OverviewQuality Reviewer/Auditor will be responsible for establishing and administering the Quality Assurance Programs in Risk Adjustment for internal coders and external vendor coders.ResponsibilitiesThe Auditor will develop and lead the risk adjustment coding audit processes. Functions of this rol...
Overview The Coding Quality Auditor will be responsible for performing Diagnostic Related Group (DRG) validation and ensuring the coding quality of charts reviewed by the Physician Teams, a two-person team consisting of an MD Reviewer and a Coding Quality Expert (CQE). Coding Quality Auditor will do...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry tha...
SUMMARYThe Compliance Auditor is well versed in healthcare regulations, policies, and procedures, and serves as a protector of revenue for the Munson Healthcare System (Munson) through the completion of formal audits and the provision of various advisory/consultative services. These audits include m...
Adecco Medical Search has great REMOTE DRG and Clinical Review Nurse job available in the US! This is a great opportunity to work from home as a consultant working 5 days a week, 8 hours a day. Great salary + benefits + computer with dual monitors provided. Responsibilities for the DRG and Clinical ...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry tha...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry tha...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry tha...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry tha...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry tha...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry tha...
Summary Job Summary The Inpatient Coding Auditor/Trainer will work with the Inpatient Coder Trainee, Inpatient Coder I, II and III to ensure that their coding is meeting Quality accuracy based on Coding Guidelines and other rules set forth to govern Coding practices. This includes the Offic...
Summary Job Summary The Inpatient Coding Auditor/Trainer will work with the Inpatient Coder Trainee, Inpatient Coder I, II and III to ensure that their coding is meeting Quality accuracy based on Coding Guidelines and other rules set forth to govern Coding practices. This includes the Offic...
SUMMARY The Compliance Auditor is well versed in healthcare regulations, policies, and procedures, and serves as a protector of revenue for the Munson Healthcare System (Munson) through the completion of formal audits and the provision of various advisory/consultative services. These audits include ...
DRG Coder:Job Title: Quality Review and Audit Lead AnalystJob Family Business Operations > Business Operations--Quality Assurance/AuditBand 3Job DescriptionDRG Auditor performs an in-depth review of the medical record to evaluate the diagnostic and procedural information in the record and validates ...
We’re a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but als...
Position Overview Position Purpose *Seeking energetic team members preferably with Clinical Documentation Improvement (CDI) experience who are motivated to achieve CDI best practice results. Interested candidate must have at least 5 years acute care experience as Registered Nurse (RN) and resid...
JOB DESCRIPTION Overview How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every p...
Description :As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities an...
The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...
The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...
The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...
The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...
The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...
The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...
CSI Companies is actively seeking a REMOTE Nurse Practitioner for a contract position in your area. The Remote/Telecommute Nurse Practitioner delivers defined patient care services in a retail clinic environment.You will work in collaboration with a dedicated team of prof...
Description: Providence is calling a current caregiver to develop his or her career with this new opportunity: Education Standards Specialist at Revenue Cycle Business Services . This role can sit anywhere within the PSJH System footprint. This opportunity is available exclusively to c...
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo...
Description:BASIC FUNCTION:This position is responsible for performing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed; conducting research; ...
Be a part of a world-class academic healthcare system at UChicago Medicine as a DRG/ APC Coordinator - Coding Auditor for the Health Information Management department. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area. In this role, the DRG/ AP...
Job details Job Description Facilitates and obtains appropriate clinical documentation for all clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record r...
Overview:HonorHealth is a non-profit, local community healthcare system serving an area of 1.6 million people in the greater Phoenix area. The network encompasses six acute-care hospitals, an extensive medical group, outpatient surgery centers, a cancer care network, clinical research, medical educa...
Responsibilities REMOTE- Professional Coding Auditor The Professional Coding Auditor provides quality documentation review and analysis to support accuracy of coding documentation. Reviews professional encounters to compare CPT E/M levels and ICD-10 diagnosis codes to the physicians’ docum...
Remote VA Experienced Inpatient Professional Fee Medical CodersSummaryAs a result of recent new contracts awarded under the new 5-year VHA National Medical Coding BPA, Cooper Thomas, LLC, a leading provider of medical coding services to the Department of Veterans Affairs (VA), has immediate openings...
Purpose Statement / Position Summary Under the direction of the Coding Compliance Manager, the Coding Compliance Auditor/Educator will play a key role in reviewing and analyzing post claim data for accuracy and compliance with federal and state coding guidelines and regulations. The Coding Complianc...
Job DescriptionBe a part of a world-class academic healthcare system at UChicago Medicine as a DRG/APC Coordinator - Coding Auditor for the Health Information Management department. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area.In this role...
Overview Job Summary Trains team members and performs coding audits. Reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD9/10-CM and CPT 4 codes for billing internal and external reporting, research and regulatory compliance. Assists Coding ...
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the bus...
Description As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succee...
Job Summary Analyze and audit LMC systems of the Physician Network and the hospital medical record data to determine if charges billed are supported by appropriate medical documentation. Monitors risk areas and conducts focused audits as identified by the Compliance Audit Manager. Prepares repo...
Summary Job Summary The Inpatient Coding Auditor/Trainer will work with the Inpatient Coder Trainee, Inpatient Coder I, II and III to ensure that their coding is meeting Quality accuracy based on Coding Guidelines and other rules set forth to govern Coding practices. This includes the Official Codin...
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care da...
Summary **Fully remote schedule and eligible for a sign-on bonus** Position Summary This the third level of a 4-tier career path. Under the general direction of the Inpatient Coding Manager or Director, this position is responsible for the accurate assignment of ICD-9-CM diagnostic and procedural co...
Description As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succee...
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the bus...
JOB DESCRIPTION Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE=Work Remote Position Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and cod...
Primary City/State:Phoenix, ArizonaDepartment Name: Coding AmbulatoryWork Shift: DayJob Category:Revenue CyclePrimary Location Salary Range:$18.32/hr - $27.48/hr, based on education & experienceIn accordance with Colorado's EPEWA Equal Pay Transparency Rules. Our Coding team is looking for an ex...
Primary City/State:Phoenix, ArizonaDepartment Name: Coding AmbulatoryWork Shift: DayJob Category:Revenue CyclePrimary Location Salary Range:$18.32/hr - $27.48/hr, based on education & experienceIn accordance with Colorado's EPEWA Equal Pay Transparency Rules. Our Coding team is looking for an ex...
Primary City/State:Phoenix, ArizonaDepartment Name: Coding AmbulatoryWork Shift: DayJob Category:Revenue CyclePrimary Location Salary Range:$18.32/hr - $27.48/hr, based on education & experienceIn accordance with Colorado's EPEWA Equal Pay Transparency Rules. Our Coding team is looking for an ex...
Primary City/State:Phoenix, ArizonaDepartment Name: Coding AmbulatoryWork Shift: DayJob Category:Revenue CyclePrimary Location Salary Range:$18.32/hr - $27.48/hr, based on education & experienceIn accordance with Colorado’s EPEWA Equal Pay Transparency Rules.Our Coding team is looking for an experie...