- Molina Healthcare (Vancouver, WA)
- …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 (Spokane, WA)
- … cycles by identifying, synthesizing, and validating source data needed to build chart retrieval chase lists for medical record collection. Success in this ... execution by identifying appropriate data sources, validating CMS audit samples, and generating chart retrieval chase...sources, validating CMS audit samples, and generating chart retrieval chase lists in coordination with internal teams.… more
- Molina Healthcare (WA)
- …Operations experience. + Risk Adjustment and Data Validation experience. + Chart Collection audit experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... is responsible for the implementation, monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment… more
- Molina Healthcare (Spokane, WA)
- …**Required Education** Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk adjustment data ... validation related activities, including, but not limited to: progress tracking, chart retrieval, file transmissions, and adherence to applicable timelines * Support… 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 ... conducts oversight and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data collection.… more
- Elevance Health (Seattle, WA)
- …you 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, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
- CenterWell (Olympia, WA)
- …a part of our caring community and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical records ... codes (eg, ICD-10-CM, CPT) to patient records. The Medical Coding Professional 2 work assignments are varied and...report the variances between datahub and eCW. + Conduct Chart reviews to identify educational opportunities. + Perform individual… more
- Datavant (Olympia, WA)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... ICD-10-CM, and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence...ensuring precision and adherence to documentation + Oversee and audit the work of Level 1 & 2 Coders,… more
- Datavant (Olympia, WA)
- …experience or deep engagement with clinician stakeholders. + Familiarity with audit requirements, medical record standards, and regulatory guidance impacting ... platforms, and third party integrations. + Balance innovation with compliance, audit defensibility, and clinical integrity across all product decisions. **Execution… more
- Naven Health (Vancouver, WA)
- …as assigned. May actively participate in company PI/QI program and assists with chart audit functions as applicable. + Performs other related duties as ... with all members of treatment team. (Naven Health's Clinical team, medical providers, patients, and families/caregivers) to facility continuity of care. Completes… more