Adjustment Clerk jobs in Nevada
Adjustment Clerk reviews and follows up on customer complaints regarding account balances and uncredited items. Analyzes associated documents and makes necessary adjustments to accounts and/or recommendations to resolve customer issues. Being an Adjustment Clerk communicates results of findings to customer. Requires a high school diploma or its equivalent. Additionally, Adjustment Clerk typically reports to a supervisor or manager. The Adjustment Clerk possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
Recently Added Adjustment Clerk jobs
Supervisor, Risk Adjustment Coding
- SilverSummit Healthplan
-
Gardnerville, NV
FULL_TIME
-
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Supervise the daily operations and work flow of the Medical Coding Specialists ensuring that 100% of the retrieved charts are coded. Provide guidance to the RAPS Medical Coding specialists to ensure proper ICD-9 coding and CMS compliance. Candidate Education: Required A Bachelor's Degree in a related field. Candidate Experience: Required 5 years of experience in professional coding either in a hospital or physician setting.
Required 3 years of experience in managed care with knowledge of RAPS.- The Supervisor, Medical Coding Specialists (S-MCS) supervises the daily operations and work flow of the Medical Coding Specialist (MCS) Team;
- The S-MCS provides guidance and motivation to the MCS Team in their day to day job functions, actively mentoring and providing training as needed;
- He/she ensures coding productivity and quality goals and objectives are consistently met;
- The S-MCS provides ongoing training and continuing education to the Medical Coding Specialists regarding risk adjustment, proper ICD-9 coding, and ICD-10 coding through written materials, conference calls, Webinars, or presentations;
- He/she serves on the RADV committee as a subject matter expert;
- The S-MCS coordinates yearly continuing education unit (CEU) coder training seminars;
- He/she conducts staff meetings on a weekly basis - instilling a team approach, focused on meeting productivity goals and compliance metrics;
- The S-MCS works closely with the Mgr, Medical Coder Auditing to ensure that the MCS Team's coding is meeting and/or exceeding QA standards. Upon approval of the Director, Risk Adjustment, the S-MCS and the M-MCA will develop, implement, evaluate and improve coding policies and procedures and departmental operations as needed;
- He/she serves as the MCA business representative for system enhancements (e.g. data entry tool design);
- The S-MCS is accountable for understanding the intricacies of the ICD-9 coding guidelines and its application to risk adjustment coding;
- An important function of the S-MCS is to prepare and submit to the Director, Risk Adjustment weekly productivity reports including key performance metrics and quarterly productivity trending reports. The S-MCS is responsible for researching industry best practices for productivity-enhancement processes, for understanding the financial impact of productivity, data capture and reporting tools, processes and systems to present to the Director, Risk Adjustment on a quarterly basis;
- The S-MCS and the M-MCA develop mutually agreed upon corrective action plans, training sessions, and re-training programs to ensure that the QA standards are consistently met;
- He/she ensures compliance with all applicable federal, state and local regulations, as well as with institutional/organizational standards, practices, policies and procedures;
- The S-MCS assists in other projects as necessary.
- The S-MCS reviews members' medical records from primary and specialist care providers to identify all ICD-9's that meet CMS and ICD-9 coding guidelines. Complete data entry for identified ICD-9's
- The S-MCS is responsible for hiring, promoting, establishing PIP, establishing goals and objectives, conducting performance appraisals, approving time, and establishing P&P for the MCS. Additional Responsibilities:
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. - 4 Days Ago
RISK ADJUSTMENT ANALYST - REMOTE
- Universal Health Services, Inc.
-
Reno, NV
FULL_TIME
- ResponsibilitiesJob Summary: This position focuses on all CMS submission related operations in support of Prominence Health Plan's Medicare Advantage business. Activities include creating submission f...
- 8 Days Ago
Supervisor, Risk Adjustment Coding
- SilverSummit Healthplan
-
Carson, NV
FULL_TIME
- You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll hav...
- 1 Day Ago
Supervisor, Risk Adjustment Coding
- SilverSummit Healthplan
-
Elko, NV
FULL_TIME
- You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll hav...
- 1 Day Ago
Risk Adjustment Submissions Manager
- UHS
-
RENO, NV
FULL_TIME
- Responsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Pr...
- 1 Month Ago
Work From Home | Claim Representative | Flexible Hours
- Metro Public Adjustment, Inc.
-
Las Vegas, NV
FULL_TIME
- Job Description:Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim. Join Metro, a renowned a...
- 6 Days Ago
Adjustment Clerk jobs at Popular Companies
Adjustment Clerk I
- Employnet Workforce Solutions
-
The Colony, TX
- The Adjustments Clerk I is responsible for the daily requests of credits and POD's received from customers, sales repres...
- 6/11/2024 12:00:00 AM
Senior Accounting Supervisor
- Smart IT Frame LLC
-
Bozeman, MT
- Senior Accounting Supervisor //Permanent Full Time Facility Name: Bozeman Direct Hire Facility Address: Bozman, MT 59715...
- 6/10/2024 12:00:00 AM
Senior Accounting Supervisor
- Generis Tek Inc
-
Bozeman, MT
- Please Contact : To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Sonal Manglani at e...
- 6/10/2024 12:00:00 AM
FL Smithe Envelope Machine Adjustor
- Northeastern Envelope Co.
-
Old Forge, PA
- Job Description Job Description We are seeking an Envelope Machine Adjustor to join our team! You will operate adjust an...
- 6/8/2024 12:00:00 AM
Auto Damage Adjustor - Trainee
- Government Employees Insurance Company
-
Minneapolis, MN
- Auto Damage Trainee Minneapolis, MN Salary: $26.80 per hour / $54,000 annually Accidents can be scary, and our Auto Dama...
- 6/7/2024 12:00:00 AM
Auto Damage Adjustor in Training
- Government Employees Insurance Company
-
Minneapolis, MN
- Auto Damage Trainee Minneapolis, MN Salary: $26.80 per hour / $54,000 annually Accidents can be scary, and our Auto Dama...
- 6/7/2024 12:00:00 AM
Auto Damage Adjustor in Training
- Government Employees Insurance Company
-
Honolulu, HI
- Auto Damage Trainee Kahului, Maui Salary: $28.29 per hour / $57,000 annually Accidents can be scary, and our Auto Damage...
- 6/7/2024 12:00:00 AM
Auto Damage Adjustor - Trainee
- Government Employees Insurance Company
-
Honolulu, HI
- Auto Damage Trainee Kahului, Maui Salary: $28.29 per hour / $57,000 annually Accidents can be scary, and our Auto Damage...
- 6/7/2024 12:00:00 AM
About Nevada
Nevada is almost entirely within the Basin and Range Province, and is broken up by many north-south mountain ranges. Most of these ranges have endorheic valleys between them, which belies the image portrayed by the term Great Basin.
Much of the northern part of the state is within the Great Basin, a mild desert that experiences hot temperatures in the summer and cold temperatures in the winter. Occasionally, moisture from the Arizona Monsoon will cause summer thunderstorms; Pacific storms may blanket the area with snow. The state's highest recorded temperature was 125 °F (52 °C) in Laughlin (e...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Adjustment Clerk jobs
$33,273 to $41,316
Most Popular Cities in Nevada for Adjustment Clerk Jobs
What does an Adjustment Clerk do?
Adjustment Clerk in Salisbury, NC
The affected positions are the city's public-services director and the clerks for city council, the mayor's court and the police department.
January 10, 2020
Adjustment Clerk in Altus, OK
Bookkeeping, accounting, and auditing clerks produce financial records for organizations.
February 09, 2020
Adjustment Clerk in Davenport, IA
This Being an Adjustment Clerk is Like Riding a Bike Funny Job Unisex T Shirt is provided on quality cotton.
December 30, 2019