- Elevance Health (Seattle, WA)
- … chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- Houston Methodist (Houston, TX)
- …revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims and records and serves as a ... documentation and billing practices as well as potential risk areas with electronic medical record. + Provides periodic status reports of risk-based audit … more
- Molina Healthcare (Long Beach, CA)
- …Certification, Association** + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + ... federal, NCQA, and any other applicable requirements. + Distributes audit results letters, follow up letters, audit ...Distributes audit results letters, follow up letters, audit tools, and annual reporting requirement as needed. +… more
- Trinity Health (Pontiac, MI)
- …and others to assure compliance. May be requested to assist with the medical record audit process. Documents patient phone calls and advice/treatment given ... supervision, prepares patients for office visit, takes vital signs and records in medical record, obtains patient chief complaint, escorts patient to exam room, and… more
- University of Washington (Seattle, WA)
- …are escalated appropriately. + Brief senior leadership (eg, Senior Director, Chief Medical Officers) on audit results, regulatory shifts, and mitigation plans ... Medicine's system-wide leader for credentialing compliance, regulatory oversight, and internal audit strategy. This role is essential to protecting the institution's… more
- Corewell Health (Grand Rapids, MI)
- …following Certifications upon hire + ICD 9 or ICD 10 and CPT 4 coding or medical record audit and review + CRT Professional Coder, AAPC American Academy of ... Verifies adequacy of documentation in support of services billed, including medical necessity, and compliance with other documentation, coding and billing standards.… more
- City of New York (New York, NY)
- …related to mental health and behavioral health - Provide partial oversight to the Medical Audit Team in developing and updating auditing and monitoring tools for ... Office of Child and Family Health (OCFH) delivers direct medical services to children entering foster care and ensures...custody of the ACS Commissioner - Develop and update audit and monitoring tools for assessing agency consent procedures… more
- Danaher Corporation (Sunnyvale, CA)
- …(IVDR) as well as other applicable global regulatory requirements, including Medical Device Single Audit Program (MDSAP) participating regulatory authorities ... the Cepheid QMS to identify and implement improvements and ensuring that all internal audit findings are closed in a timely manner with effective corrective action .… more
- PruittHealth (Norcross, GA)
- …in discussion of hospital list and status of each patient. * Review and audit medical records according to agency SOPs for accuracy and completeness, eg ... ** Medical Records Specialist - Home Health Services** Home...PURPOSE:** Reporting to the Branch Office Manager (BOM), the Medical Records Specialist (MRS) is responsible for maintaining … more
- Wellpath (Edwardsville, IL)
- …and participates in facility committees, such as Pharmacy and Therapeutics and Medical Audit Committee, as requested. **Qualifications & Requirements** Education ... * Growth and training **Perks and Benefits** In addition to comprehensive benefits including medical , dental, vision, paid time off, and 401k, we foster a work, life… more