• RN Utilization Review remote

    Trinity Health (Columbus, OH)
    …HMO insurance setting preferred. Demonstrated ability to analyze, summarize and concisely report medical utilization and medical chart audit results. + ... Assist in the development of the Plan's UM Program and the review of the Plan's Medical Management Plan. **What you will do** + Participates in designated… more
    Trinity Health (06/11/25)
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  • Individual & Family Plans (IFP) Quality…

    The Cigna Group (Bloomfield, CT)
    …certification within 6 months of hire, if not currently certified** + Experience with medical audits and medical chart reviews + Proficiency with ICD-10-CM ... The _Quality Review & Audit Analyst_ is responsible for conducting medical record reviews, accurately assigning ICD-10-CM diagnostic codes based on medical more
    The Cigna Group (06/17/25)
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  • Remote Professional Medical Coder…

    Guidehouse (Orlando, FL)
    …E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results as appropriate to extract data and ... based on payer guidelines. **This position is full time as and 100% remote .** **Responsibilities:** + Demonstrates the ability to perform quality surgical coding on… more
    Guidehouse (04/27/25)
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  • Revenue Integrity Charge Specialist Fully…

    Trinity Health (Syracuse, NY)
    …standard, based on service line and charge type; including but not limited to: chart review , charge extraction, E&M level assignment and charge entry. Documents ... **Employment Type:** Full time **Shift:** **Description:** Certified Coder Fully remote . May include every 5th weekend rotation **POSITION PURPOSE** Responsible for… more
    Trinity Health (05/03/25)
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  • Inpatient Medical Coding Auditor (Facility…

    Cognizant (Jefferson City, MO)
    …Outlook) . Knowledge of Federal, state and payer regulations . Capable of interpreting medical records reports and chart entries . Able to work independently and ... Based on this role's business requirements, this is a remote position open to qualified applicants in the United...compliance best practices. - **Support Quality Assurance and Peer Review ** . Perform peer reviews of coding staff to… more
    Cognizant (06/03/25)
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  • Remote Coder IV

    Dignity Health (Rancho Cordova, CA)
    …ICD10 Coding in relation to DRGs + Abstract additional data elements during the chart review process when coding as needed + Utilize technical coding principals ... State of California. Please check our website (https://www.commonspirit.careers/search-jobs) (Search Category: Medical Coding) for other remote or non- remote more
    Dignity Health (05/05/25)
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  • Certified Nursing Assistant 3, Remote Video…

    University of Miami (Miami, FL)
    …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Up to ... Miami Hospital + This is an onsite position. Not remote . + Provides for patients' personal hygiene by giving...100%, using hospital designated scripting. + Maintains the patient's chart in appropriate order. + Initiates and assembles admission… more
    University of Miami (04/16/25)
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  • Cardiovascular Database Registry Coordinator - DH…

    Nuvance Health (Danbury, CT)
    …*A successful candidate for this role will be able to:* * Conduct in-depth chart review utilizing clinical knowledge and expertise using applicable criteria and ... in Microsoft Office Suite of products. *Responsibilities:* 1. Performs in-depth chart review with clinical knowledge of cardiovascular services. Collect… more
    Nuvance Health (06/11/25)
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  • Divisional Coder IV Remote

    AdventHealth (Altamonte Springs, FL)
    …that **together** we are even better. **Shift** : Monday-Friday **Job Location** : Remote **The role you will contribute:** The Coder Analyst IV is a Health ... for the Multi-State Division. Will work and resolve the chart correction issues daily and work with the team...Coder Analyst IV may participate in our quality, safety review process, which includes mortality, PSI, and HAC reviews.… more
    AdventHealth (06/14/25)
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  • Revenue Integrity Charge Specialist Fully…

    Trinity Health (Syracuse, NY)
    …based on service line and charge type; including but not limited to: chart review , charge extraction, E&M level assignment and charge entry.Documents lessons ... service lines, advanced proficiencies in surgical or specialty coding practice.Reviews chart , including nursing notes, physician orders, progress notes, and surgical… more
    Trinity Health (05/03/25)
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  • RN-Endocrinology Office - Albany, NY / Hybrid…

    Trinity Health (Albany, NY)
    …Office Hours **What you will do:** RN hybrid position specialized role to do chart review for endocrine referrals. The **Registered Professional Nurse** has the ... **RN - Endocrinology Office - Albany, NY / Hybrid Remote - FT** If you are looking for an...room, takes appropriate vital signs and documents in electronic medical record. + Review and update medication… more
    Trinity Health (05/15/25)
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  • Manager, DRG Coding & Validation (RN)…

    Molina Healthcare (Columbus, OH)
    …build tools, workflow process, training, audits, and production management. * Integrates medical chart coding principles, clinical guidelines, and objectivity in ... to make audit determinations and generate audit letters, train team members. * Manage medical claim review team nurses, ensure operational goals are meet and… more
    Molina Healthcare (06/14/25)
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  • Risk Adjustment Coding Specialist-Excellus Fully…

    Trinity Health (Syracuse, NY)
    …primary point of contact for Excellus contracted chronic condition validation. . Review of the patient population chronic and/or suspect condition(s) gaps and ... of all PCPs within the practices of SJH. Education will include one-to-one chart reviews of an individual PCP's charts with specific recommendations and education… more
    Trinity Health (05/29/25)
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  • Clinical Documentation Specialist (Registered…

    Northwell Health (Lake Success, NY)
    …on assigned patient care units to clarify clinical documentation in the patient's medical record through a concurrent review process throughout the patient's ... mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and all commercial payers. Generates… more
    Northwell Health (06/11/25)
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  • Intern, R&D Undergraduate Year Round - Energy…

    Sandia National Laboratories (Albuquerque, NM)
    …You can view the Intern Pay Rate chart here (https://www.sandia.gov/app/uploads/sites/51/2024/12/Student-Rate-Sheet-2025.docx) . Qualifications We Require: You ... of onsite work and working from home) + Generous vacation, strong medical and other benefits, competitive 401k, learning opportunities, relocation assistance and… more
    Sandia National Laboratories (06/11/25)
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  • Certified Oncology Data Specialist Full-Time…

    Trinity Health (Boise, ID)
    …living in the Treasure Valley, the Manager is open to a fully remote work option. **Minimum Qualifications:** + Associate degree in health information management or ... cases; maintain accuracy and productivity rates + Perform analysis and peer review of abstracts. + Supervise abstracting duties performed by non-certified colleagues… more
    Trinity Health (04/29/25)
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  • Inpatient Facility Coder - remote

    Cognizant (Hartford, CT)
    …+ Knowledge of federal, state, and payer regulations. + Capable of interpreting medical records reports and chart entries. + Able to work independently ... an Inpatient Coder to collaborate with our clients remotely. Responsibilities: + Review documentation to code diagnosis and procedures. + Communicate with physicians… more
    Cognizant (04/03/25)
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  • Manager, Health Plan Quality Interventions…

    Molina Healthcare (OH)
    …collaborative analytics and strategic teams to deliver proposed interventions for review and evaluation. + Communicates with the Molina Plan Senior Leadership ... Team, including the Plan President, Chief Medical Officer, national intervention collaborative analytics and strategic teams about key deliverables, timelines,… more
    Molina Healthcare (06/15/25)
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  • Sr Project Accountant

    Chart Industries (Stafford, TX)
    Sr Project Accountant **Location:** Stafford, TX, United States, 77477 **Company:** Chart Industries **_Ensuring Chart 's Success _** Cooler By Design"- Chart ... and build are pretty cool too. Also, we're problem solvers. Customers don't come to Chart with an equipment specification, they come to Chart with a challenge.… more
    Chart Industries (06/14/25)
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  • ASA VI: Employee Health Services - 40hrs/week,…

    Albany Medical Center (Albany, NY)
    …Agility Pull correct chart and prepare it for delivery to the rack. + Review chart for compliance with all EHS requirements. + Ensure that all appropriate ... return paperwork to the front desk as appropriate. + Review the self-assessment for any 'yes' answers that lead...the rack. + Shred all documents removed from the chart with any identifying information. + Keep a supply… more
    Albany Medical Center (06/13/25)
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