• Provider Enrollment Data Specialist Senior-Clerk

    University of Michigan (Ann Arbor, MI)
    …responsible for new hire payer enrollments and revalidations of all Michigan Medicine physician and non- physician practitioners for whom we submit claims. The ... will be prioritized based on timeframes when due, using Cactus, CHAMPS, PECOS, Mi Chart WQ?s and other generated work lists. Success will be measured by quality and… more
    University of Michigan (05/24/25)
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  • Regional Orthopedic Nurse Navigator RN

    AdventHealth (Daytona Beach, FL)
    …and others involved in the care of the patient. Regularly collects data through chart review and computer generated reports. Presents data and reports to ... for orthopedics that includes but not limited to health fairs, physician lunch-ins, local community events, education events, speaking engagements. + Utilizes… more
    AdventHealth (04/23/25)
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  • Case Manager Advanced

    Houston Methodist (Houston, TX)
    …care information and data in a comprehensive manner. + Works with physician leadership and the interprofessional healthcare team for defined patient populations to ... improve the quality of information in the medical record. + Performs chart audits to assess compliance with department-specific tasks and documentation. Tracks and… more
    Houston Methodist (04/18/25)
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  • Prospective Payment Specialist Coordinator

    Corewell Health (Watervliet, MI)
    … education. + Responsible for compliance perspectives of rehabilitation team by completing chart audits and daily manual pull to review accuracy in documentation ... Job Summary Responsible for ensuring optimal reimbursement through analytical review of medical records and collaboration with interdisciplinary teams, including… more
    Corewell Health (04/23/25)
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  • Coding and Compliance Internal Auditor

    Atlantic Health System (Morristown, NJ)
    …assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of ... and coding audits of outpatient, inpatient, procedures and testing records for physician practices. 2. Evaluates the quality of clinical documentation to identify… more
    Atlantic Health System (03/04/25)
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  • HIIM Data Integrity Analyst

    Community Health Systems (Franklin, TN)
    …The Joint Commission (TJC) or other accrediting bodies' standards, the Medicare Conditions of Participation for Hospitals, and other regulatory requirements upon ... all documents are authenticated before the record is considered complete. This review identifies whether all required documentation is present and that all entries… more
    Community Health Systems (05/06/25)
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  • Inpatient Coder

    University of Washington (Seattle, WA)
    …supports both clinical and operational activities **PRIMARY JOB RESPONSIBILITIES** + Performs chart analysis and assigns ICD-CM and ICD-PCS codes using 3M computer ... Case Mix Group (CMG) assignment and appropriate reimbursement to the facility for Medicare Rehab patients + Abstracts and/or reviews necessary patient data within 3M… more
    University of Washington (05/01/25)
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  • Registered Dietitian - Per Diem

    Guthrie (Corning, NY)
    …4. Meets care productivity standards including face to face contact, screens, consultations, chart review . 5. Supports a positive learning environment for staff ... complete CDN certification with NYS, if required for job responsibilities. Medicare provider number preferred. Experience: 1 year of relevant experience preferred.… more
    Guthrie (04/29/25)
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  • Respiratory Director

    Bear Mountain Health Care (Worcester, MA)
    …. Ensure proper respiratory staffing 24/7 . Educate staff on Medicare /Managed Care/Medicaid guidelines documentation . Monitor all dept documentation for compliance ... through chart audits . In-service as needed and complete annual...not limited to QAPI and Care Plan meetings. . Review Vent and Trach referrals as needed for admission.… more
    Bear Mountain Health Care (03/26/25)
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  • Population Health Practice Liaison - Population…

    Hawaii Pacific Health (Lihue, HI)
    …under Hawai'i Health Partners. In this role, you will review patients' available data, including clinical/claims history, outpatient treatments, medications, ... medical benefits from electronic medical records (EMR), chart reviews, or other information to assist in monitoring...health care to Hawai'i's people. _*Under the Centers for Medicare and Medicaid Services (CMS) Federal Vaccination Mandate, all… more
    Hawaii Pacific Health (03/13/25)
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