- Daiichi Sankyo, Inc. (Bernards, NJ)
- …project. This position prepares trainings, supports CAPA investigations, case review, documentation reviews in collaboration with the ICSR management and CRO/Vendor ... oversight groups for case processing activities and reports to the Director of PV Case Management.Responsibilities:ICSR Processing: Oversees QC activities, supports… more
- Kaiser Permanente (Baltimore, MD)
- Overview: The Senior Manager role, reporting to the Senior Director in Risk Adjustment and will manage 3-4 direct reports in the Medicare risk adjustment coding ... development and maintenance of key risk adjustment policies and procedure ( coding guidance, chart review, deletes, QA). PowerPoint presentation and execution of… more
- Hickory House Nursing Home (Honey Brook, PA)
- …Summary The Medical Records Director (Non-Nurse) maintains the patients' clinical records, including coding , auditing, and providing pertinent staff ... in all competency areas including but not limited to: medical coding , auditing, clinical records, privacy official responsibilities, supervisory… more
- The Denver Hospice (Aurora, CO)
- …parameters for all Colorado PACE Programs. Understands and utilizes appropriate coding and documentation . Understands appropriately captured diagnosis codes and ... The Care Synergy Medical Group has an immediate opening for a Medical Director Colorado PACE. Location : Aurora, CO Status: Full-time Schedule: Monday-Friday, 8-5… more
- NORTH EAST MEDICAL SERVICES (Burlingame, CA)
- …operational efficiency, and cost management, while maintaining the highest standards of clinical quality. 3. Risk Adjustment and HCC Coding : Collaborate with ... Salary Range $341464.54 - $398103.69 Salary Description The Medical Director will play a pivotal role in leading and...and coding teams to optimize accurate HCC coding and documentation . Lead educational initiatives to… more
- Tal Healthcare (Bronx, NY)
- …ensuring adherence to standards of care. Coach providers on accurate coding , documentation , and compliance with regulations. Collaboration and Mentorship ... highest level of quality care, is hiring a Medical Director , Internal Medicine or Family Medicine Physician . The...traditional healthcare. In this role you will leverage your clinical skills, empathy, and independence to provide top-tier care… more
- Soloh Partners (Brooklyn, NY)
- …audits clinical records, assures accuracy and timeliness. Informs PI Director of persistent issues related with non-compliant documentation . Communicates ... Position: Clinical Nurse Coordinator (MDS) Location: Brooklyn, NY Schedule:...to process referrals, authorization for services Ensures accurate ICD-10 coding for proper reimbursement. Monitors Case Mix Index (CMI)… more
- Whitewater Health Services (St. Charles, MN)
- …MDS scoring Train nursing staff on responsibilities for timely and accurate clinical record documentation Participates in the interdisciplinary care team Stays ... #LI-MS1 We provide in-depth MDS training, certifications, and ICD 10 coding . North Shore Health is Midwest's leading employer and providerof post-acute care. Our… more
- Eventus WholeHealth (Staunton, VA)
- Physician/Medical Director Position Summary: No Call! Please join our team at Eventus WholeHealth as a physician at an innovative state-of-the-art practice where you ... time for writing notes, UpToDate subscription, Continuing education with weekly remote clinical seminars, CME annual bonus, 8 paid Holidays, plus accrued time off… more
- Cano Health (Jupiter, FL)
- …coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify ... and track patient information via Excel spreadsheets. Complete appropriate paperwork/ documentation /system entry regarding claim/encounter information Provide coding … more
- The Centers for Advanced Orthopaedics (Waldorf, MD)
- …Trains newly hired therapists in Site operations, patient scheduling, clinical coding , and compliance, and TheraOffice documentation . Ensures all rehab aides ... care. The Therapy Site Manager collaborates with the Therapy Director to develop and carry out business goals and...are adhered to with regard to patient treatment and documentation . Strives to attain and maintain practice therapy metrics… more
- UnitedHealth Group (Bangor, ME)
- …coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality ... Whether you are looking for a role in a clinical setting or supporting those who provide care, we...Codes for Professional services while adhering to the official coding guidelines and established client coding guidelines… more
- Kaizo Health (Fairfax, VA)
- …fees and malpractice insurance Robust clinical training and company orientation Documentation and coding compliance training HIPAA and OSHA training 401K ... What will my role be as a Clinic Director at Kaizo Health? Kaizo Health is an...on clinical care pathways for patients Gold-standard coding and documentation to ensure compliance with… more
- LHC Group, Inc. (Parsippany, NJ)
- …on for video meetings. 5. Teamwork (on call, productivity) Takes direction from Clinical Director and Executive Director professionally and completes tasks ... to State and federal regulations. Also provides required supervisory visits. 2. Documentation and Care Delivery Provides high quality clinical services within… more
- Henry Ford Health System (Detroit, MI)
- …Leveraging advanced analytics and AI to segment populations and proactively manage documentation , coding , and financial clearance. Leading digital adoption of ... recognition, and clinical alerts in Epic. Reducing reliance on paper-based documentation and moving scanning and transcription closer to the point of care.… more
- US Tech Solutions (Columbia, SC)
- …medical necessity regarding requested services and benefit exceptions. Ensures accurate documentation of clinical information to support and determine medical ... Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and… more
- TulaRay (Harrisburg, PA)
- …alcohol setting, managed care, quality management/utilization review or other related clinical experience; or An equivalent combination of experience and training in ... patterns and determining the appropriate action to be taken following the documentation review. Role Description: Identify discrepancies through the analysis of paid… more
- Experity (Atlanta, GA)
- …experience: from patients finding clinics and making appointments, to checking in, to clinical documentation , and to the final bill paid by the patient. ... of monitor compliance tests and certifications for audits and inspections. Maintain documentation related to Joint Commission (TJC) standards for internal use and… more
- ALLERGY PARTNERS (Asheville, NC)
- …caregivers, and management staff. Experience/knowledge of basic computer usage and troubleshooting; clinical system applications, basic coding , and clinical ... A Training Operations Specialist is responsible for training providers, management, and clinical staff on the Practice Management, EHR, and any other clinical… more
- LHC Group, Inc. (Petersburg, WV)
- …on for video meetings. 5. Teamwork (on call, productivity) Takes direction from Clinical Director and Executive Director professionally and completes tasks ... to State and federal regulations. Also provides required supervisory visits. 2. Documentation and Care Delivery Provides high quality clinical services within… more