- Zelis (St. Petersburg, FL)
- …personal interests that shape who you are. Position Overview The Sr. Supervisor, Clinical Chart Review is focused on supervising a team of Clinician's performing ... providing team and operational support to the Manager, Clinical Chart Review , Sr. Level Clinicians and Operations...management of direct reports required. + Advanced competency in medical claim review and payment integrity preferred.… more
- Molina Healthcare (Albuquerque, NM)
- JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely ... including diagnosis. Candidates with knowledge of CPT/HCPCS codes, record review , chart audit, provider disputes, appeals, and...hospital setting, including at least 1 year of utilization review , medical claims review , claims… more
- Dignity Health (Rancho Cordova, CA)
- …ICD10 Coding in relation to DRGs + Abstract additional data elements during the chart review process when coding, as needed + Utilize technical coding principals ... State of California. Please check our website (https://www.commonspirit.careers/search-jobs) (Search Category: Medical Coding) for other remote or non- remote … more
- Providence (MT)
- …Effectiveness and Data Information Set (HEDIS) program + Conduct Audits inclusive of review of outpatient medical records, hospital records, clinical lab and ... to identify and address opportunities for improvement + Perform chart audits electronically during the audit season + Complete...to fill in for staff vacancies.** **Providence welcomes 100% remote work for applicants who reside in the following… more
- Sharecare (Austin, TX)
- …**Essential Functions: ** + Completes release of information requests including retrieving patient's medical chart and returning chart , scanning medical ... Program is to track, retrieve, & deliver timely, accurate medical record sets, for all valid use cases, to...Adjustment, Payment Integrity, RAC, CMS Audits + Receive and review audit requests from external entities, ensuring understanding of… more
- Dignity Health (Rancho Cordova, CA)
- …ICD10 Coding in relation to DRGs + Abstract additional data elements during the chart review process when coding as needed + Utilize technical coding principals ... State of California. Please check our website (https://www.commonspirit.careers/search-jobs) (Search Category: Medical Coding) for other remote or non- remote … more
- University of Miami (Miami, FL)
- …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Up to ... Miami Hospital + This is an onsite position. Not remote . + Provides for patients' personal hygiene by giving...100%, using hospital designated scripting. + Maintains the patient's chart in appropriate order. + Initiates and assembles admission… more
- Trinity Health (Albany, NY)
- …Office Hours **What you will do:** RN hybrid position specialized role to do chart review for endocrine referrals. The **Registered Professional Nurse** has the ... **RN - Endocrinology Office - Albany, NY / Hybrid Remote - FT** If you are looking for an...room, takes appropriate vital signs and documents in electronic medical record. + Review and update medication… more
- Molina Healthcare (Omaha, NE)
- …or feedback from the HEDIS audit. Makes recommendations based off of the audit and chart review . + Assists with ad hoc projects. + Participates in scheduled ... with ad hoc projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing review of records… more
- Molina Healthcare (Imperial Beach, CA)
- …as well as minimum over read standards. **Job Duties** + Coordinates the HEDIS medical record review which includes ongoing review of records submitted ... by providers and the annual HEDIS medical record review . + Participates in meetings...experience with HEDIS audits (including but not limited to chart collection, project management, etc.) + 1 year managed… more
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