- 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 (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
- HCA Healthcare (Nashville, TN)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Coding Resolution Specialist III with Parallon you can be a part of an ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...our organization. We are looking for an enthusiastic Inpatient Coding Editor to help us reach our goals. Unlock… 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
- Sharp HealthCare (La Mesa, CA)
- …(CDIS) reviews inpatient medical records while patients are still in- house (concurrent review ) for proper documentation resulting in appropriate ... pharmacology, laboratory, disease processes, and new/emerging technologies.Participates in the peer review process as both a reviewer and reviewee as… 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
- Veterans Affairs, Veterans Health Administration (IN)
- …have successfully completed coursework in medical terminology, anatomy and physiology, medical coding , and introduction to health records); OR, Mastery level ... with an emphasis on improving documentation while the patient is still in- house . Applies comprehensive knowledge of medical terminology, anatomy & physiology,… more
- Veterans Affairs, Veterans Health Administration (Prescott, AZ)
- …records and health information systems demonstrating a knowledge of medical terminology, medical records [procedures, medical coding , or medical , ... an effective, comprehensive, and integrated HIM Program al this Medical Center. Evaluates Patient Treatment File (PTF) data validation...File (PTF) data validation program to include a qualitative review and evaluation of the clinical as well as… more
- SSM Health (Jefferson City, 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
- 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
- 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
- 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
- VCA Animal Hospitals (Lawndale, CA)
- …Summary** Under general supervision of Office Supervisor/Manager, Hospital Administrator and Medical Director, the Client Financial Coordinator is responsible for a ... assigned or removed as needed. + Completion of all in- house patient charges + Completion of hospital deposit on...(ie assisting clients apply for CareCredit) + Utilizes various coding and billing references to resolve complex billing scenarios… more
- General Motors (Milford, MI)
- …various applications to align with GM's strategy in Software Defined Vehicle (SDV). In- house HWIO team enables the enterprise to deliver solid software solution by ... that is adaptable and robust. As part of the In- House HWIO Engineering group, you will have the opportunity...designs using both AUTOSAR MCAL configuration tool and hand coding in C and assembly. As a staff systems… more
- Organon & Co. (Plymouth Meeting, PA)
- …documents (eg, Data Management Plans (DMP), CRF Completion Guidelines (CCG)), coordination of medical coding , monitoring of data cleaning performed by CROs. + ... programs. This individual will oversee data management vendors, perform in- house data management activities as applicable, and ensure high-quality completion… more
- Digital Prospectors (Merrimack, NH)
- …in test automation framework, architecture, and development using open-source technologies and/or in- house frameworks is a must. + Concurrent coding skills, in ... Experience using defect management and test management tools. + Experienced in code review processes and advocate best coding practices. + Experience with… more
