- Intermountain Health (Atlanta, GA)
- …To review medical records retrieved from provider offices and abstract medical information for HEDIS (Health Effectiveness Data Information Set) annual audits. ... Interprets relevant clinical criteria through review of medical records annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS, CMS, and STARS performance measures. **Job Essentials** + Work collaboratively with Select… more
- Elevance Health (Atlanta, GA)
- …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health… more
- Molina Healthcare (Atlanta, GA)
- …related field or equivalent experience, OR completion of any of the following programs: + Registered Nurse (RN) or State Licensed Vocational Nurse (LVN), or ... OR completion of any of the following programs: + Registered Nurse (RN) or State Licensed Vocational...be preferred for specific roles) * Certified HEDIS Compliance Auditor (CHCA) **PHY** **S** **I** **C** **AL DEM** **A**… more