- Logan Health (Kalispell, MT)
- Put Your Skills to Work for a Greater Purpose! Our Mission: Quality , compassionate care for all. Our Vision: Reimagine health care through connection, service and ... expenditures, and ensuring compliance with Uniform Guidance, SEFA, and Single Audit requirements. You'll partner with the grant writer, legal, contracts, and… more
- Insight Global (Plano, TX)
- …(DRG) validation and quality audits on inpatient charts to ensure accurate coding and compliance with federal regulations. This is a remote opportunity and the ... asked to audit clients' CDI programs, including query reviews and coding analysis. Responsible for maintaining access credentials for company systems and EMRs.… more
- CHS (Clearwater, FL)
- …Manager of Quality to implement appropriate standards for accuracy and audit procedures intended to validate those standards are met. This includes setting ... random audit percentages for Examiners reflecting experience and historical quality results. It will also include development of coaching and training programs… more
- University of Utah (Salt Lake City, UT)
- …human relations and effective communication skills also required. Knowledge of utilization review and quality assurance procedures is preferred. An understanding ... human relations and effective communication skills also required. Knowledge of utilization review and quality assurance procedures is preferred. An understanding… more
- AdventHealth (Orlando, FL)
- …downgrade denials management, and clinical validation processes. + Compliance and Quality Alignment: Ensure clinical documentation aligns with coding guidelines, ... regulations, and hospital policies. Support hospital initiatives related to compliance, audit readiness, and quality reporting metrics. Participate in… more
- Trinity Health (Livonia, MI)
- …Managed Care department staffs. Audits Charge Master for each department including review of appropriate coding , departmental and pricing concerns; and ensuring ... basic knowledge of TH policies, practices & processes to ensure quality , confidentiality, & safety are prioritized. Demonstrates knowledge of departmental processes… more
- Mohawk Valley Health System (Utica, NY)
- …and procedure codes, for accurate and timely billing of most appropriate payer + Audit charges and establish proper coding in collaboration with providers + ... The Medical Records Coder II will improve documentation, data quality and revenue cycle operations. The coder assigns International...+ Respond to Insurance, compliance and RAC denials + Review and assist in the maintenance of coding… more
- Ankura (New York, NY)
- …investigation projects for clients. + Oversee and conduct data gathering activities, document review , and quality control of data assessment. + Work with Senior ... + Prepare client communications, both written and oral, for senior level review . + Perform client facing tasks including operational, compliance or regulatory… more
- Microsoft Corporation (Redmond, WA)
- …needs you! The **Surface** team is seeking qualified candidates for **Senior Quality Software Engineer (Surface)** in the Design Verification team to work on ... to effectively and systematically reveal and screen out defects. The **Senior Quality Software Engineer (Surface)** provides critical analysis of data and drives the… more
- Munson Healthcare (Traverse City, MI)
- …be conducted by the Physician to ensure compliance with the foregoing and with quality assurance and medical audit programs of the Health System. + Clinical ... Physician agrees to participate in analyzing cost effectiveness and quality outcomes. This may include literature review ,...AWC and HBOT services. + Complete all documentation and coding on the date of service using EHR, complying… more