- 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
- 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
- HCA Healthcare (Nashville, TN)
- …is a great** **position** **for those wanting to move fr** **o** **m production coding toward a coding quality reviewer ** **role** **or** **for someone ... 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… more
- Kelly Services (Morrisville, NC)
- …and project team members and supports business development activities. + Provides medical review and analysis for clinical trial serious adverse events, ... as they relate to the investigational study. + Provides medical review of adverse events of special...in the client contract and data validation manual including review of coding lists and/or full safety… 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
- Whitney Young Health Center (Albany, NY)
- …+ Learn and keep up to date on payer billing requirements, changes in medical /dental practices, and coding . + Assists with the implementation of any and ... Responsible for timely submission of claims to the clearing house and reconciling clearing house reports. +...resolve claim problems through to payment. Working knowledge of medical terminology, CPT4 and ICD coding , and… more
- SSM Health (St. Louis, 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
- AdventHealth (Ocala, FL)
- …or admission/consultation/discharge summary dictation *Pre-operative patient evaluation and medical optimization* Evaluates and treats patients with acute, chronic, ... of patients at the direction of the collaborating physician oConduct medical history; performance of physical examination oCollection, interpretation & recording of… 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
- Covenant Health Inc. (Knoxville, TN)
- …Accounts Billing Liaison Full-Time, 80 hours per pay period, Day shift Covenant Medical Group is Covenant Health's employed and managed medical practice ... Medicare and payer billing guidelines and policies. Demonstrates ability to promptly review , interpret and communicate current and changes to published Medicare and… 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
- J&J Family of Companies (Spring House, PA)
- …Physician and Clinical Leader, will actively participate in or lead aspects of, medical review of clinical trial data, including adverse events, efficacy data, ... Scientist (Oncology). This position is based out of Spring House , PA or Raritan, NJ. Remote locations within the...Participate in the creation and maintenance of a robust Medical Review plan, medical … more
- Robert Half Accountemps (Bryan, TX)
- …Individual Focus * Review and approval of accounts payable entries and coding , check and Automatic Clearing House (ACH) preparation for bill payment * ... Review and approval of accounts receivable posting, deposit entries and coding , completion of bank deposits * Regular review of bank accounts and cash flow *… more
- General Motors (Pontiac, 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
- J&J Family of Companies (Spring House, PA)
- … monitoring/reporting, evaluates ongoing clinical trial data * May partner with the lead CPS drafting Medical Review Plan and Medical Review Forms * May ... requirements for the conduct of high-quality clinical trials including protocol development, medical review , oversight of study conduct, data quality and safety… 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
