- Cleveland Clinic (Canton, OH)
- …time sensitive needs like central line insertion. You will work with Epic, data abstraction ( chart audit and chart reviews to track patient if they remain ... on the unit) and data entry upon completion of responding to a call. **A caregiver in this position works nights, 7:00pm-7:00am.** A caregiver who excels in this role will: + Provide direct nursing care. + Implement, monitor, evaluate, update and revise… more
- Molina Healthcare (Cincinnati, OH)
- …Assist with the identification and validation of data sources needed to support RADV audit cycles. + Support the generation of chart retrieval chase lists based ... team, assisting in the execution of CMS and internal audit activities. This position contributes to the development of... activities. This position contributes to the development of chart retrieval chase lists by helping identify and validate… more
- Molina Healthcare (Columbus, OH)
- …RADV audit execution by identifying appropriate data sources, validating CMS audit samples, and generating chart retrieval chase lists in coordination with ... contributing to the end-to-end data strategy and execution of CMS and internal audit activities. This position is responsible for supporting RADV audit cycles… more
- Molina Healthcare (Cincinnati, OH)
- …validation related activities, including, but not limited to: progress tracking, chart retrieval, file transmissions, and adherence to applicable timelines * Support ... all risk adjustment audit related projects to ensure goals, objectives, milestones and...**Required Experience** 3 Years in coding and medical record chart review and experience with risk adjustment data validation… more
- Elevance Health (Mason, OH)
- …will 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 and auditing workflow systems and reference information… more
- Elevance Health (Mason, OH)
- …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
- KeyBank (Brooklyn, OH)
- …of wealth and trust risk management as well as a strong understanding of audit and/or testing concepts with the ability to apply those to testing, monitoring, issues ... within Key including the lines of business, other risk management teams and internal audit . **Essential Job Functions** + Lead and manage a team of wealth management… more
- CenterWell (Columbus, OH)
- …+ 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
- Biomat USA, Inc. (Lorain, OH)
- …** **Primary responsibilities for role (level-specific responsibilities should be included in the chart below):** ** ** * Completes weekly review of equipment QC and ... documentation. * Reviews unexpected plasmapheresis events including electronic donor chart and related documentation pertaining to exceptions occurring during the… more
- KeyBank (Cleveland, OH)
- …testing. The Senior Compliance Manager must have a strong understanding of audit and/or testing concepts and apply those to testing, monitoring, issues management, ... Key including the lines of business, other risk management teams and internal audit . **Essential Job Functions** + Lead and manage a team of compliance testing… more