- 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
- Bon Secours Mercy Health (Cincinnati, OH)
- …effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Summary** Works collaboratively with the Compliance ... external third party claims payment peer analysis systems to detect provider -billing trends, potential fraudulent or abusive billing practices or vulnerabilities… more
- Northwell Health (Westbury, NY)
- …HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Job Responsibility 1.Leverages clinical expertise to identify and ... the coding and CDI staff. 8.Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations.… more
- Geisinger (Danville, PA)
- …terminology. + Identifies and analyzes performance opportunities in operational, clinical , sales, human resources, marketing, information technology and financial ... processes using administrative and clinical systems. + Uses analytic and subjective assessment skills...our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members… more
- GE HealthCare (Arlington Heights, IL)
- …compliance and early identification of areas for continuous improvement. This role will provide analyses of audits / trends and support in the assessment and ... promotion of compliance within all PDx departments including global clinical , R&D and PV. This role will be aware...will be aware of changes to regulations, guidelines, and provide support and QA oversight for any necessary updates… more
- UHS (Binghamton, NY)
- …- With access to 100,000+ online courses, leadership programs, tuition reimbursement, clinical ladders, and internal mobility, we help you grow wherever your passion ... guided by our Values of Compassion, Trust, Respect, Teamwork, and Innovation. Whether you provide direct patient care or support behind the scenes, you are part of a… more
- WMCHealth (Valhalla, NY)
- …(CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist (CCDS) ... Compliance Auditing Specialist- Remote/Hybrid available Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support… more
- Molina Healthcare (Detroit, MI)
- …EMR connection, Clinical Profiles programs) and use of the Molina Provider Collaboration Portal. * Tracks all engagement and training activities using standard ... **JOB DESCRIPTION** **Job Summary** The Provider Engagement Specialist, role implements Health Plan provider engagement strategy to achieve positive quality and… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- …Medicine/ Revenue Cycle FTE1.0 FLSAExempt Scope of Job To promote appropriate clinical documentation through collaboration with the School of Medicine clinical ... process is followed. Description of Duties * Obtains and promotes appropriate clinical documentation through interaction with clinical staff and physicians to… more
- The Cigna Group (Sacramento, CA)
- …acuity cases, and/or account sensitive cases involving largest reserves. Utilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate ... an active caseload of inpatient case management cases for Cigna. + Uses clinical knowledge to assess inpatient admission level of care, treatment plan and goals,… more