3 clerical jobs found in Des Moines, IA

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.   DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all....

Departmental Preferences: Certification in risk adjustment coding (CRC) Prior experience in medical record auditing (CMS, RADV, Part C IPM) Medicare risk adjustment experience  Clinical knowledge/experience a plus   The Clinical Documentation Improvement Reviewer performs concurrent medical record reviews to ensure that all conditions reported by the provider reflect the severity of illness of the patient.  This position is responsible for the validation of diagnosis codes in CDI alert and the identification of missing diagnosis so that patient severity of illness is properly reflected in the medical record. Conducts an extensive analysis of patient records to evaluate documentation of HCC diagnoses. Obtains and promotes appropriate clinical documentation through extensive interaction with physicians (via queries) to ensure that the documentation of HCC codes is accurate. Reviews medical records to ensure that diagnoses are reported in accordance with...

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants. Are you passionate about patient care and thrive in a fast-paced, professional environment? We are seeking a dedicated Utilization Management Assistant to join our healthcare team. We are looking for individuals with experience in a medical setting, including but not limited to a receptionist, scheduler, insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer service who are looking to make a meaningful impact behind the scenes. If you are looking to get into a professional office setting with daytime office hours and weekends/holidays off , this is the role for you!  The Utilization Management Assistant answers first level calls in Utilization Review for our Health & Wellness participants. They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a...