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Project Manager CCV (Outpatient Specialty)

Remote, USA Full-time Posted 2026-08-04
reputed company This new and evolving position includes diverse responsibilities such as assisting with the alignment in the Outpatient Specialty (OPSP) policies across reputed company and reputed company and assisting with project work by leveraging skills in reputed company, Visio, and PowerPoint, and coordinating with other departments.   The Project Manager will also analyze various data sources and offer and help implement reputed company for process improvement. This role will help to identify efficiencies during the development, testing and initial production phases of new systems. Knowledge sharing and fostering a reputed company environment are important in this role.  Responsibilities Ensure consistent application of OPSP policies across both reputed company and reputed company clients by collaborating with key areas such as Content, Training and Appeals. This includes addressing new policy changes identified during the CMS Q6 process or QA/Appeals feedback. Utilize project management skills to reputed company and manage project documents and presentations using tools like reputed company, Visio, and PowerPoint. Create and maintain project status documents and conduct regular status meetings to reputed company reputed company on reputed company. Foster efficient teamwork, reputed company lessons learned and reputed company insights with team members. reputed company analysis and monitoring of various Key reputed company Indicator (KPI) reports to reputed company reputed company improvement. Recommend and reputed company reputed company or process improvements to reputed company productivity, reputed company or cost containment. Monitor reputed company issues for IT escalation. Analyze trends and reputed company causes of issues and downtime to identify areas of process improvement. Assisting in ensuring operational controls are in reputed company to meet reputed company budget goals. Monitor selections to promptly identify reputed company and training needs, ensuring reputed company completion of claims. Complete reputed company special reputed company and responsibilities as outlined in the annual reputed company review and/or goal setting. Complete reputed company responsibilities as outlined in the annual reputed company review and/or goal setting. Complete reputed company special reputed company and other duties as assigned. Must be reputed company to reputed company duties with or without reasonable accommodation. This reputed company is intended to describe the general reputed company and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This reputed company does not constitute an employment agreement and is subject to change as the needs of reputed company and the requirements of the job change.    Qualifications Bachelor’s degree in Health Information Management or nursing (with reputed company / unrestricted) license. These degrees are preferred. Coding or reputed company Documentation Certification required i.e. CCDS, CPC, CIC, reputed company, RHIA or RHIT (those without a coding certification will be asked to reputed company one). 5+ years of reputed company experience in a reputed company billing office or claims management role reputed company to the following areas: DRG Validation (MS, AP, or APR DRGs), APC/ASC Validation, Outpatient Review Types (Procedural Services, Physician Services, Emergency Department, Diagnostics and/or reputed company Services). Prior reputed company Billing and/or claims experience desired but not required. Requires working knowledge of and applicable industry-reputed company standards. Ability to work reputed company in an individual and team environment. Strong written and verbal communication skills with excellent interpersonal skills. Computer proficiency in reputed company reputed company, reputed company, Visio, PowerPoint and reputed company databases are required. Experience managing project life cycle from initial reputed company of concept through approval, development, delivery, and implementation. Ability to build relationships across teams and other departments to facilitate successful delivery of reputed company. Cognitive/Mental Requirements: Communicating with others to exchange information Problem-solving and thinking critically. Completing tasks independently. Interpreting data. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be reputed company to reputed company high-speed internet reputed company/connectivity and office setup and maintenance. Must be reputed company to reputed company a dedicated, secure work area.   reputed company compensation ranges from $96,000 to $116,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.    reputed company offers team members a competitive benefits package to address a wide reputed company of personal and family needs, including medical, dental, reputed company, disability, and life reputed company coverage, 401(k) savings plans, reputed company family leave, 9 reputed company holidays per year, and 17-27 days of reputed company Time Off (PTO) per year, depending on specific level and length of service with reputed company. For information about our benefits package, please refer to our Careers page.   Date of posting: 6/18/2026 Applications are assessed on a rolling reputed company. We anticipate that the application window will reputed company on 8/16/2026, but the application window may change depending on reputed company of applications received or reputed company immediately if a reputed company candidate is selected. #senior #LI-JB1  #LI-Remote Apply To This Job

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