- Elevance Health (Louisville, KY)
- **Performance Quality Analyst II** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... accommodation is granted as required by law. The **Performance Quality Analyst II** is responsible for driving service ...you will make an impact:** + Assists higher level auditor /lead on field work as assigned and acts as… more
- SUNY Upstate Medical University (Syracuse, NY)
- …providing ongoing education to OB/GYN providers and clinical staff on documentation quality , coding updates, and best practices to optimize compliance and ... Position Overview Responsible for the accurate and compliant coding of inpatient, outpatient, and professional OB/GYN encounters. This position serves as a key… more
- Capital One (Riverwoods, IL)
- …function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit professionals are ... work activities managing multiple priorities and tasks across the team to deliver quality results. + Coordinate with others and proactively take on additional work.… more
- Capital One (Plano, TX)
- …function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit professionals are ... work activities managing multiple priorities and tasks across the team to deliver quality results. + Coordinate with others and proactively take on additional work.… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …and targeted monitoring. This role conducts complex, risk-based audits across coding , charge capture, and documentation to assess adherence to government, payer, ... and institutional billing guidelines as well as national coding guidelines. The Senior Reviewer will assist in the...Billing, ADCC and AAMC as well as other continuous quality improvement processes and workgroups as needed. + Serve… more
- Capital One (Richmond, VA)
- …function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit professionals are ... multiple priorities and tasks across the team to deliver quality results. + Coordinate with others and proactively take...innovation, and technology will only make you a better auditor . This will require leveraging the power of data… more
- Trinity Health (Livonia, MI)
- …basic knowledge of TH policies, practices & processes to ensure quality , confidentiality, & safety are prioritized. Demonstrates knowledge of departmental processes ... are occurring. Performs charge entry/capture functions, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... Conduct/NYS Education Department, Office of Professional Discipline and/or internal referral for quality review by the applicable business area. + Acts as primary… more
- City and County of San Francisco (San Francisco, CA)
- The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its ... services. Under general supervision, 2112 Medical Records Technician assists in analyzing, coding , and compiling all medical records on patients treated at City and… more
- Option Care Health (Bannockburn, IL)
- …workplans, focusing on key risk areas such as regulatory changes, billing and coding , privacy and security, and fraud and abuse. + Perform data analysis and ... laws and regulations, preferably with compliance requirements related to billing and coding , privacy and security, and fraud, waste and abuse, including but not… more