- Molina Healthcare (Albuquerque, NM)
- …validation related activities, including, but not limited to: progress tracking, chart retrieval, file transmissions, and adherence to applicable timelines * Support ... Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk adjustment data validation Required Li… more
- Fresenius Medical Center (Malvern, PA)
- …and staff on best practices, methodology, and tools for accurately coding. + Chart Analysis, OP Coding Data auditing and validation: Reviews medical records for the ... determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA/AAPC). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim… more
- AdventHealth (Tampa, FL)
- …generated in the Epic system are properly billed. This position conducts chart audits comparing charges with physician orders, clinical documentation, and reports ... while reviewing and correcting any charge errors found. This role also addresses complex charge issues referred by customer service or case management, and collaborates with appropriate departments for insurance company audits. **The val** **ue you'll bring to… more
- Trinity Health (Ann Arbor, MI)
- …optimization. Investigates denials and root causes, which includes performing thorough chart reviews, providing education to clinical colleagues, and tracking of ... identified trends. Leverages clinical knowledge and standard procedures to ensure timely attention to denials as requested by PBS and applicable appeal data gathering. Responsible for retrospective charge reviews, and Outpatient CDI reviews and assistance with… more
- Atlantic Health System (Morristown, NJ)
- …coding such as appropriate documentation, accurate coding, coding trends found during chart reviews, third party audit findings, and annual coding updates. + ... Evaluates and provides appropriate documentation for the third party payer CPT denials to maintain the original CPT assignment, and when necessary, implement corrective action plan and/or educational programs to prevent similar denials and rejections from… more
- Chart Industries (Stafford, TX)
- Quality Engineer **Location:** Stafford, TX, United States, 77477 **Company:** Chart Industries **_Ensuring Chart 's Success _** Cooler By Design"- Chart 's ... too. Also, we're problem solvers. Customers don't come to Chart with an equipment specification, they come to ...Access. Comfortable navigating the internet + Qualification as an Auditor or Lead Auditor + Ability to… more
- Chart Industries (The Woodlands, TX)
- Supplier Quality Engineer **Location:** The Woodlands, TX, United States, 77381 **Company:** Chart Industries **_Ensuring Chart 's Success _** "Cooler By Design" ... too. Also, we're problem solvers. Customers don't come to Chart with an equipment specification, they come to ...release + Certified Quality Engineer and certified ISO 9001 auditor with supplier audit experience strongly preferred + Knowledge… more
- Chart Industries (Stafford, TX)
- QA Supervisor **Location:** Stafford, TX, United States, 77477 **Company:** Chart Industries **_Ensuring Chart 's Success _** The Quality Supervisor position is ... and Access. Comfortable navigating theinternet. . Qualification as an Auditor or Lead Auditor . . Ability to...of current ERP/MRP system preferred. **_Our Benefits Package _** Chart Industries is an equal employment opportunity (EEO) employer… more
- Molina Healthcare (St. Petersburg, FL)
- …is responsible for the implementation, monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment ... as company HEDIS training, onboarding for CDA team members, vendor management for chart collection vendors, invoice efforts, SDS and EMR implementation as well as… more
- Baystate Health (Springfield, MA)
- …applications in daily work: C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor , People Soft and Staples and Kronos access if applicable. **3)** Unit specific ... as requested. **7)** Hospital Records and logs: Maintains patient chart in proper sequence and labels pages with patient's...record on unit. When appropriate, enter data into PCM auditor at specified times. Replenish and restock unit audit… more