- Texas Health Resources (Arlington, TX)
- …ensuring documentation accurately captures a patient's health status and clinical condition. Proficiency in researching Medicare, OIG, CMS, and other regulatory ... establishing management correction plans when necessary. Additionally, the Compliance Auditor Manager effectively communicates audit findings through reports, presentations,… more
- Aegis Therapies (Crosby, MN)
- …preferred. + Minimum 1 year of therapy management experience. + Currently Credentialed Documentation Auditor (CDA) or ability to become credentialed within six ... expectations are met + Plan, develop, implement, and monitor appropriate provision, documentation , billing of clinical services and customer relations. +… more
- Aegis Therapies (Sauk Rapids, MN)
- …preferred. + Minimum 1 year of therapy management experience. + Currently Credentialed Documentation Auditor (CDA) or ability to become credentialed within six ... expectations are met + Plan, develop, implement, and monitor appropriate provision, documentation , billing of clinical services and customer relations. +… more
- Trinity Health (Livonia, MI)
- …reviews; including but not limited to, appending modifiers, and checking clinical documentation . Provides feedback to intra-departmental Revenue Integrity ... and/or other stakeholders with denial related charge reviews, including analysis of clinical documentation , root cause analysis and education to the responsible… more
- Option Care Health (Bannockburn, IL)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... and fraud and abuse. + Perform data analysis and review of documentation to identify potential compliance issues, irregularities, or trends, and develop… more
- GRAIL (Durham, NC)
- …and we are using the power of next-generation sequencing (NGS), population-scale clinical studies, and state-of-the-art computer science and data science to overcome ... (CAPA) investigations, Nonconformance (NCR) reporting, Quality Management Review (QMR), clinical laboratory Quality Monitoring and Improvement (QMI), and Quality… more
- Danaher Corporation (Miami, FL)
- …- innovating at the speed of life. As a global leader in clinical diagnostics, Beckman Coulter Diagnostics has challenged convention to elevate the diagnostic ... than 90 years. Our diagnostic solutions are used in routine and complex clinical testing, and are used in hospitals, reference and research laboratories, and… more
- Trinity Health (Albany, NY)
- …Coding Specialist works in a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and ... current industry standards of ethical coding. Recognizes and reports opportunities for documentation improvement to the Supervisor of Risk Adjustment Coding & Audit… more
- BPC Plasma, Inc. (Royal Palm Beach, FL)
- …of donor files. * Directs the maintenance and calibration of equipment and documentation of procedures. * Ensures that Clinical Lab Improvement Amendments (CLIA) ... internal and external audits including execution (if applicable). This includes documentation , review of and preparation of the response. Also including… more
- Dignity Health (Rancho Cordova, CA)
- …government entities. This individual acts as a primary liaison for clinical denials, navigating appeal processes through all delegated levels. Key responsibilities ... intake, prioritization, and thorough review of appealed cases, ensuring all relevant documentation is presented to the Medical Director. The nurse must meticulously… more