- City and County of San Francisco (San Francisco, CA)
- …development of outreach services; and + May perform Quality Improvement activities such as chart audit and compliance review. + The 2932 Senior Behavioral Health ... refer to the ability to compose and organize information such as reports, chart notes, case documentation, and correspondence and agency forms, both manually and… more
- Dignity Health (San Luis Obispo, CA)
- …+ One (1) year healthcare-related quality management/performance improvement experience (eg, chart audit , PI team member, etc.) **Licensure and Certifications:** ... + Current state license in a clinical field in state of practice + Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS)… more
- City and County of San Francisco (San Francisco, CA)
- …development of outreach services; and + May perform Quality Improvement activities such as chart audit and compliance review. + The 2932 Senior Behavioral Health ... Clinician performs related duties as required. MINIMUM QUALIFICATIONS Possession of a valid license issued by the California Board of Behavioral Sciences (BBS) for + Licensed Clinical Social Worker (LCSW) OR + Licensed Marriage and Family Therapist (LMFT) OR +… more
- Naven Health (Bakersfield, CA)
- …as assigned. May actively participate in company PI/QI program and assists with chart audit functions as applicable. + Performs other related duties as ... directed by supervisor. **Supervisory Responsibilities** Does this position have supervisory responsibilities? (ie hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.) No - X Yes **Basic Education… more
- Dignity Health (Santa Cruz, CA)
- …+ One (1) year healthcare-related quality management/performance improvement experience (eg, chart audit , PI team member, etc.) **Required Licensure and ... Certifications:** + Current state license in a clinical field in state of practice. + Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient… more
- The County of Los Angeles (Los Angeles, CA)
- …Submits specific audits to the Compliance department to get approval. Input all audit requests into tracking system and prepares records. Works with tight deadlines ... while dealing directly with audit entities, both private and government, on billing and...private and government, on billing and payment. Administers all chart reviews by meeting patients and/or attorneys in person… more
- Elevance Health (Walnut Creek, CA)
- …make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical ... audit activities. + Draws on advanced ICD-10 coding expertise,...guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to… more
- CenterWell (Sacramento, CA)
- …+ Analyze EDAPS; report the variances between datahub and eCW. + Conduct Chart reviews to identify educational opportunities. + Perform individual chart research ... identify HEDIS gaps and deficiencies. + Participate in Payer calls/ chart reviews. + Compile payer findings and assist with...collaborative mindset to foster partnership within and the Coding, Audit , and Education department, the PCO, and Humana +… more
- Datavant (Sacramento, CA)
- …platforms, and third party integrations. + Balance innovation with compliance, audit defensibility, and clinical integrity across all product decisions. **Execution ... and monitor processes that ensure defensibility of all outputs, documentation standards, and audit trails. + Design and embed audit readiness into product… more
- Sharp HealthCare (San Diego, CA)
- …implements action plans to address issues identified through the audit /analysis.Identifies areas of potential compliance risk and notify management ... for resolution that satisfy regulatory and compliance requirements.Performs medical chart audits meeting minimum department productivity standards. Exercises mature… more