- Guthrie (Binghamton, NY)
- …cases. Assists departmental staff with issues related to coding, medical records /documentation, precertification, reimbursement and claim denials/appeals. ... services regarding admissions, case management, discharge planning and utilization review . Responsibilites: Reviews admissions and service requests within assigned… more
- Prime Healthcare (Ontario, CA)
- …achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive review of the medical record for the medical ... + At least 3 years of experience in utilization review , referrals, authorizations, denials and appeals. + Current BCLS...limited to, paid time off, a 401K retirement plan, medical , dental, and vision coverage, tuition reimbursement, and many… more
- Actalent (Columbus, OH)
- …to see if they can be remedied, or if they need to be escalated. + Review batch records . + Oversee and assist with any guidance needed in the cleanroom. ... + Perform various quality documentation. + Review quality documentation to ensure it meets necessary regulations...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Novant Health (Winston Salem, NC)
- …Hours - 8am - 4:30pm The Toxicology Review Officer Assistant III supports the Medical Review Officer (MRO) by managing drug and alcohol testing records , ... ensuring compliance with federal and state regulations, and assisting with accurate, timely reporting. Come join a remarkable team where quality care meets quality service, in every dimension, every time. #JoinTeamAubergine #NovantHealth Let Novant Health be… more
- US Bank (Denver, CO)
- …and appraisals for complex commercial real estate property types and transactions. Review appraisal reports for compliance with bank policy and procedures, USPAP, ... policy and procedures and state and federal appraisal regulations. Maintain review productivity and quality control measurements in-line with department benchmarks.… more
- Comerica (Dallas, TX)
- …of Defense (2LOD) risk management frameworks, policies, taxonomies, and inventories. Review , validate, and test 1LOD activities to ensure adequate control design ... in decision making and adherence to 2LOD frameworks and policies prior to 2LOD review . Drive two-way collaboration across 1LOD and 2LOD; liaise between 1LOD and 2LOD… more
- Premier Medical Group of the Hudson Valley (Newburgh, NY)
- …to meet current Federal guidelines and Meaningful Use guidelines for electronic medical records . + Scanning pertinent patient information into EMR including ... taking detailed and accurate information/messages. + Answer written and telephone requests for medical records or information; prepare records for release to… more
- University of Miami (Hialeah, FL)
- …are accurately applied to appropriate patient's account/encounter. + Serves as a quality reviewer of scanned documents while reviewing the record for coding ... including medical staff and other clinicians to ensure the record accurately documents the services provided and to identify documentation trends that… more
- CVS Health (Nashville, TN)
- …providers, claimants, etc. - Researches and prepares cases for clinical and legal review . - Documents all appropriate case activity in case tracking system. - ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- NBC Universal (Englewood Cliffs, NJ)
- …execution of journal entries, reconciliations, and close tasks + Provide review , approval, and final sign-off on journal entries and reconciliations completed ... office. + This position is eligible for company sponsored benefits, including medical , dental and vision insurance, 401(k), paid leave, tuition reimbursement, and a… more