• Certified Risk Adjustment Coding/ Audit

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & ... quality care in a safe environment and a foundation from which you can provide and receive personalized attention....apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/ Audit Reviewer is a physician facing position and must… more
    Redeemer Health Home Care & Hospice (11/12/25)
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  • Audit Manager - CPA Required

    Williams Adley (Washington, DC)
    Williams Adley respectfully requests that recruiting agencies, headhunters, and search firms REFRAIN from contacting us or any member of our team regarding this or ... the development of detailed work plans, monitoring the progress of the audit , drafting reports, providing outstanding service to the client, and maintaining constant… more
    Williams Adley (11/05/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …Adjustment Model to confirm accuracy of Hierarchical Condition Categories (HCC)identified from abstracted ICD-10-CM diagnosis codes for the correct Benefit Year. ... Adjustment (RA) programs, including the Risk Adjustment Data Validation (RADV) audit and the Supplement Diagnosis submission program. Inclusive of Quality Audits… more
    The Cigna Group (11/13/25)
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  • Home Therapy Patient Care Technician - PCT

    Fresenius Medical Center (Bloomington, IN)
    …as part of the dialysis health care team in providing safe and effective home dialysis therapy and training for patients under the direct supervision of a licensed ... state, and federal agencies. Assists in the setup of home dialysis equipment and the maintenance of a safe...providers, and other team members. + Obtains treatment records from patients and/or systems, reviews for completion, and reports… more
    Fresenius Medical Center (10/31/25)
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  • Patient Care Technician- PCT- Home Therapy

    Fresenius Medical Center (Pittsburgh, PA)
    …as part of the dialysis health care team in providing safe and effective home dialysis therapy and training for patients under the direct supervision of a licensed ... state, and federal agencies. Assists in the setup of home dialysis equipment and the maintenance of a safe...providers, and other team members. + Obtains treatment records from patients and/or systems, reviews for completion, and reports… more
    Fresenius Medical Center (10/23/25)
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  • Clinical Assistant

    Help at Home (Muncie, IN)
    …to detail to ensure accuracy. Ability to read and interpret medical record data for chart audit . **Responsibilities** + All tasks as directed by RN Case Manager, ... Help at Home is Hiring a Clinical Assistant! **This role...in care coordination + Preferred two years' experience with chart + Auditing preferred Knowledge of service + Regulations… more
    Help at Home (11/15/25)
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  • Full Time Home Infusion Nurse…

    Naven Health (Bakersfield, CA)
    …as assigned. May actively participate in company PI/QI program and assists with chart audit functions as applicable. + Performs other related duties as ... on our unyielding commitment, always.** Naven Health is a nationwide home infusion nursing network and clinical platform focused on delivering specialized,… more
    Naven Health (09/13/25)
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  • Clinical Quality Assurance Specialist- SF Center-…

    Good Samaritan (Sioux Falls, SD)
    …risk and risk score adjustment programs. Assist with the quality improvement review and audit related to potential quality risk issues and adverse events as part of ... the quality risk program. Will complete chart reviews, documentation of findings, referral for medical director review and required reporting. Will perform… more
    Good Samaritan (10/18/25)
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  • HIM Specialist

    Billings Clinic (Billings, MT)
    …with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home . Four seasons of sunshine! You can make a difference ... * Performs final verification of medical record completion prior to completing chart from task queues. Verification includes reviewing all appropriate documents… more
    Billings Clinic (11/12/25)
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  • Consultative Coding Professional

    CenterWell (Columbia, SC)
    …connection can be used only if approved by leadership + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will ... + Analyze EDAPS; report the variances between datahub and eCW. + Conduct Chart reviews to identify educational opportunities. + Perform individual chart research… more
    CenterWell (11/05/25)
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  • Field Service Coordinator

    Chart Industries (Beasley, TX)
    …up to 10 pounds * Work may involve exposure to loud noises * Possible work from home ability **_Your Experience Should Be _** * 2-5 years in an administrative ... Field Service Coordinator **Location:** Beasley, TX, United States, 77417 **Company:** Chart Industries **_Ensuring Chart 's Success _** The Field Service… more
    Chart Industries (10/04/25)
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  • Licensed Practical Nurse-Homecare-Per Diem (Ocean…

    Hackensack Meridian Health (Brick, NJ)
    …an RN. + Properly comply with appropriate physician orders in a timely manner. Chart , audit and demonstrate compliance on frequency and timely admission of ... leader of positive change. At Hackensack Meridian Health at Home , we recognize our full- and part-time benefit eligible...Teach patients and families based on identified health needs. Chart , audit and demonstrate documentation of teaching… more
    Hackensack Meridian Health (09/04/25)
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  • Health Care Disputes - Compliance Risk Adjustment,…

    Ankura (New York, NY)
    audit processes, managing retrospective or prospective Risk Adjustment activities such as Chart Review or In- Home Risk Assessments. + Knowledge of Risk ... clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit , and investigation projects for clients. + Oversee and conduct data… more
    Ankura (09/09/25)
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  • Coding and Compliance Internal Auditor I - CPC

    Atlantic Health System (Morristown, NJ)
    …of coding such as appropriate documentation, accurate coding, coding trends found during chart reviews, third party audit findings, and annual coding updates. + ... and staff; also responsible for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal Accountabilities: Coordinates,… more
    Atlantic Health System (10/01/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …diagnosis and procedure code assignment and MS-DRG/APR-DRG accuracy based on denials or audit findings from government and commercial payers. Meet or exceed ... or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist with supporting assigned diagnosis and/or procedures codes… more
    St. Luke's University Health Network (10/28/25)
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  • Operations Associate, Part Time, Nights

    Baystate Health (Westfield, MA)
    …Health, a nationally recognized leader in healthcare quality and safety, and home to** **Baystate Noble Hospital** **is looking for an Operations Associate to ... + Continuing education support and reimbursement + First Time Home Buyers Financial Packages + Farm Share Memberships +...on years of service + Free money coach advice from a certified professional + Wellbeing programs that include… more
    Baystate Health (10/15/25)
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  • Program Management Lead, Offshore Coding…

    CenterWell (Harrisburg, PA)
    …connection can be used only if approved by leadership + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will ... Coding Operations works on problems of diverse scope and complexity ranging from moderate to substantial. The **Program Management Lead, Offshore Coding Operations**… more
    CenterWell (10/23/25)
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  • Research Coordinator - Heart Vascular Research…

    WellSpan Health (York, PA)
    …and actively participates in assessing patients for toxicity and response using chart review and physical assessment skills and communication with physicians and ... of the informed consent process and assists in obtaining informed consent from patients. Works with internal and external registration and scheduling personnel as… more
    WellSpan Health (10/21/25)
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  • Patient Care Technician Preceptor - PCT - Dialysis

    Fresenius Medical Center (Hammond, LA)
    …as part of the dialysis health care team in providing safe and effective home dialysis therapy and training for patients under the direct supervision of a licensed ... state, and federal agencies. Assists in the setup of home dialysis equipment and the maintenance of a safe...providers, and other team members. + Obtains treatment records from patients and/or systems, reviews for completion, and reports… more
    Fresenius Medical Center (11/04/25)
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  • Clinical Research Coordinator A/B

    University of Pennsylvania (Philadelphia, PA)
    …employer Penn has been ranked nationally on many occasions with the most recent award from Forbes who named Penn one of America's Best Large Employers in 2023. Penn ... of atmospheres, Philadelphia is the perfect place to call home for work and play. The University offers a...Responsibilities include, but are not limited to: 1) Medical chart screening and recruitment (both within the Neuro ICU… more
    University of Pennsylvania (09/26/25)
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