- University of Miami (Hialeah, FL)
- …review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Concurrent Quality Reviewer of our hospital ... reviews documentation in the electronic medical record (EMR) and ensures that accurate assignment and...CDIs, Coders, Quality, and other relevant multidisciplinary teams. The concurrent inpatient quality reviewer will assign a… more
- Fresenius Medical Center (Plano, TX)
- **PURPOSE AND SCOPE:** + The Coder performs data entry processing within the assigned function(s). The incumbent is responsible for applying appropriate diagnostic ... for utilization in data retrieval, analysis and claims processing. The Coder provides administrative support in the interpretation and explanation of data… more
- Trinity Health (Boise, ID)
- …transition needs. Reassesses, monitors, and modifies transition needs as appropriate. Conducts concurrent medical record review using established medical ... **Description:** **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management/utilization review and discharge planning collaboratively determining level of care… more
- Queen's Health System (Honolulu, HI)
- …and completeness of clinical documentation throughout The Queen's Health Systems, through concurrent medical records reviews and query process. * Responsible for ... the concurrent review of provider documentation to ensure...team to ensure integrity and completeness of documentation and code assignment for the purposes of appropriate reimbursement, risk… more
- UPMC (Wexford, PA)
- …as reports that summarize outcome of special projects. + Perform internal retrospective, concurrent or prospective medical chart audits to assure that CPT codes ... be their best selves? UPMC Children's Community Pediatrics is hiring a Full-Time Medical Auditor, Compliance to support the office Remotely. Must live in the state… more
- Atlantic Health System (Summit, NJ)
- …information from patient records, to accurately reflect the patient's encounter. *Reviews CDI concurrent review notes and works with the CDI Team to ensure ... optimal code capture on all cases. Ensures optimal reimbursement in...reimbursement reporting requirements *Works with their assigned Lead to review coding questions and engage in coder … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …with Provider Relations, explaining processes for accessing Health Plan to perform medical review , obtains case or disease management support, or otherwise ... external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and work closely with Case… more
- Actalent (San Antonio, TX)
- …successful completion of cases. Essential Skills + Experience in utilization management, concurrent review , prior authorization, utilization review , case ... + Proficiency with InterQual. + Active TX RN License. + Utilization Management/ Concurrent Review experience. + ICU/ER experience. + Strong communication skills.… more
- SUNY Upstate Medical University (Syracuse, NY)
- …and medical concepts. This is achieved by both thorough comprehensive concurrent and retrospective medical record review for accuracy, specificity, ... (CDI) Specialist primary responsibility is to ensure the inpatient medical record accurately supports severity of illness and risk...the inpatient coding team to ensure the assigned final code set is reconciled pre-bill, when necessary, to resolve… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …overall quality and completeness of clinical documentation. Inpatient CDI focuses on the concurrent review of patient records with an emphasis on improving ... Management section at the Fayetteville NC VA Coastal Health Care System. MRTs ( Coder ) are skilled in classifying medical data from patient health records… more