pariveda’s sustainable growth and resilient revenue portfolio. Your responsibilities will include:Managing the comprehensive opportunity pipeline process, ensuring CRM data integrity, governance, and compliance with established standards.Overseeing and evaluating incoming opportunities, proactively resolving data discrepancies, identifying potential risks, and collaborating with relevant stakeholders to uphold pipeline accuracy.Leading regular pipeline and forecasting sessions, developing and maintaining models that reflect stage progression, conversion rates, deal velocity, and risk indicators.Identifying stalled, at-risk, or high-impact opportunities and providing clear, actionable insights to leadership to enhance progression and forecast reliability.Creating and maintaining executive-level dashboards and conducting in-depth analyses of win/loss trends, deal performance, and other critical metrics.

Join Capco as a Business Analyst and be a part of our dynamic team that is at the forefront of delivering innovative solutions to our clients. In this role, you will collaborate with stakeholders to gather requirements, analyze data, and provide actionable insights that drive business success. Your analytical skills will be essential in solving complex problems and improving processes.

Join our team as a Business Intelligence Analyst with a focus on Analytics Engineering in a hybrid remote capacity. In this role, you will leverage your analytical skills to transform data into actionable insights that drive informed decision-making across the organization. You will collaborate with cross-functional teams to develop and implement data-driven strategies.

Join Capco as a Business Analyst specializing in the retail energy sector. In this dynamic role, you will analyze business processes, gather requirements, and help implement innovative solutions that drive efficiency and enhance customer experiences in the energy market.

As a Telecom Bill Auditor and Business Analyst at fabergent, you will play a crucial role in ensuring the accuracy and compliance of telecom billing. Your primary responsibilities will include auditing numerous telecom bills for contractual adherence, identifying charge discrepancies, and confirming the overall accuracy of invoices.You will support the Network Circuit Delivery team by providing in-depth reporting and analysis, which will assist in capacity planning and financial forecasting. Your analytical skills will be essential in creating comprehensive reports, pivot charts, and summaries using large datasets.In this detail-oriented role, you will correlate circuit orders and disconnects with billing accuracy, identify trends, and effectively manage disputes while communicating findings to Senior Management.