- HCA Healthcare (Savannah, GA)
- **Description** **Introduction** Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. ... make a difference. We are looking for a dedicated 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
- CODAMETRIX (Boston, MA)
- …and back to clinical care. Overview Reporting to the Sr. Manager, Medical Coding & Audit , the Coding Quality Program Manager, will be a key member of the ... background in surgery and endoscopy, billing, and auditing to review , analyze, and enhance coding processes, both... related questions to drive world-class coding quality and consistency. + Present audit results… more
- Elevance Health (Norfolk, VA)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad, deep and niche knowledge of ... all lines of business, and its clients. Specializes in review of DRG coding via medical record...or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you… more
- Elevance Health (St. Louis, MO)
- …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
- City of New York (New York, NY)
- …THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... Administrative Associate, who will function as a Senior Case Reviewer who will: - Conduct legally mandated case reviews...(Reynolds, Lovely H., MKB, Dajour, Davila, Brown, etc). Convert audit findings into reports that is presented to Family… more
- Magellan Health Services (Albuquerque, NM)
- …other clinical staff. + Provides training, interpretation and support for QI Clinical Reviewer staff. + Audits and validates internal audit results and/or ... record documentation. + Conducts ongoing activities which monitor established quality of care standards in the participating provider network...a team member. Knowledge of ICD and DSM IV coding or most current edition. Ability to analyze specific… 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
- CODAMETRIX (Boston, MA)
- …+ Leverage CodaMetrix coding standards to drive world-class coding quality and consistency. + Present audit results to customer stakeholders and ... clinical care. Overview Reporting to the Senior Manager, Medical Coding & Audit , as a Medical Coder...team responsible for ensuring that CodaMetrix meets-and exceeds-our customers' coding quality expectations. You will leverage your… 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