- ProKatchers (Bowling Green, NY)
- …:: 9:00am- 5:00pm (Hybrid) Job Description: The primary function of the Clinical Quality Reviewer is to assess and audit medical charts for compliance with a ... to the support and training of physicians on proper coding and medical record documentation practices to...Additionally, participation in the annual HEDIS and QARR hybrid medical record review project will be required.… more
- American Honda Motor Co Inc (East Liberty, OH)
- …TN, etc.) will not be considered.As a Manufacturing Quality Engineer, you will review , analyze, and track various sources of market information. You must be able ... to be very accurate and based on engineering principles.Correlate market data with in- house rejections, sampling items, and yard audit finds that will enable the… more
- EY (San Francisco, CA)
- …Unify, enrich, and analyze customer data to derive insights and opportunities. Leverage in- house data platforms as needed, and recommend and build new data platforms ... and/or analytics solutions. Must have 3 years of experience coding in one or a combination of Java, C#,...per year. In addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans, and… more
- American Honda Motor Co Inc (Torrance, CA)
- …warranty documentation, including correspondence, emails, CRRS reports, and legal documents. Includes review , analysis, coding for file, input data into ALMA, ... for managing a case load, including working with the assigned in- house attorney and Honda's outside counsel.Key AccountabilitiesReview case evaluation reports and… 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
- University of Michigan (Ann Arbor, MI)
- …for faculty, APPs, and house officers with regard to clinical documentation and medical coding for patient care services + Develops tools to assist providers ... the CDS function, as assigned **Required Qualifications + At least five years of medical coding experience + Current RHIT, RHIA or CPC certification +… 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 ... but are not limited to, CRF Completion Instructions, Data Entry Guidelines, Medical Coding Conventions, Self-Evident Corrections, Data Handling Conventions, Data… more
- SSM Health (MO)
- …selected medical records documentation to determine accuracy of charges, coding assignments, billing compliance, medical necessity. + Collaborates with ... Remains current with regulation changes and related operational processes by attending coding conferences, workshops and in- house sessions for updated coding… more
- Spira Care, LLC (Olathe, 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
- State of Colorado (Denver, CO)
- …to apply. In addition to offering rewarding, meaningful work, we offer: + Medical and Dental plans + Strong, flexible retirement plans including PERA Defined Benefit ... CPW Budget to implement financing mechanisms, develop and maintain Division financial coding structures, ensure proper budget amounts are recorded in the State… 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
