- BrightSpring Health Services (Centennial, CO)
- …PBM Payer Audit Specialist reviews audit request, compiles and classifies existing documentation and identifies documentation needed to respond effectively and ... quality assurance checks for all medical and PBM billing documentation before submission and notifies the RCM Ancillary Services...notifies the RCM Ancillary Services management team or General Manager of any missing items, issues, or trends .… more
- MyFlorida (Tampa, FL)
- …Federal and State auditors. Coordinates with the Senior Human Services Program Manager regarding the Nutrition Education plan for WIC participants. + Conducts and/or ... Science degree or master's degree in Nutritional Sciences, Community Nutrition, Clinical Nutrition, Dietetics, Public Health Nutrition or Home Economics with… more
- MyFlorida (Port Charlotte, FL)
- …Specialist (DIS) is under the direct supervision of the Public Health Services Manager . This is a professional position within the Florida Department of Health in ... to testing, treatment, and prevention services. The DIS will utilize their clinical knowledge and public health principles to conduct interviews, provide counseling,… more
- Rush University Medical Center (Chicago, IL)
- …and pricing for applicable accounts being reviewed * Reconcile charges against clinical documentation , code rules and charging methodologies for internal ... Billing Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and charge capture to solve complex charging scenarios,… more
- Fresenius Medical Center (Florence, AZ)
- …applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, ... the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in process improvement … more
- Molina Healthcare (Davenport, IA)
- …organizations + Evaluates project/program activities and results to identify opportunities for improvement + Surfaces to the Manager and Director any gaps ... Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare,… more
- Calvary Hospital (Bronx, NY)
- …Practitioner, and serves as the nursing coordinator of the emergency management program. Clinical performance of the NP is monitored and reviewed by the Chief ... for safekeeping of all medications, emergency equipment, supplies and required documentation for areas of responsibility. + Responsible for proper functioning and… more
- HonorHealth (AZ)
- …CMS, HIPAA and other governmental regulations. + Works with Practice Development and Improvement Manager on the application process and assist practice in ... Patient Centered Medical Home status and NCQA certification. Participates in clinical integration including process improvement , working with care managers,… more
- Datavant (Baton Rouge, LA)
- …issues. + Demonstrate strong written and verbal communication skills + Identify documentation improvement opportunities and coding issues + Use VPN access ... reviews of records to assess compliance with official coding and documentation guidelines. + Communicate professionally with co-workers, management, and hospital… more
- Charles River Laboratories (Wilmington, MA)
- …the company's risk-based methodology to prioritize processes for review and formal documentation in alignment with CRL documentation standards and provide ... or international travel is possible. ESSENTIAL RESPONSIBILITIES INCLUDE: * Work with Manager and team in facilitating the SOX 404 Program including scoping, setting… more