- Hackensack Meridian Health (Little Falls, NJ)
- …and Hospice, and other clinical assessment tools as needed. + Review every Medicare and Managed Medicare admission chart to determine that the coding ... condition and to assure HIS is consistent with coding. Review every admission chart to determine whether the HIS is completed appropriately/accurately per… more
- Hackensack Meridian Health (Brick, NJ)
- …and Hospice, and other clinical assessment tools as needed. + Review every Medicare and Managed Medicare admission chart to determine that the coding ... condition and to assure HIS is consistent with coding. Review every admission chart to determine whether the HIS is completed appropriately/accurately per… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …in state health care facilities for purposes of maximizing reimbursement revenue via Medicare Part B programs; + May review medical records and compile ... Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment #...care providers; + May supervise and participate in hospital Medicare and Medicaid reimbursement programs including preparation of appeals… more
- Behavioral Center of Michigan (Warren, MI)
- …data and supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the patient's chart and records clinical information ... Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of complex… more
- CommonSpirit Health Mountain Region (Durango, CO)
- …leaders who care about your success. Assist with training and coordinating clinical review and quality assurance. Lead and review the appropriateness of clinical ... care and documentation practices related to patients/residents. Review and evaluate quality data to determine areas needing improvement. Review patient… more
- Sharp HealthCare (La Mesa, CA)
- …coverage through MCA for SRS/SCMG and MPV (or Portal) for potential Medicare or Medi-Cal.Use Coordination of Benefits (COB) standards to prioritize billing order ... of insurance plans. Medicare patients - Medicare Secondary Payer (MSP)...medical records and facilitate transfers from/to outside facilities.Create patient chart for physician and organize charts for the HIM… more
- The Cigna Group (Houston, TX)
- …upon independent judgment and decision-making at provider sites, whether conducting chart review or providing training/education. + Develop relationships with ... **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned...program to ensure correct coding and documentation. + Conduct chart reviews for providers and review findings… more
- Corewell Health (Stevensville, MI)
- …of last day of Medicare A coverage. + Performs audits and quality review duties as assigned by Manager. Monitors accuracy of MDS items completed by other ... Ridge is a 111-bed Skilled Nursing Facility that is Medicare and Medicaid Certified with 33 private rooms and... and Medicaid requirements. Essential Functions + Reviews nursing chart on resident information and performs evaluations as needed… more
- Mount Sinai Health System (New York, NY)
- …registered; Completes the central log assuring all fields are complete + Completes Medicare Payor Questionnaire for all Medicare patients + Collects visit fees ... Patient Registration log + Makes appropriate copies of complete chart and stores in dedicated locations + Disburses ... + Gives attending physician walk out charts for review twice daily **About Us** **Strength Through Diversity** The… more
- St. Luke's University Health Network (Quakertown, PA)
- …education of network policy on Patient Identification including Mark for Merge, Chart Corrections, and Patient Look-Up. + Responsible for the patient registration ... related to registration. Can require contacting provider office, reviewing patient medical chart for diagnosis and medical necessity information. + Required to cross… more
- University of Colorado (Aurora, CO)
- …in-box continually during clinic hours and over the lunch hour. + Refill medications, review chart in detail, check PDMP for controlled substances. Task to front ... hours and over the lunch hour. + Refill medications, review chart in detail, check PDMP for...to obtain full prescriptive authority and DEA registration. + Medicare /Medicaid credentials. + Unrestricted DEA license and current CPR… more
- Penn Medicine (Philadelphia, PA)
- …CDI system of record to truthfully demonstrate current state discovered via chart review , discovery of qualities needing further provider clarification, ... Physician or designee requesting appropriate documentation + Ongoing concurrent chart review , identification of complications and co-morbidities, collaboration… more
- Fresenius Medical Center (Charlotte, NC)
- …(supply inventory for order, Kt/V collection, bringing meds to clinic visit for review ) + Prepare initial patient chart for admission. Complies and maintains ... the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and… more
- Fresenius Medical Center (Moscow, ID)
- …(supply inventory for order, Kt/V collection, bringing meds to clinic visit for review ) + Prepare initial patient chart for admission. Complies and maintains ... the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and… more
- Conviva (Daytona Beach, FL)
- …medical care and quality for patients and monitors care using available data and chart reviews. . Assists in the coordination of patient services, including but not ... Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum… more
- Conviva (Orange City, FL)
- …medical care and quality for patients and monitors care using available data and chart reviews. + Assists in the coordination of patient services, including but not ... defined by Clinical Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. + Participates in potential… more
- Conviva (Tampa, FL)
- …medical care and quality for patients and monitors care using available data and chart reviews. + Assists in the coordination of patient services, including but not ... defined by Clinical Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. + Participates in potential… more
- Conviva (Pompano Beach, FL)
- …medical care and quality for patients and monitors care using available data and chart reviews. + Assists in the coordination of patient services, including but not ... Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....Medicine preferred + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- CenterWell (Durham, NC)
- …has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary ... for patients and monitors care using available data and chart reviews. + Assists in the coordination of patient...byClinical Leadership. + Meets with RMD about quality of care, review of outcome data,policy, procedure and records issues. +… more
- Conviva (Tampa, FL)
- …and represent the clinical perspective of the market. + Assist in Ongoing Chart Review monitoring. + Assist with recruitment and interviewing as requested. ... screened for TB. **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of three to five… more