- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Work from Home, you come ... of our team. **Job Summary and Qualifications** As a Coding Quality Audit Reviewer...result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to… more
- LifePoint Health (Denver, CO)
- …coding /auditing Pro-Fee experience required * Minimum 3 years experience in coding audit or quality review work required * CPMA certification within ... would be working in a team environment with guidance from the Quality Supervisor and Manager, Coding Quality . This position also works closely with the… more
- Elevance Health (Tampa, FL)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims ... medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review...information to make audit determinations and generate audit findings letters. + Maintains accuracy and quality… more
- Ascension Health (Austin, TX)
- …or management experience preferred. **Additional Preferences** + 5 years RN or 3-5 coding quality audit experience strongly preferred + Prior adult ... **Details** + **Department: Coding Documentation** + **Schedule: M-F** + **Hospital: Seton...mix index, MS DRG and value-based purchasing reimbursement, and quality /outcomes and compliance requirements. + Manage the review… more
- City of New York (New York, NY)
- …with all statutory, regulatory, and contractual standards. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... Administrative Associate, who will function as a Senior Case Reviewer : - Conduct legally mandated case reviews to comply...(Reynolds, Lovely H., MKB, Dajour, Davila, Brown, etc). Convert audit findings into reports that is presented to Family… more
- City of New York (New York, NY)
- …all statutory, regulatory and contractual standards. Within AO, is the Office of Quality Assurance & Fiscal Integrity conducts complex internal audits and quality ... identify areas of programmatic deficiencies. Within that area is the Process Evaluation Review Team (PERT). The unit analyzes error trends and determines the need… more
- City of New York (New York, NY)
- …IN THE PRINCIPLE ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Office of Quality Assurance & Fiscal Integrity ensures the integrity, efficiency, and regulatory ... legal and federal, state and city regulatory requirements. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with… more
- R1 RCM (Detroit, MI)
- …. **Here's what you will experience working as a** **(** **Inpatient Coding Quality Reviewer ** **):** + Review inpatient coded cases for coding ... analytics, AI, intelligent automation, and workflow orchestration. The **Inpatient Coding Quality Reviewer ** will be...+ Audit records as defined in the coding quality review plan. +… more
- Kaleida Health (Buffalo, NY)
- …and execute quality audits, perform data analysis, trending, presentation of audit / review findings, and identify opportunities and develop a training plan ... ** Coding Quality Coordinator** **Location:** Larkin Bldg...the audit analysis, trending, and presentation of audit / review findings, potential issues and identifies opportunities… more
- HCA Healthcare (Nashville, TN)
- …billing audits for physicians, urgent care centers, and oncology centers. The Outpatient Services Coding Audit Manager position will work on various audit ... guidance in the development of, as well as the review of, the detailed audit / review ...as a RHIA, RHIT or CPC preferred + Physician coding and/or coding quality monitoring… more