- Molina Healthcare (Vancouver, WA)
- …experience including diagnosis. Candidates with knowledge of CPT/HCPCS codes, record review, chart audit , provider disputes, appeals, and 1500 & UB04 claim ... pertinent to clinical experience. * Facilitates document management, clinical reviews, bill audit findings and audit details in the database. * Provides… more
- Molina Healthcare (Vancouver, WA)
- …notes or feedback from the HEDIS audit . Makes recommendations based off of the audit and chart review. + Assists with ad hoc projects. + Participates in ... like projects and supplemental data collection. The overreader team will meet chart overread productivity standards, minimum over read standards, and 2nd overread… more
- Sharecare (Olympia, WA)
- …To learn more, visit www.sharecare.com . **Job Summary:** The mission of the Audit Fulfillment Program is to track, retrieve, & deliver timely, accurate medical ... ** + Completes release of information requests including retrieving patient's medical chart and returning chart , scanning medical record accurately and correctly… more
- Providence (WA)
- …+ Organize the data to identify and address opportunities for improvement + Perform chart audits electronically during the audit season + Complete HEDIS training ... the HEDIS project + Collect data by way of chart extraction, using objective specifications for the Healthcare Effectiveness...Diploma or GED. + 3 years - Medical record audit experience, experience with extraction of clinical data points… more
- Molina Healthcare (Spokane, WA)
- …functions. These functions include, but may not be limited to: chart retrieval strategy, risk adjustment retrieval performance, process effectiveness, market ... performance, project build, chart retrieval maximization and risk adjustment compliance. Molina Risk...people management experience * Minimum 5 years Risk adjustment audit /RADV experience * Demonstrated knowledge of and experience with… more
- Molina Healthcare (Spokane, WA)
- …Adjustment, is responsible for the implementation, monitoring, and oversight of all chart collection for Risk Adjustment, RADV, or Risk Adjustment-like projects, and ... other state specific audit projects and deliverables related to accurate billing and...training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data, and chart … more
- CBRE (Olympia, WA)
- …Regulations Supplement (DFARS), Cost Accounting Standards (CAS), Defense Contract Audit Agency (DCAA) requirements, Sarbanes-Oxley (SOX), and other applicable laws ... matter expert, the manager partners with finance, contracts, internal audit , and operations leaders to strengthen internal controls, reduce...our people. At CBRE, you have the opportunity to chart your own course and realize your potential. We… more
- Elevance Health (Seattle, WA)
- …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
- Whidbey General Hospital (Coupeville, WA)
- …a deficiency for all outstanding results pending. + Performs coverage of Front desk, Chart Analysis, and Admin Assistant Desk as needed. + Sorts and stores point of ... Holding accounts to the proper departments for corrections. + Audit RT/EKG report by DOS for orders and documentation....and other patient care areas. + As needed covers chart analysis and scanning for any vacation or sick… more
- Datavant (Olympia, WA)
- …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