- CenterLight Health System (NY)
- …appropriate. + Review and analyze monthly financial reports submitted by Medicare related to diagnostic data. + Present HCC/RAF performance results and findings ... sites around NYC) as well as other entities within the organization. + Review coding and billing process for operational enhancements. Responsible for reviewing and… more
- UPMC (Pittsburgh, PA)
- …monitored and evaluated and procedures that were performed during an episode of care. + Review billing data when conducting focused chart audits to ensure it is ... role requires three years of coding experience. In this role, you will review clinical documentation within the medical record to ensure that all patient resource… more
- Hartford HealthCare (Hartford, CT)
- …Program Manager of Revenue Compliance will have a firm understanding of the Medicare IPPS, OPPS and ASC payment system. Works to develop strong relationships with ... strong working relationships with system management, employees and key stakeholders. Performs chart to bill audits in various areas and specialties to evaluate… more
- Ellis Medicine (Schenectady, NY)
- …departmental/organizational policies and processes + Utilization Management: + Ensures order in chart /EMR coincides with the InterQual review or CMS rules and ... by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social workers for… more
- Trinity Health (Boise, ID)
- …**GENERAL SUMMARY AND PURPOSE:** Provides hospital case management/utilization review and discharge planning collaboratively determining level of care ... appropriate. Coordinates the hospital activities concerned with case management/utilization review and discharge planning. Adheres to departmental goals, objectives,… more
- Fresenius Medical Center (Bay Shore, NY)
- …the designated clinical application accurately and in a timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ... entries are completed or corrected where appropriate. + Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart… more
- CenterWell (Montgomery, AL)
- …provide care for patients via virtual visits. Visit types conducted will focus on Medicare Wellness visits and acute same day visits. **Patient Care:** + The Acute ... for patients and monitors care using available data and chart reviews. + Acts as an active participant and...Leadership. + Meets with AMD about quality of care, review of outcome data, policy, procedure, and records issues.… more
- CenterWell (Norfolk, VA)
- …medical care and quality for patients and monitors care using available data and chart reviews. + Assists in the coordination of patient services, including but not ... Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....Medicine preferred + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- CenterWell (Port Orange, FL)
- …medical care and quality for patients and monitors care using available data and chart reviews. . Assists in the coordination of patient services, including but not ... Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum… more
- CenterWell (Greer, SC)
- …medical care and quality for patients and monitors care using available data and chart reviews. + Assists in the coordination of patient services, including but not ... byClinical Leadership. + Meets with RMD about quality of care, review of outcome data,policy, procedure and records issues. +...Medicine preferr + Active and unrestricted DEA license + Medicare Provider Number + Minimum of two to five… more