- University of Miami (Hialeah, FL)
- …review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Concurrent Quality Reviewer of our hospital ... reviews documentation in the electronic medical record (EMR) and ensures that accurate assignment and...CDIs, Coders, Quality, and other relevant multidisciplinary teams. The concurrent inpatient quality reviewer will assign a… more
- UPMC (Pittsburgh, PA)
- …As the Senior Medical Auditor, you will provides technical expertise to review staff to ensure that all physicians, clinical, billing and coding staff are ... for manager or practice discussion. + Perform internal retrospective, concurrent or prospective medical chart audits to...and documentation flow, prior to the performance of a medical audit, to assure that documentation review … more
- Trinity Health (Boise, ID)
- …transition needs. Reassesses, monitors, and modifies transition needs as appropriate. Conducts concurrent medical record review using established medical ... of care. **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management/utilization review and discharge planning collaboratively determining level of care needs… more
- Queen's Health System (Honolulu, HI)
- …and completeness of clinical documentation throughout The Queen's Health Systems, through concurrent medical records reviews and query process. * Responsible for ... the concurrent review of provider documentation to ensure...team to ensure integrity and completeness of documentation and code assignment for the purposes of appropriate reimbursement, risk… more
- Fairview Health Services (St. Paul, MN)
- …the outpatient/ambulatory setting. + Facilitate appropriate clinical documentation through prospective, concurrent , and retrospective medical record review . ... (HCCs), ICD-10-CM specificity, and CPT/HCPCS codes in outpatient visits. Outpatient CDI review a variety of outpatient settings including, but not limited to… more
- Fallon Health (Worcester, MA)
- … records for accuracy of coding, ambiguous, conflicting or incomplete documentation. * Conducts concurrent review of the medical records to increase the ... the overall improvement of the quality, completeness and accuracy of medical record documentation through interaction with physicians and other business partners.… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …overall quality and completeness of clinical documentation. Inpatient CDI focuses on the concurrent review of patient records with an emphasis on improving ... Management section at the Fayetteville NC VA Coastal Health Care System. MRTs ( Coder ) are skilled in classifying medical data from patient health records… more
- Kaleida Health (Buffalo, NY)
- …the clinical documentation. Facilitate modifications to clinical documentation through concurrent interaction with physicians/clinical staff, Medical Directors, ... **Clinical Documentation Specialist Outpatient** **Location:** Buffalo General Medical Center Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1… more
- Kaleida Health (Buffalo, NY)
- …the clinical documentation. Facilitate modifications to clinical documentation through concurrent interaction with physicians/clinical staff, Medical Directors, ... Description:** The Outpatient Clinical Documentation Specialist (CDS) will perform concurrent and retrospective compliance reviews of the coding and documentation… more
- Covenant Health Inc. (Knoxville, TN)
- …the validity and reliability of the case-mix index, CDI is accountable for concurrent review of health records, reviewing documentation that supports the ... reviews in the setting of an acute care facility. Concurrent reviews assure the completeness of medical ...to help link ICD-10-CM and ICD-10-PCS coding guidelines and medical terminology to improve accuracy of final Code… more
- GE Vernova (Schenectady, NY)
- …Technical Director, Generation Products & Services team with focus on Grid Code Testing, within the Consulting Services organization, working across several other ... development of GE product/service offerings and support New Product/Technology Introductions concurrent with GE business needs. + Support domestic and global… more
- State of Colorado (Pueblo, CO)
- …delegated by the team within scope. C. Remain with the patient and yell for help/ medical emergency/ code 0. D. Go to the patients side to see if they ... males & females, ages 18 and over. Patients have psychiatric disorders with concurrent criminal involvement or are highly dangerous, requiring inpatient care in a… more
- State of Colorado (Pueblo, CO)
- …delegated by the team within scope. C. Remain with the patient and yell for help/ medical emergency/ code 0. D. Go to the patient's side to see if they ... males & females, ages 18 and over. Patients have psychiatric disorders with concurrent criminal involvement or are highly dangerous, requiring inpatient care in a… more
- Beth Israel Lahey Health (Boston, MA)
- …care being billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review of medical records to ensure criteria for ... Position Summary: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status based on… more
- St. Luke's University Health Network (Allentown, PA)
- …+ Conducts reviews of cases lost with feedback to respective departments + Conduct concurrent review with utilization review department for post op surgical ... Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment in accordance with AHA ICD-10-CM and AMA CPT-4 coding… more
- Hartford HealthCare (Farmington, CT)
- …experience in an acute care hospital setting. . Two years denials review , auditing, management, mentoring and/or coder training experience. *Licensure, ... coding teams as needed. . Participatesin the development and review of HIM Coding Policy and Procedures. . Participates...for the team. ** . Leads and manages multiple concurrent projects, prioritizes tasks and adapts to frequent changes… more
- Swedish Health Services (Seattle, WA)
- **Description** **Utilization Review RN** **Full time 1 FTE** **Day Shift** The Utilization Review (UR) Nurse has a strong clinical background blended with a ... well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by… more
- Medical Mutual of Ohio (OH)
- …, which includes experience communicating with providers.** + ** Medical /clinical background highly desirable.** **Professional Certification(s)** + **Registered ... Founded in 1934, Medical Mutual is the oldest and one of...to ensure appropriate delivery approach and assist in the review of provider agreements.** + **Acts as project manager… more
- Capital One (Mclean, VA)
- Manager Data Analysis - Credit Review Innovation, Data and Models Team At Capital One, data is at the center of everything we do. When we launched as a startup we ... solutions and capabilities to tackle business problems. In Capital One's Credit Review , we provide independent and objective assurance relative to credit risk… more
- Nuvance Health (Danbury, CT)
- …Auditor performs detailed chart to bill audits of inpatient or outpatient medical accounts, comparing the medical record documentation with the itemized ... coordinates and reports audits savings or losses for the facilities and medical groups, data processing errors, the performance of the hospitals and physician… more