- 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 ... to identify trends and facilitate quality improvement initiatives. + Assist with clinical studies, quality projects, and audits. + Lead and coordinate Corrective… more
- Providence (Torrance, CA)
- **Description** The Revenue Cycle Auditor is responsible for providing patient focused, standardized, compliant revenue cycle support that will assist Providence St ... + Associate's Degree Nursing. Or + Bachelor's Degree Nursing. Or + 5 years Clinical experience in an acute care setting. + 3 years Experience actively utilizing EPIC… more
- Albany Medical Center (Albany, NY)
- …Salary Range: $60,367.47 - $90,551.20 This position has remote opportunity Professional Coding Auditor will apply an advanced professional coding skill set to act as ... compliance with related rules and regulatory requirements, and to identify clinical documentation improvement opportunities. + Identify trends based on audit/review… 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
- St. Luke's University Health Network (Allentown, PA)
- …or coding determination made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist with ... regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and… more
- University of Utah Health (Salt Lake City, UT)
- …DRG assignment, and abstracted data to support that appropriate reimbursement and clinical severity is captured for the level of service rendered. Provides ongoing ... education to coders, physicians, and other clinical staff. The incumbent serves in an advisory and...codes may be reported by obtaining documentation supported by clinical indicators and treatment. + Develops and coordinates coding… more
- Sharp HealthCare (San Diego, CA)
- …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...billing to meet established coding guidelines. + Client supportProvider, Clinical , and Coding SupportServes as a resource providing support… more
- ThermoFisher Scientific (Middleton, WI)
- …step beyond through research, development and delivery of life-changing therapies. With clinical trials conducted in 100+ countries and ongoing development of novel ... frameworks for clinical research through our PPD clinical research portfolio, our work spans laboratory, digital and decentralized clinical trial services.… more
- Centene Corporation (Jefferson City, MO)
- …the auditing of corporate, health plan, and specialty company staff related to clinical systems entry and/or processes + Develop and maintain the audit process and ... auditing outcomes and system maintenance with the Sr. + Clinical Systems Specialist to resolve or enhance clinical... Clinical Systems Specialist to resolve or enhance clinical systems + Performs other duties as assigned +… more
- Banner Health (AZ)
- …. This assignment-based role focuses on independent chart review and clinical assessment. **Key Responsibilities** : + Independently review patient medical charts ... cause of death. + Make initial determinations based on clinical findings and documentation. + Forward reviewed charts to...timely. CORE FUNCTIONS 1. Assists in the development of clinical medical record audit tools and processes. Conducts data… more