- Geisinger (Danville, PA)
- Job Summary The Compliance Auditor position is responsible for supporting the organization's Revenue Management Compliance department in developing, implementing, ... established compliance auditing and research guidelines for hospital and professional services . Job Duties + Performs compliance audits to determine the adequacy… 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
- UNC Health Care (Morrisville, NC)
- …professional curiosity, and critical thinking skills. + Knowledge of accounting, clinical , financial reporting, and data analytics systems (eg IDEA, Business ... and safeguard sensitive information. **Job Details** Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Audit Services Work Type: Full Time… more
- Community Health Systems (Huntsville, AL)
- …for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, ... in the medical record. + Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations. +… more
- AbbVie (North Chicago, IL)
- …areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please ... . Job Description Purpose: Primarily responsible for conducting audits of investigative clinical sites in R&D to assess and assure compliance with regulations,… more
- Trinity Health (Ann Arbor, MI)
- …Business Service (PBS) center and ensures compliant and complete clinical documentation, assists with denials and related audits, and identifies opportunities ... root causes, which includes performing thorough chart reviews, providing education to clinical colleagues, and tracking of identified trends. Leverages clinical … more
- Northwell Health (Westbury, NY)
- …a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource Group (HHRG) Validation to ensure the ... + Instructs professional staff in code changes, as needed. + Assists clinical staff and nursing supervisors in providing appropriate documentation in the Medical… more
- Baystate Health (Springfield, MA)
- …the work is administrative. **Job Responsibilities:** **1)** Performs detailed reviews of clinical documentation for provider services using MDAudit based on ... to ensure it meets the AMA and CMS (Medicare) guidelines for the services billed, reviewing and validating billed charges and performing benchmark reporting to… more
- Humana (Madison, WI)
- …us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate ... our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make...achieve their best health - delivering the care and service they need, when they need it. These efforts… more
- IQVIA (Milwaukee, WI)
- …organization to accomplish team goals. IQVIA is a leading global provider of clinical research services , commercial insights and healthcare intelligence to the ... and/or other benefits. IQVIA is a leading global provider of clinical research services , commercial insights and healthcare intelligence to the life sciences and… more