Documentation & Risk Coding Analyst - Hospital Based Job at Advocate Health Care (Milwaukee)

Documentation & Risk Coding Analyst - Hospital Based

Will support - Hospital Based Coding. Standard dept operating hours Mon-Fri. 6am...

Location

United States , Remote; Milwaukee

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge
High school diploma or GED required
Minimum of 4 years of healthcare experience, including at least 2 years working as a clinician or in direct partnership with clinicians or recognized profession supporting clinicians (i.e. CDI, CMD or informatics), with demonstrated involvement in clinical documentation, coding, or documentation improvement initiatives
Extensive knowledge of third-party reimbursement programs, state and federal regulatory issues, national and local coverage determinants, research-related restrictions, ICD-10 CM/PCS, and CPT/HCPCS coding classifications
Demonstrated proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Teams, etc.) or similar products and in patient accounting and billing systems
Ability to deal and work effectively with multiple departments and in matrix organizational structures
Strong oral and written communication skills
Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment
Highly proficient in problem-solving and strong attention to detail
Advanced knowledge of Epic

Job Responsibility

Demonstrates full understanding and is compliant with regulatory requirements regarding coding of medical information including but not limited to external regulatory agencies such as Quality Improvement Organizations (QIOs), the Centers for Medicare & Medicaid Services (CMS), Medicare National Correct Coding Initiative edits and other payers
Partners with Coding, CDI, CMD and Quality professionals and others to advance documentation improvement practices
Exhibits and promotes a professional team-oriented service culture to achieve intended outcomes
Reviews clinical documentation and diagnostic results from the EHR to ensure appropriate assignment of the ICD-10-CM/PCS and/or ICD-10-CM CPT/HCPCS codes to support organizational and Clinician Services initiatives
As indicated, queries providers when existing documentation is unclear or ambiguous following established organizational policy
Partner within sub-function leadership and team members to identify opportunities for improvement based on analysis and review
Demonstrates positive collaboration with team members within Clinician Services and other organizational stakeholders
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adheres to official coding guidelines as well as the organizational and departmental guidelines, policies and protocols
Demonstrates technical competence to use EHR, other software applications and official coding resources
Maintains confidentiality of patient records. Reports any perceived non-compliant practices to the Documentation and Risk leadership or compliance officer

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Opportunity for annual increases based on performance
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions

Fulltime

Clinical Risk Management Analyst

Location

United States , Aurora

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

If RN, Active, unrestricted registered nurse (RN) multi-state compact and/or single-state license with privileges to practice in the state(s) where the RN is providing client nursing services
Graduate of a Board of Nursing approved nursing education program
Typically requires 5 years of experience in healthcare, quality and/or risk management, which includes experience in risk management principles, and continuous quality improvement tools and concepts
Knowledge of federal, state and other external health care regulations and standards and ability to research those regulations
Knowledge of evidence based, best practice resources to promote efficiency and effective outcomes
Working knowledge of process improvement methods and statistical tools
Effective conflict management and resolution skills
Basic working knowledge of medical terminology, clinical concepts and disease management
Intermediate computer skills including experience in using Microsoft Office (Excel, Word, Power Point, Access) or similar products
Strong written and oral communication skills including good presentation skills

Job Responsibility

Collaborates with claims adjustors and defense counsel in managing claims including assessment of liability, ensuring establishment of appropriate reserves, maintaining complete and up-to-date case files, and assisting in procurement of medical records and documents necessary for evaluation and defense of cases
Facilitates timely response and investigation of adverse and significant events
Collects and evaluates data concerning incident reports, aggregates data summaries, and develops monthly and quarterly risk management reports that provide a summary of current claims and litigation, to include an analysis of trends
Shares reports with appropriate leadership and advises and recommends actions for process improvement
Maintains an accurate, up-to-date database reflecting the status and essential elements of current claims and litigation
Analyzes patient concerns or complaints to determine the root of the matter, identifies any trends, and determines how best to address the concern or complaint
Reviews and gathers pertinent information from patient records
Collaborates with other risk staff in the prompt, equitable resolution of claims
Provides consultative and resource support to staff regarding all aspects of risk management
Coordinates, facilitates, implements and participates in care management and quality improvement initiatives

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

New

Events Manager I

Responsible for preparing all event documentation and coordinates with Sales, pr...

Location

Guyana , Georgetown

Salary:

Not provided

Marriott Bonvoy

Expiration Date

Until further notice

Requirements

High school diploma or GED
experienced (1 – 2 years of experience) in the event management or related professional area
OR 2-year degree from an accredited university in Hotel and Restaurant Management, Hospitality, Business Administration, or related major
at least 1 year experience in the event management or related professional area required

Job Responsibility

Responsible for preparing all event documentation and coordinates with Sales, property departments and customer to ensure consistent, high level service throughout pre-event, event and post-event phases of property events
This position primarily handles events of average complexity
Ensures their property events have a seamless turnover from sales to service back to sales
Recognizes opportunities to maximize revenue opportunities by up-selling and offering enhancements to create outstanding events
Ensures that events progress seamlessly by following established procedures, collaborating with other employees, and ensuring accuracy
Greets customer during the event phase and hands-off to the Event Operations team for the execution of details
Adheres to all standards, policies, and procedures
Ensures billing accuracy and conducts bill reviews with the clients prior to processing the final bill
Manages group room blocks and meeting space for average to large-sized assigned groups
Identifies operational challenges associated with his/her group and determines how to best work with the property staff and customer to solve these challenges and/or develop alternative solutions

Fulltime

New

Learning & Skills Worker

Are you looking for a challenge that will help you develop into an inspiring tea...

Location

United Kingdom , Doncaster

Salary:

25877.80 - 27041.04 GBP / Year

Novus

Expiration Date

June 11, 2026

Requirements

Willingness to develop and work towards a Level 5 Certificate in Education
Willingness to develop a subject specialism in Maths or English
Aspiration to progress into a Maths or English Teacher role
At least a Level 2 qualification in Literacy and Numeracy
Enthusiasm and commitment to a career in teaching
Have experience of conducting assessments and supporting learning of individuals and groups
Have experience of working with groups of learners with a range of abilities
Proven track record of achieving performance targets
Demonstrate accurate and timely reporting
Demonstrate team working

Job Responsibility

Support teaching cover and annual leave while developing skills and experience
When covering teaching sessions, paid in accordance with teaching pay scales

What we offer

35 days annual leave plus 8 bank holidays
2 hours for wellbeing / personal development per week
Significant Pension contributions
Retail Discounts
Employee Assistance Program
Cycle to work scheme

Fulltime

New

Pharmacy Technician

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Gladstone

Salary:

16.50 - 25.00 USD / Hour

CVS Health

Expiration Date

July 26, 2026

Requirements

Must comply with any state board of pharmacy requirements or laws governing the practice of pharmacy, which includes but is not limited to, age, education, and licensure/certification
If the state board of pharmacy does not address or mandate a minimum age requirement, must be at least 16 years of age
If the state board of pharmacy does not address or mandate a minimum educational requirement, must have a high school diploma or equivalent, or be actively enrolled in high school or high school equivalency program
Regular and predictable attendance, including nights and weekends
Ability to complete required training within designated timeframe
Attention and Focus: Ability to concentrate on a task over a period of time
Ability to pivot quickly from one task to another to meet patient and business needs
Ability to confirm prescription information and label accuracy, ensuring patient safety
Customer Service and Team Orientation: Actively look for ways to help people, and do so in a friendly manner
Notice and understand patients’ reactions, and respond appropriately

Job Responsibility

Living our purpose by following all company SOPs at each workstation to help our Pharmacists manage and improve patient health
Following pharmacy workflow procedures at each pharmacy workstation (i.e., production, pick-up, drive-thru, and drop-off) for safe and accurate prescription fulfillment
Contributing to positive patient experiences by showing empathy and genuine care: creating heartfelt and personalized moments while serving patients at pick-up, drive-thru, and over the phone
keeping patients healthy by offering immunizations and other services at the register and over the phone
and demonstrating compassionate care by solving or escalating patient problems
Completing basic inventory activities, as permitted by law, and as directed by the pharmacy leadership team, such as accurately putting away medication deliveries and completing cycle counts, returns-to-stocks, waiting bin inventories, etc.
Contributing to a high-performing team, embracing a growth mindset, and being receptive to feedback
actively seeking opportunities to expand clinical and technical knowledge needed to better assist patients
Remaining flexible for both scheduling and business needs, while contributing to a safe, inclusive, and engaging team dynamic
voluntarily traveling to stores in the market to work shifts as needed by the business

What we offer

dental
vision
wellness resources
employee discounts
access to certain voluntary benefits

Parttime

New

Digital Skills Teacher

Are you passionate about shaping and inspiring the workforce of tomorrow? We’re ...

Location

United Kingdom , Stockton-on-Tees

Salary:

30208.88 - 39648.96 GBP / Year

Novus

Expiration Date

June 11, 2026

Requirements

Hold a teaching qualification and where applicable, relevant subject specialist qualification - with a commitment to obtain the outstanding qualification within 12 months
Hold a Level 2 qualification in Literacy and Numeracy
Have experience in creating stimulating, vibrant environments which are conducive to learning and motivational for learners
Have previous track record showing achievement of quality targets
Have successfully produced accurate and timely reports
Demonstrate effective interpersonal and communication skills
Can motivate and enthuse learners
Have organisational skills to prioritise workload to meet deadlines and targets
Demonstrate positive team working

What we offer

40 days annual leave plus 8 bank holidays *pro-rata
2 hours for wellbeing / personal development per week *pro-rata
Significant Pension contributions
Retail Discounts
Employee Assistance Program
Cycle to work scheme

Parttime

New

Senior Pricing Analyst

The Senior Pricing Analyst leads pricing strategy development and execution for ...

Location

United States , Lexington

Salary:

Not provided

Valvoline

Expiration Date

Until further notice

Requirements

BS in Finance, Accounting, Management, or related field preferred
5–8+ years of experience in pricing, financial analysis, or commercial analytics
Demonstrated ability to independently manage complex analytical work and business initiatives
Strong financial and business acumen, with clear understanding of pricing impacts on P&L performance
Advanced Excel skills required
experience with SQL, SAP, and BI tools (e.g., Power BI, Tableau) strongly preferred
Experience working with SalesForce, CPQ, PriceFX or other pricing software is strongly preferred
Experience with large datasets and data visualization techniques
Proven ability to influence cross-functional stakeholders and drive alignment
Strong communication skills with experience presenting to senior business leaders

Job Responsibility

Own pricing strategy, including price setting, adjustments, and governance
Lead pricing reviews and deliver data-driven recommendations
Guide execution through analysts and cross-functional partners
Conduct advanced analyses (elasticity, profitability, scenario modeling)
Integrate data sources to assess performance and identify trends and risks
Translate insights into actionable recommendations
Monitor market conditions, competitors, and customer trends
Recommend positioning adjustments to maintain advantage
Serve as a pricing insights resource
Advise Sales, Marketing, Finance, and Product teams on pricing

What we offer

Health insurance plans (medical, dental, vision)
HSA and flexible spending accounts
401(k)
Incentive opportunity
Life insurance
Short and long-term disability insurance
Paid vacation and holidays
Employee Assistance Program
Employee discounts
Tuition reimbursement

Fulltime

New

Training Program Manager - Metal Cutting Tooling

Location

United States , Pittsburgh

Salary:

Not provided

Kennametal

Expiration Date

Until further notice

Requirements

Technical degree or Degree in Business, Manufacturing and/or Engineering preferred
5 years of experience in training and development or related field preferred
Experience in machining/metal cutting required
SME in industry segments such as Aerospace, General Engineering, Transportation, Medical, and Energy preferred
Strong knowledge of development and learning practices
Familiarity with web-based learning platforms and modern educational techniques
Demonstrated ability to deliver recommendations and solutions
Results-driven with strong problem-solving skills
Excellent communication and presentation skills
Influential leadership with an executive presence

Job Responsibility

Orchestrate with internal stakeholders (Regional Product Marketing Manager and Global Product Manager Marketing) to develop and implement training program schedules
Lead the design and delivery of industry and skills training programs/courses for all levels to drive lead generation through sales solutions
Develop training programs focusing on features and benefits versus value-based training
Liaise with industry experts to understand and utilize learning trends and platforms for continuous improvement
Establish processes to monitor results and collect feedback on trainings for effectiveness and improvement
Define and measure success metrics through training feedback and results
Coordinate product-related trainings, including new product feature presentations and simulation activities in a demo environment
Collaborate and synchronize with marketing efforts to generate demand and drive growth through coordinated training and promotional activities
Collaborate with global and regional teams to align on standards and best practices
Identify training objectives by analyzing overall needs and specific skill or knowledge gaps

Documentation & Risk Coding Analyst - Hospital Based

Advocate Health Care

Location:
United States , Milwaukee

Category:
IT - Administration

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 14, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

Similar Jobs for Documentation & Risk Coding Analyst - Hospital Based