The Certified Edit Dispute Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product. The Certified Edit Dispute Resolution Analyst demonstrates an understanding of Zelis edits as an in

The Risk Adjustment Coder is responsible for conducting Electronic Medical Record (EMR) chart audits for prospective Medicare Risk Adjustment (MRA) ICD 10 codes (International Classification of Diseases, version 10)/Hierarchical Condition Category (HCC) coding in advance of patient visits. This position will prepare coding review for the physician to utilize at the patien

This position will follow department policies and procedures, collect data for the verification and evaluation of providers applying for initial appointment and reappointment. Individuals in this role interact with applicants, liaisons, department chairs, and medical staff leaders. Through the work performed individuals in this position assist the department in complying