- Henry Ford Health System (Detroit, MI)
- …and contract improvement. Operational Management + Oversee the intake and processing of medical record audit requests, ensuring timely and accurate responses to ... As the Director of Payer Audit - Revenue Cycle, you'll lead a high-performing,...Ford is one of the nation's most respected academic medical centers and is leading the Future of Health:… more
- Beth Israel Lahey Health (Newburyport, MA)
- …various audit requests for the release of confidential patient medical information, coordinates the completeness of the documentation with the record requested, ... They coordinate all the logging and tracking of requests and the audit process from initiation through mailing, in collaboration with other hospital departments.… more
- Henry Ford Health System (Grand Blanc, MI)
- …services. Through concurrent, prospective and retrospective evaluation and assimilation of the medical record, the OP Audit - outpatient complex audit ... Under the direction of the Outpatient Audit , Analytics & Technology Supervisor, in conjunction with...to facilitate audits of the quality and completeness of medical record documentation for outpatient encounters, including but not… more
- Children's Mercy Kansas City (Kansas City, MO)
- …Systems Senior Manager, provides analytical implementation of a process for thorough medical record review and professional audit services based on advanced ... record documentation. Respo + Develops and designs the medical record review and clinical audit process...designs the medical record review and clinical audit process utilizing a continuous and thorough program gap… more
- City of New York (New York, NY)
- …Child Welfare Programs, Youth and Family Justice, and Early Care and Education. The Medical Audit Unit within OCFH reviews foster care medical records ... record reviews as directed 4. Assisting with the implementation of an electronic medical audit data collection and scoring a tool The duties of this position… more
- Molina Healthcare (Warren, MI)
- …experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified ... a RN with experience with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience,...to clinical experience + Documents clinical review summaries, bill audit findings and audit details in the… more
- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- …Reviews, analyzes and reports performance monitors for PTF, PCE, VERA and Non-VA Medical Care (purchased care) coding. Audit accurate and complete assignment of ... at all organizational levels. Preferred Experience: ICD-10-CM/PCS & CPT/HCPCS coding experience; medical coding audit experience; coder & clinical staff coding &… more
- Elevance Health (Richmond, VA)
- … chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing… more
- Munson Healthcare (Traverse City, MI)
- …the Physician to ensure compliance with the foregoing and with quality assurance and medical audit programs of the Health System. + Clinical Advice and ... Monday-Friday | No Call Munson Healthcare is seeking a Medical Director for Wound Care to oversee clinical operations,...help guide and direct the development and provisions of medical services. In this position, the Medical … more
- Molina Healthcare (Long Beach, CA)
- …Registered Nursing license in good standing. Certified Clinical Coder, Certified Medical Audit Specialists (CMAS), Certified Case Manager (CCM), Certified ... and in accordance with cost control standards. **Knowledge/Skills/Abilities** * Performs clinical/ medical reviews of retrospective medical claim reviews, … more