- Houston Methodist (Houston, TX)
- …variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an ... TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and… more
- Highmark Health (Harrisburg, PA)
- …as needed. Attends meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system entities in response to ... and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management,… more
- Geisinger (Danville, PA)
- Job Summary The Compliance Auditor position is responsible for supporting the organization's Revenue Management Compliance department in developing, implementing, ... and non-physician practitioners, as determined appropriate. + Serves as a clinical coding subject matter expert for multiple assigned specialties and utilizes… more
- Community Health Systems (Huntsville, AL)
- …is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/ provider orders. The RN collaborates with ... team members. + Utilizes knowledge of human growth and development to provide age-appropriate care and education. + Administers prescribed medications, monitors for… more
- IQVIA (Milwaukee, WI)
- …the organization to accomplish team goals. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence ... and welfare and/or other benefits. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life… more
- Baystate Health (Springfield, MA)
- …the work is administrative. **Job Responsibilities:** **1)** Performs detailed reviews of clinical documentation for provider services using MDAudit based on ... determined intervals per provider . Validates appropriate billing and documentation that complies with...applicable use of all carrier guidelines and review of clinical documentation. **5)** Receives and screens incoming correspondence, reports,… more
- Atlantic Health System (Morristown, NJ)
- …assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of the education needs for the providers ... and testing records for physician practices. + Evaluates the quality of clinical documentation to identify incomplete or inconsistent documentation that could impact… more
- Northwell Health (Westbury, NY)
- …a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource Group (HHRG) Validation to ensure the ... + Instructs professional staff in code changes, as needed. + Assists clinical staff and nursing supervisors in providing appropriate documentation in the Medical… more
- AbbVie (North Chicago, IL)
- …. Job Description Purpose: Primarily responsible for conducting audits of investigative clinical sites in R&D to assess and assure compliance with regulations, ... Abbvie areas for compliance to applicable SOPs and local regulations + Review clinical research documents, such as research reports, to assess the quality and… more
- Northwell Health (Garden City, NY)
- …HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Validates Acute Inpatient coded charts to ensure the diagnostic ... by the documentation in the Medical Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review… more
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