- 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
- Humana (Trenton, NJ)
- …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
- RWJBarnabas Health (Oceanport, NJ)
- … quality issues and errors in the revenue cycle. Develop and implement quality improvement plans. + Training and Development Develop and deliver training ... Place, Oceanport, NJ 07757 Job Overview: The Revenue Cycle Quality Review Representative acts as both an auditor...analyze revenue cycle performance metrics to identify areas for improvement . Conduct audits and quality checks to… more
- RWJBarnabas Health (Oceanport, NJ)
- …or a related field. + Certified Public Accountant (CPA), Certified Internal Auditor (CIA), or equivalent professional certification preferred. + Minimum of 6-8 years ... risk assessments, testing, and reporting findings, ensuring timely delivery and high- quality outcomes. + Evaluate the effectiveness of internal controls, policies,… more