- 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
- Trinity Health (Livonia, MI)
- …lines, advanced proficiencies in surgical or specialty coding practice. Review's chart , including nursing notes, physician orders, progress notes, and surgical or ... thoroughly to interpret and validate and/or extract all charges. Ensures each chart is complete according to specified guidelines. Ensures charges captured on the… more
- Medical Mutual of Ohio (OH)
- …To include data documentation, compilation, reconciliation, and research.Works directly external HEDIS/NCQA auditor to resolve any items on Issue Log. + Reviews data ... with HEDIS vendor support to ensure data integrity and chart collection. + Produces routine to moderately complex HEDIS...with HEDIS vendor support to ensure data integrity and chart collection. + Orients, trains and assists more junior-level… more
- KeyBank (Brooklyn, OH)
- …controls Effectively interface and maintain a positive relationship with auditor /regulators Monitor group performance for maximum efficiency and effectiveness ... Optimize continuous improvement opportunities and initiate associated change management within the organization to ensure year-over-year annualized efficiencies Cultivate industry relationships and stay abreast of industry trends and competitive insights… more
- Molina Healthcare (NE)
- …like projects and supplemental data collection. The overreader team will meet chart overread productivity standards, minimum over read standards, and 2nd overread ... Performs the role of the HEDIS medical record review overreader/ auditor which includes ongoing review of records reviewed and...audit. Makes recommendations based off of the audit and chart review. + Assists with ad hoc projects. +… more
- KeyBank (Brooklyn, OH)
- …(CISSP) . Certified Information Security Manager (CISM) . Certified Information Systems Auditor (CISA) . CompTIA Security. GIAC Certified Detection Analyst (GCDA) . ... GIAC Cloud Threat Detection (GCTD) . GIAC Certified Incident Handler (GCIH) . GIAC Certified Intrusion Analyst (GCIA) COMPENSATION AND BENEFITS This position is eligible to earn a base salary in the range of $85,000.00 to $110,000.00 annually depending on… more
- KeyBank (Brooklyn, OH)
- …(CISSP) + Certified Information Security Manager (CISM) + Certified Information Systems Auditor (CISA) + CompTIA Security+ GIAC Certified Detection Analyst (GCDA) + ... GIAC Cloud Threat Detection (GCTD) + GIAC Certified Incident Handler (GCIH) + GIAC Certified Intrusion Analyst (GCIA) COMPENSATION AND BENEFITS This position is eligible to earn a base salary in the range of $100,000.00 to $150,000.00 annually depending on… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …to help you flourish and leaders who care about your success. The clinical auditor performs clinical and operational audits as a means of verifying accuracy of ... for quality review of care process from physician order, registration, chart documentation, charging, and billing to reimbursement. Has collaborative relationship… more
- University of Washington (Tacoma, WA)
- …units undergoing audits or investigations to provide guidance on responding to auditor requests; meets with auditors to clarify process and goals; ensures auditors ... + Experience working with complex fund structures, detailed budgets, and extensive chart of accounts. + Proficiency in financial data monitoring, reporting, and… more
- Molina Healthcare (Owensboro, KY)
- …+ Operational knowledge and experience with Excel and Visio (flow chart equivalent) + Excellent problem-solving skills **PREFERRED QUALIFICATIONS:** + Bachelor's ... License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) + Certified Community Health Worker (CCHW) + Bi-Lingual preferred. To… more