- Baystate Health (Springfield, MA)
- Baystate Health, a nationally recognized leader in healthcare quality and safety, is looking for a Full Time Operations Associate to join our Daly 6A ACE team in ... Campus Springfield, MA THE ADVANTAGES OF WORKING WITH BAYSTATE! Excellent Compensation High- quality , low-cost medical, dental and vision insurance Generous PTO - up… more
- Centene Corporation (New York, NY)
- …and requires an clinical license. 3+ years of nursing or quality improvement experience. **Licenses/Certifications:** Current state's clinical license ... processes to measure member outcomes. Assess provider performance and quality of care through clinical case reviews....and delivered timely + Perform other performance and process improvement activities + Performs other duties as assigned +… more
- Elevance Health (Seattle, WA)
- …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement , and a minimum of ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role...and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement… more
- Somatus (Mclean, VA)
- …and compliance with established guidelines. + Identify trends and opportunities for quality improvement in clinical documentation and care management ... well-being + Community engagement opportunities + And more! The Quality Auditor effectively and efficiently manages a... team in the development of reporting to prioritize clinical and service improvement initiatives and address… more
- Trinity Health (Albany, NY)
- …years' experience as a risk adjustment auditor and educator and/or clinical documentation improvement specialist with a solid background in value-based plans ... efforts toward the improvement and integrity of clinical documentation through the role of auditor ...providers and members of the healthcare team. + Performing quality audits and evaluating clinical documentation of… more
- Centene Corporation (New York, NY)
- …Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small ... work performed by staff and present findings and recommendation for areas of improvement to management + Under minimal supervision responsible for all aspects of… more
- Virtua Health (Mount Laurel, NJ)
- …audits; provides timely feedback to staff and providers; makes recommendations for improvement .* Performs special audits to facilitate quality improvements and ... by US News and World Report, we've received multiple awards for quality , safety, and outstanding work environment.In addition to five hospitals, seven emergency… more
- AdventHealth (Altamonte Springs, FL)
- …**The role you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the inpatient or ... required to achieve industry best practice levels of performance. The Corporate Quality Auditor will adhere to AdventHealth Corporate Compliance standards, as… more
- Humana (Montgomery, AL)
- …is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital...focus on DRG audits. You will also drive process improvement initiatives and develop educational materials. This is a… more
- Trinity Health (Syracuse, NY)
- …years' experience as a risk adjustment auditor and educator and/or clinical documentation improvement specialist with a solid background in value-based plans ... if needed. Auditing Experience Posting **POSITION PURPOSE:** A Risk Adjustment Auditor Educator is responsible for ensuring accurate coding and documentation in… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- Billing Auditor for Shared Services Fully Remote * Rochester, Buffalo, or Syracuse, NY * Revenue Cycle Description Billing Auditor for Shared ServicesBuffalo, ... of PPCWNY's mission and the collaboration with Shared Services, the Billing Auditor evaluates Revenue Cycle outcomes to identify and recommend opportunities for … more
- Centene Corporation (Salem, OR)
- …recommendations, and process improvement opportunities + Develop and implement quality improvement and corrective action plans based on risk analysis, ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Houston Methodist (Houston, TX)
- …live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis ... coding accuracy, and revenue preservation. Additional duties include participating in quality review and performance improvement projects throughout the… more
- ManpowerGroup (St. Paul, MN)
- …coding and clinical documentation improvement guidelines. + Conduct clinical documentation tasks, meeting productivity and quality standards as set for ... have strong analytical skills, excellent communication abilities, and a passion for clinical documentation improvement , which will align successfully within the… more
- Sharp HealthCare (San Diego, CA)
- …Hospital/Facility (CIC), or Certified Professional Coder (CPC) certification.Certified Clinical Documentation Improvement Practitioner or Specialist (CDIP ... matters and other general Compliance reimbursement inquiries.Will continuously evaluate the quality of clinical documentation and monitor the appropriateness of… more
- AdventHealth (Daytona Beach, FL)
- …FL 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the inpatient or ... coding teams across the organization by completing both overall and account-level quality reviews of inpatient and outpatient coding functions. Quality audits… more
- Veterans Affairs, Veterans Health Administration (Asheville, NC)
- …for data quality , consistency, and monitoring for compliance to improve the quality for clinical , financial, and administrative data to ensure that all coded ... through AHIMA or AAPC. Mastery Level Certification through AHIMA or AAPC. Clinical Documentation Improvement Certification through AHIMA or ACDIS. NOTE: Mastery… more
- Houston Methodist (Houston, TX)
- …variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an ... At Houston Methodist, the Sr. Internal Auditor is responsible for independently planning, coordinating, and executing reviews of processes or activities of Houston… more
- MedKoder (Mandeville, LA)
- …coding, medical risk adjustment management, DRG coding management, coding education, clinical coding documentation improvement , revenue integrity, and revenue ... work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty… more
- Elevance Health (Grand Prairie, TX)
- …as re-admissions, Inpatient to Outpatient, and HACs. + Suggests and develops high quality , high value concept and or process improvement and efficiency ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ _This...Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical… more
