• Auditor, Risk Adjustment (Remote)

    Molina Healthcare (Albuquerque, NM)
    …Qualifications** **Required Education** Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk ... validation related activities, including, but not limited to: progress tracking, chart retrieval, file transmissions, and adherence to applicable timelines * Support… more
    Molina Healthcare (07/25/25)
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  • DRG Auditor

    Insight Global (South Jordan, UT)
    …assignment accuracy. Below are the key responsibilities for this role: * Integrates medical chart coding principles, clinical guidelines, and objectivity in the ... and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of… more
    Insight Global (09/09/25)
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  • Bilingual Pre-Authorization Specialist

    Cognizant (Minot, ND)
    …receives calls from health insurance companies to verify eligibility and benefits + Acquire medical chart notes from reps/ thru doctors and contact payers to ... + Medical /Health Insurance knowledge + Medicare background **Responsibilities:** + Review orders, summarize medical portion of the file + Makes… more
    Cognizant (09/10/25)
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  • Clinical Research Assistant

    University of Michigan (Ann Arbor, MI)
    …documents, execution of study protocol, and preparation for sponsor monitoring visits. + Perform medical chart reviews. + Review billing calendars and study ... world and has been the site of many groundbreaking medical and technological advancements since the opening of the...posted for a minimum of seven calendar days. The review and selection process may begin as early as… more
    University of Michigan (08/13/25)
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  • Network Epidemiologist, Bureau of Tuberculosis…

    City of New York (New York, NY)
    …--Experience with data review and analysis --Experience with structured interviews, medical terminology, and conducting medical chart reviews. --Good ... of the team, this person will assist with case review , data analysis, and contact investigations in diverse site...requires data collection and the reading and interpretation of medical charts and medical information in support… more
    City of New York (08/28/25)
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  • PPS Coordinator

    University of Michigan (Ann Arbor, MI)
    …background or experience in inpatient rehabilitation administration, coding, billing, or utilization review preferred + Medical chart auditing experience ... outcomes and costs of care + Experience working within an electronic medical record including efficient review of clinical documentation + Detail-oriented… more
    University of Michigan (09/09/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Hanover, MD)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
    Elevance Health (08/23/25)
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  • Quality Assurance RN Coordinator

    Prime Healthcare (Weslaco, TX)
    …and accreditation standards. Activities include but are not limited to integrity reliability review , medical chart reviews, data abstraction for CMS Core ... 8 :00 am to 5 :00 pm Location: Knapp Medical Center - Weslaco, TX Here are some of...other insurance options + Many other amazing benefits Knapp Medical Center is an award-winning, not-for-profit hospital in Weslaco,… more
    Prime Healthcare (07/31/25)
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  • Health Unit Coordinator (HUC)- Acute Care- Casual

    Mille Lacs Health System (Onamia, MN)
    …call schedule up to date. + Working knowledge of copy machine, computer, medical record functions and chart retrieval. Necessary skills in phone and ... keep adequate supplies on hand. + File system consistently maintained. Copies of chart forms consistently maintained. Updates phone lists. Keeps the unit clean and… more
    Mille Lacs Health System (07/09/25)
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  • Registered Nursing Consultant

    MyFlorida (Miami, FL)
    …children or young adults. - Knowledge of medical compliance and experience with medical chart reviews. - A background in Nursing Administration. - A Bachelor ... consultation with Headquarters Office of Health Services. DUTIES AND RESPONSIBLITIES: Review of medical histories of youth pending placement in the custody of… more
    MyFlorida (09/02/25)
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