- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …to cross-functional DSI colleaguesResponsibilitiesMedical Monitoring- For studies in which Medical Monitoring activities are conducted in- house :- Provides ... the study to provide medical input- Provides medical guidance for coding of AEs, ... medical history, and medications when needed- Addresses medical questions directly from sites/ Institutional Review … more
- Centers Plan for Healthy Living (Garden City, NY)
- …responsible for supporting the overall direction, coordination and implementation of the HEDIS Medical Record Review process for Centers Plan for Healthy Living ... (PCP) and/or Specialist(s) as indicated by HEDIS measures. + Review assigned medical records in order to...at provider offices; and provide feedback on documentation and medical record coding . + Responsible for performing… more
- St. Luke's University Health Network (Allentown, PA)
- …provider documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim review process. JOB ... to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical ... Coder who ensures clean claim submission and timely review and resolution of coding related claim… more
- Hackensack Meridian Health (Hackensack, NJ)
- …as needed based on quality indicator. + Analyzes physician documentation in the medical record for clinical correlation for coding accuracy and queries ... medical record is inadequate, ambiguous, or unclear for coding purposes. + Provides guidance on any changes made...+ Provides guidance on any changes made during their review to the Inpatient Coders by furnishing input as… more
- NeueHouse (Los Angeles, CA)
- …reports and profit & loss statements for accuracy and compliance with US GAAP. + Review AP bills to ensure proper coding . + Maintain proper internal controls to ... City and Los Angeles: + Our Madison Square (MSQ) House is situated in New York's iconic Flatiron District,...budget vs. actual analyses, and profitability analyses for management review as per Group standards. + Provide insights and… more
- Penguin Random House (New York, NY)
- …letter and resume, for consideration.Before applying for any role at Penguin Random House , we recommend you review our applicant resources pageand look over ... Senior Business Systems Analyst, Publishing Operations, Penguin Random House (Open to Remote) Penguin Random House...is a business analyst position and does not require coding . We are looking for a candidate who can… more
- HCA Healthcare (Nashville, TN)
- …to coding . This is a great position for those wanting to move from production coding toward a coding quality reviewer role or for someone interested in ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- J&J Family of Companies (Cambridge, MA)
- …Science and Medicine (TSM) department is to lead the safety strategy; develop the medical review and oversight plans and conduct medical surveillance and ... Sciences and Medicine (TSM) to be located in Spring House , PA or Cambridge, MA. The primary focus of...Janssen SOPs for the SRP function including development of medical review plans; medical input… more
- General Dynamics Information Technology (Fort Detrick, MD)
- …query management, data management, reporting and data outputs, eCRF approval, and medical coding .** **Participation in the creation and maintenance of the ... but are not limited to, CRF Completion Instructions, Data Entry Guidelines, Medical Coding Conventions, Self-Evident Corrections, Data Handling Conventions, Data… more
- Spira Care, LLC (Kansas City, KS)
- …held religious belief or disability. Preferred Qualifications: + Experience with coding and documentation for Medical Advantage and Hierarchical Condition ... + Take vital signs, record in EMR, perform systems review and point of care testing, and assist providers...located throughout the Kansas City area, each of which house integrated Care Teams made up of medical… more
- Universal Health Services (Chicago, IL)
- …minimum requirements for this position. Education: High School Diploma; Associates degree in Medical Coding preferred Experience: Three years medical records ... Responsibilities JOB SUMMARY: The HIM Coordinator, assembles, analyzes, and abstracts medical records. Data entry of deficiencies. Backup person for ICD 10 coding… more
- MyFlorida (Sanford, FL)
- OPS MEDICAL TECHNOLOGIST I - 64959236 Date: May 21, 2024 Location: SANFORD, FL, US, 32773 The State Personnel System is an E-Verify employer. For more information ... . Requisition No: 828994 Agency: Department of Health Working Title: OPS MEDICAL TECHNOLOGIST I - 64959236 Pay Plan: Temp Position Number: 64959236 Salary:… more
- Veterans Affairs, Veterans Health Administration (Wilmington, DE)
- …or technician experience in a hospital laboratory, health agency, industrial medical laboratory, or pharmaceutical house ; or teaching, test development, ... Summary The Medical Technologist - Laboratory Information Manager/Safety Officer is...and other data during computer downtime. Implements and maintains coding and mapping for laboratory test ordering, reporting, billing,… more
- Sharp HealthCare (Chula Vista, CA)
- …nursing facility admission, including requests for outpatient care, retrospective claim review , durable medical equipment, medication issues and acquisition, ... **Facility:** Chula Vista Medical Center **City** Chula Vista **Department** **Job Status**...reference lists per department needs.Monitor authorization for all patients in- house to ensure reimbursement and payment for correct level… more
- ERP International (Eglin AFB, FL)
- …Top Workplaces!** **1099 or W2 option** **Exceptional compensation package** ** Medical Malpractice Coverage provided** **Phenomenal patient demographic** **W2 also ... Benefits!** Paid Time Off plus 11 Paid Federal Holidays!** Medical /Dental/Vision, Health Savings Account available, STD, LTD and Life...Surveillance Plan, + Shall participate in the monthly peer review process of clinical skills; a minimum of 10… more
- EssilorLuxottica (Mason, OH)
- … open/unpaid claim balances and take required action. **MAJOR DUTIES & RESPONSIBILITIES** + Review medical claims and transmit to the insurance carrier using the ... doctor practices. Utilize a practice EHR system and clearing house to review and submit claims to...3+ years of related work experience + Experience with medical vision claims and coding + Ability… more
- Butterfly Effects (Deerfield Beach, FL)
- …is done in insurance portals, CentralReach, and EOB's to resolve claim issues. + Review clearing house for denials and corrected claims submitted. + Correct and ... to assist the billing team. + Identify time sheet, coding , documentation errors, and report them to management for...or GED. + 1-2 years of previous experience in medical billing/collections. + Knowledge of claim denials, the ability… more
- Hackensack Meridian Health (Hackensack, NJ)
- …issues of chart accessibility and coding accuracy. Provides additional quality review for medical records billing + Codes records: Determine principal and ... secondary diagnoses and treatment procedures; codes using standardized coding systems. Consults medical and coding...on registry data post-discharge. + Interacts with patients, families, medical professionals and in- house medical … more
- Sutter Health (San Francisco, CA)
- …Physician Advisor Services (IPAS). The physician Advisor will work closely with the medical staff, including house staff, and all utilization management (UM) ... regarding physician practice patterns, over- and under-utilization of resources, medical necessity, documentation best practices, level of care progression, denial… more
- Bon Secours Mercy Health (Greenville, SC)
- …Improvement (PI) experience preferred. + Clinical leadership experience preferred. + Milliman medical review criteria experience preferred. + Knowledge of acute ... with physicians, nursing staff, other patient care givers, and coding professionals to ensure that medical record...Review clinical issues with the Physician to establish medical necessity for all patients. Participate in ongoing education… more
