Adjustment Clerk jobs in West Virginia
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
Risk Adjustment Analyst
- The Health Plan (THP)
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Wheeling, WV
FULL_TIME
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Under the direction of the Manager Risk Adjustment, will support The Health Plan’s risk adjustment and coding management goals with regard to the risk adjustment models. The position will be involved in developing, coordinating, and analyzing the impact of various activities used to support risk adjustment optimization. This would require evaluating and analyzing the effectiveness of prospective and retrospective programs, including reviewing claim/member/provider data. The Risk Adjustment Analyst will need to be able to work effectively with other team members within the organization in order to close clinical care and diagnosis coding gaps. This will help to ensure complete and accurate capture of revenue, based on the risk adjustment models.
Required- College degree or a combination of education/experience in the health care industry.
- Computer experience with Microsoft Word, Excel, Power Point and Outlook.
- Strong organizational, verbal and written communication skills.
- Knowledge of the health care system.
- Excellent ability to work independently as well as part of a team.
- Certified Coder.
- Prior Managed Care experience.
- Medical terminology.
- Knowledge of ICD and CPT coding (prefer certification).
- Familiar with medical and hospital claims.
- Familiar with prescription coding (NDC).
- Participate in submission, monitoring, and error management of encounter data to the CMS, BMS, and the EDGE server.
- Perform periodic and ad hoc analysis utilizing complex spreadsheets and systems by developing new and innovative approaches.
- Assist with provider education and training on risk adjustment methodologies, documentation and coding in an effort to close clinical care and diagnosis coding gaps.
- Assist with developing and implementing risk adjustment activities and programs.
- Coordinate the annual retrospective medical record review.
- Serve as liaison with vendors and partners on all aspects of risk adjustment and related projects.
- Attend continuing education classes/seminars to maintain professional and technical knowledge of CMS requirements.
- 1 Day Ago
Risk Adjustment Auditor
- FATHOM
-
Huntington, WV
FULL_TIME
- Fathom is on a mission to use AI to understand and structure the world’s medical data, starting by making sense of the terabytes of clinician notes contained within the electronic health records of th...
- 1 Month Ago
Property Inspector Needed! WV
- Metro Public Adjustment, Inc.
-
Charleston, WV
FULL_TIME
- Bring your life/work experience to a new level of success!Benefit from our 30 years of experience in business: We have an AWESOME training program and it's FREE!! Part time $35,000 or full time $150,0...
- 3 Days Ago
Nurse Practitioner NP, Part-Time, HRA
- Hueman Risk Adjustment Staffing
-
Fairmont, WV
PART_TIME
- Hueman is hiring Nurse Practitioners to complete In-Home Health Assessments in the home of Medicare and Medicaid members in and around Fairmont, WV. This position offers certified Nurse Practitioners ...
- 6 Days Ago
Nurse Practitioner NP, Part-Time, HRA
- Hueman Risk Adjustment Staffing
-
Clarksburg, WV
PART_TIME
- Hueman is hiring Nurse Practitioners to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Clarksburg, WV. This position offers certified Nurse Practiti...
- 6 Days Ago
Nurse Practitioner NP, Part-Time, HRA
- Hueman Risk Adjustment Staffing
-
Follansbee, WV
PART_TIME
- Hueman is hiring Nurse Practitioners to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Follansbee, WV. This position offers certified Nurse Practiti...
- 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
Entry Level Auto Damage Adjustor
- 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
Adjuster
- ProAmpac
-
Forest City, NC
- Lead by example, with a positive outlook, through practice and work habit, a desire to follow all policies and procedure...
- 4/30/2024 12:00:00 AM
About West Virginia
West Virginia (/vərˈdʒɪniə/ (listen)) is a state located in the Appalachian region in the Southern United States and is also considered to be a part of the Middle Atlantic States. It is bordered by Pennsylvania to the north, Maryland to the east and northeast, Virginia to the southeast, Kentucky to the southwest, and Ohio to the northwest. West Virginia is the 41st largest state by area, and is ranked 38th in population. The capital and largest city is Charleston.
West Virginia became a state following the Wheeling Conventions of 1861, after the American Civil War had begun. Delegates from so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Adjustment Clerk jobs
$29,827 to $37,036
Most Popular Cities in West Virginia 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