- US Tech Solutions (Newark, NJ)
- …with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to state audits, HEDIS ... findings and provide education and feedback to providers. + Support data services to identify trends and facilitate quality improvement initiatives. + Assist with… more
- Highmark Health (Harrisburg, PA)
- …and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, ... Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or… more
- University of Utah Health (Salt Lake City, UT)
- …reimbursement and clinical severity is captured for the level of service rendered. Provides ongoing education to coders, physicians, and other clinical ... _Full-Time_ **Shift** _Day_ **Work Schedule** _M-F, 8am-4:30pm_ ** Clinical /Non- Clinical Status** _Non-Clinical_ **Location Name** _Business Services … more
- Banner Health (AZ)
- **Department Name:** Banner Staffing Services -AZ **Work Shift:** Day **Job Category:** Risk, Quality and Safety **Estimated Pay Range:** $26.40 - $44.00 / hour, ... experience. In accordance with State Pay Transparency Rules. Banner Staffing Services (BSS) also offers Registry/Per Diem opportunities within Banner Health.… more
- ThermoFisher Scientific (Middleton, WI)
- … clinical research portfolio, our work spans laboratory, digital and decentralized clinical trial services . Your determination to deliver quality and accuracy ... step beyond through research, development and delivery of life-changing therapies. With clinical trials conducted in 100+ countries and ongoing development of novel… more
- Sharp HealthCare (San Diego, CA)
- …and make recommendations which assure the accurate reporting and documentation of services provided by entity clinical providers. To support and facilitate ... the implementation of correct coding standards by clinical providers as established by SHC Corporate Compliance in accordance to the CMS and local MAC (Medicare… more
- Spread Your Wings, LLC. (Garden Grove, CA)
- …Diego office. 1. Do you have experience of requirements when providing services to Intellectualy Disabled Individuals? 2. Do you have Quality Assurance background? ... projects of the assigned region. Primary functions will include assessing service delivery, documentation compliance, monitoring of client records, and serving as… more
- CVS Health (Austin, TX)
- …ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and ... supported by clinical documentation in accordance with all State and Federal...Diagnosis codes must be appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal… more
- Atlantic Health System (Morristown, NJ)
- …etc. Principal Accountabilities: Coordinates, schedules, performs the professional services documentation and coding audits of outpatient, inpatient, procedures ... and testing records for physician practices. + Evaluates the quality of clinical documentation to identify incomplete or inconsistent documentation that could impact… more
- Northwell Health (Garden City, NY)
- …HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Remote position Job Responsibility 1.Leverages clinical expertise ... several factors may be considered as applicable (eg, location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts,… more