- Mohawk Valley Health System (Utica, NY)
- …barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure compliance with regulatory requirements, hospitals objectives, ... and quality patient care while ensuring effective and efficient utilization...of admission and continued stay, severity, and morbidity/mortality. + Review patient status when admission criteria is non-sufficient for… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …standards, data review and query management, and is accountable for quality study dataset release and consistency for submission data. This role is responsible ... the Sr. Clinical Data Manager is accountable for driving timely and high- quality data management deliverables supporting the Olympus portfolio. The Sr. Clinical Data… more
- MUFG (Tampa, FL)
- …years' experience in a combination of risk management, Cloud information security, secure coding , application security, and IT roles. Audit and Cyber Risk ... across development and production environments, including code reviews + Review third-party application architectures and identify risk + Collaborate with… more
- Molina Healthcare (Salt Lake City, UT)
- …Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ) or other health care coding or management ... of care provided to members. Contributes to overarching strategy to provide quality and cost-effective member care. Candidates with UM and Appeals experience are… more
- City National Bank (Los Angeles, CA)
- …Cycle (SDLC). * Identify and recommend improvements * Design and Build high quality software * Ensure work includes necessary audit controls,compliance, and ... performance. Specific tasks may consist of solution design and coding , performing unit testing, and providing on-call technical and...own work and that of peers * Conduct peer review sessions * Develop test plans, use cases and… more
- Veolia North America (Commerce City, CO)
- …prioritizes daily tasks, supports a high volume of transactions with few or no quality issues and takes initiative to identify areas where skills and experience can ... of the accounting processes and procedures. **Primary Duties /Responsibilities:** + Review and follow-up on accounting maintenance reports including GR/IR receipt… more
- Kaleida Health (Buffalo, NY)
- …other members of the health care team. The CDS is also responsible for audit review to identify potential documentation deficiencies in specific records and to ... to the clinical team and collaborates extensively with Physicians/Providers, HIM coding team, Nursing, Patient Management, Quality Department and ancillary… more
- Kaleida Health (Buffalo, NY)
- …Advisor's and other members of the health care team. Also responsible for audit review to identify potential documentation deficiencies in specific records and ... to the clinical team and collaborates extensively with Physicians/Providers, HIM coding team, Nursing, Patient Management, Quality Department and ancillary… more
- The Hunton Group (Houston, TX)
- …documentation standards, OEM requirements, and claim closeout procedures. + Lead regular review meetings to track open claims, documentation quality , and backlog ... month-over-month progress. + Documentation Compliance: Ensures adherence to workflow and quality standards. Work Rhythm Daily: Review new service calls… more
- Loyola University Chicago (Chicago, IL)
- …etc.). + Assisting with high-volume periods and bulk updates. + Run and review data audit reports, correcting/updating constituent data as necessary. Use ... Advancement division is seeking a detail-oriented team member committed to the highest quality of gift maintenance, management, and standards to join its team. In… more