Claims Auditor manages the process by which claims failing established clinical-related adjudication parameters are evaluated... record review and Coding certification in AAPC or Ahima o Minimum two years RN experience in a clinical setting...
Job Description: Home Health Quality Review Specialist - OASIS Auditor Full Time Monday-Friday 8-5 Some on call... rotation Are you a dedicated Quality Review Specialist with a passion for delivering quality care? Join our team and make...
Job Description: Description Clinical Revenue Auditor-CDM Patient Financial Services-Corporate-Full-Time-Days...-Option to work remote or hybrid. The Clinical Revenue Auditor for the Mount Sinai Health System (MSHS) and the Icahn School...
Anticipated End Date: 2025-10-20 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG..., AP-DRG and APR-DRG) Job Description: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG...
Anticipated End Date: 2025-10-03 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG..., AP-DRG and APR-DRG) Job Description: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG...
General Summary of Position The Nurse Auditor, Clinical Operations MFC DC and MD will coordinate all activities... associated with clinical activities, including the development and review of training, and auditing materials, performing...
Clinical DRG Auditor Registered Nurse- Remote Hours: Mon - Fri 8:00a.m. - 5:00p.m. cst Pay Rate: B... judgement and analytical skills to appropriately review documentation submitted for claim audits. Utilize clinical judgement...
. Connecting. Growing together. In this position as a Clinical DRG RN auditor, you will apply your expert knowledge of the MS-DRG... of clinical criteria documentation requirements used to successfully substantiate code assignments Perform clinical coding review...
. Connecting. Growing together. In this position as a Clinical DRG RN auditor, you will apply your expert knowledge of the MS-DRG... of clinical criteria documentation requirements used to successfully substantiate code assignments Perform clinical coding review...
Auditor I performs detailed medical record audit review and analysis of the health plan’s outpatient, professional... history of providing health insurance that works for our members, no matter their circumstances. Job Summary The Clinical...
Description : JOB SUMMARY: The purpose of the Quality Assurance Clinical Auditor is to promote conformance... in managing clinical risks in the agency by participating Incident Review Committee Meetings, High Risk Meeting, and Sentinel...
, CCS, CCS-P, RHIA or RHIT. Experience 5 to 7 years of experience with clinical medical record coding or auditing... and Security Rules, CMS security requirements and clinical medical record coding or auditing. A broad knowledge of medical claims...
Shift: Days Location: Remote The role youll contribute: The Clinical Documentation Integrity Manager is a Registered... Nurse and/or a Registered Health Information Administrator with a high level of clinical proficiency necessary for the...
team, and The Power of Every One. Job Title Clinical Speech Pathologist - Auditory/Verbal Therapy Location Cleveland... organizations in the world. As a Speech Pathologist, you will perform clinical Speech Pathology test procedures and evaluate...
, MCRU management team, to review Corrective Actions Plans from/for Compliance and ensure that they are being managed... reports for Compliance monthly Work with the Delegates/vendors and the top 5% report to request/review members...
as a Senior Lead Compliance Auditor and take your career to the next level at Labcorp. This is an Onsite position at 8211 Scicor... an experienced member to join our Quality Assurance team. The Senior Lead Compliance Auditor plays a pivotal role in ensuring...
Overview Presbyterian is seeking a talented Hybrid Pro Fee Auditor/Educator With minimal supervision directly... and takes appropriate action to ensure accurate payment of claims; coordinate review and tracking of appealed claims including...
elements, review for query opportunities affecting DRG, severity of illness, and/or risk of mortality scores. Auditor will use... Job Summary: The Lead Coding Services Auditor is responsible for conducting prebill and retrospective reviews to include...
Overview: Presbyterian is seeking a talented Hybrid Pro Fee Auditor/Educator With minimal supervision directly... and takes appropriate action to ensure accurate payment of claims; coordinate review and tracking of appealed claims including...
and coding accuracy and payer claim processing. Job Duties: Review hospital records for clinical supports to validate the...This is a remote contract position. We are seeking an experienced DRG Validation Auditor with strong CDI expertise...