• Coding Quality Auditor, HEDIS * Remote

    Providence (OR)
    …Effectiveness and Data Information Set (HEDIS) program + Conduct Audits inclusive of review of outpatient medical records, hospital records, clinical lab and ... to identify and address opportunities for improvement + Perform chart audits electronically during the audit season + Complete...to fill in for staff vacancies.** **Providence welcomes 100% remote work for applicants who reside in the United… more
    Providence (11/16/24)
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  • Medical Coder/Coding Specialist III-…

    Tidelands Health (Myrtle Beach, SC)
    …as set forth by AHIMA. Abstracting required clinical information from the medical record. Queries physicians as needed, to clarify documentation to ensure accurate ... reviews, and data collection. + Reviews all documentation from Qualified Medical Providers (QMPs) to assign all significant diagnoses. Additionally, all… more
    Tidelands Health (09/08/24)
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  • Clinical Nurse Auditor, HEDIS * Remote

    Providence (WA)
    …Effectiveness and Data Information Set (HEDIS) program + Conduct Audits, which include review of outpatient medical records, hospital records, clinical lab and ... + Organize data to identify and address opportunities for improvement + Perform chart audits electronically or on site in physician practices during the audit season… more
    Providence (10/30/24)
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  • Triage Registered Nurse - Remote

    SUNY Upstate Medical University (Syracuse, NY)
    …plan. PATIENT PRESCRIPTION REFILLS (sent electronically from pharmacies to the office) : Review to refill or deny all medications daily . All prescriptions need to ... , accuracy of medication dose and/or continuation . MY CHART MESSAGES (patient email messages) : Must be reviewed...to the patient's satisfaction and undstanding. This position is remote , requires internet service and private working space Minimum… more
    SUNY Upstate Medical University (10/16/24)
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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 (11/07/24)
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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 (10/16/24)
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  • Director, Clinical Data Acquisition…

    Molina Healthcare (MI)
    …operations that drive change. + Functions as key lead for clinical chart review /abstraction and team management. This includes qualitative analysis, reporting ... is responsible for the implementation, monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment… more
    Molina Healthcare (11/09/24)
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  • Telehealth Primary Care Physician - Remote

    The Cigna Group (Bloomfield, CT)
    …to dedicate to clinical competency, quality metrics, in-basket management, meeting attendance, APP chart review and APP meetings. + Eligible for bonus incentives ... Medical Staff activities and responsibilities, including, without limitation, attendance at Medical Staff meetings, completion of clinical chart reviews and… more
    The Cigna Group (10/16/24)
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  • Senior Credit Risk Consultant - Remote

    Williams Adley (Washington, DC)
    …works on a team with other consultants responsible for commercial loan file review activities of various financial institutions in support of SBA's 7(a) Guaranteed ... on the various types of loan reviews of SBA Lenders + Providing loan review services and consulting with lenders on credit-related matters + Making and sustaining… more
    Williams Adley (10/01/24)
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  • Audit Manager, Enterprise Services - Remote

    Williams Adley (Washington, DC)
    …and finalizing deliverables for client submission, performing a detailed review of audit/assessment work papers, providing feedback, guidance, and instruction ... and evaluations of, and share knowledge with team members. + Perform detailed review of working papers, and supporting documentation, including but not limited to… more
    Williams Adley (11/28/24)
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  • Audit (External Federal) Supervisor…

    Williams Adley (Washington, DC)
    …in audit work papers + Provides guidance and trains team members + Review work papers, financial statements, and reports for accuracy, completeness, compliance, and ... mentoring, professional membership/subscription dues, and professional development opportunities, you can chart a unique and fulfilling career path on your own… more
    Williams Adley (11/28/24)
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  • Project Support Analyst, Consulting (SBA)…

    Williams Adley (Washington, DC)
    …assigned. + Assisting with resource management of approximately (8 staff) throughout the review process and coordinating all team members to keep the workflow on ... mentoring, professional membership/subscription dues, and professional development opportunities, you can chart a unique and fulfilling career path on your own… more
    Williams Adley (11/26/24)
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  • Audit Manager (Government) - Remote

    Williams Adley (Washington, DC)
    …training and evaluations of, and share knowledge with team members. + Review working papers, financial statements and reports for accuracy, completeness, compliance, ... mentoring, professional membership/subscription dues, and professional development opportunities, you can chart a unique and fulfilling career path on your own… more
    Williams Adley (11/15/24)
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  • USSGL Senior Accountant/Team Lead- Remote

    Williams Adley (Washington, DC)
    …statements, balance sheets, income statements, and general ledger. Prepare and review financial and statistical reports, analyzing unusual items on financial reports ... mentoring, professional membership/subscription dues, and professional development opportunities, you can chart a unique and fulfilling career path on your own… more
    Williams Adley (11/06/24)
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  • Intermediate Clinical Auditor/Analyst, QA…

    UPMC (Pittsburgh, PA)
    …providers/physicians and providing detailed reports of audit findings. **Responsibilities:** + Review and analyze claims, medical records and associated ... clinical experience. + Three years of fraud & abuse, auditing, case management, quality review or chart auditing experience required. + DRG or APR experience… more
    UPMC (11/01/24)
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  • Remote Hedis LPN

    Actalent (Philadelphia, PA)
    …quality initiatives as necessary Skills: Quality improvement, data, audit, data abstraction, chart review , medical , quality audit, managed care, Medicare ... Remote HEDIS LPN Abstractor Description: Position Purpose: Lead...standards and/or custom or other measure set standards + Review medical records and abstract data for… more
    Actalent (11/23/24)
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  • Clinical Documentation Specialist - 100%…

    Houston Methodist (Houston, TX)
    …caring for adults in an acute care hospital setting is required; coding and utilization review experience preferred + For Medical School graduate - One year of ... **Clinical Documentation Specialist - 100% Remote (Must Live in FL, TN, GA, LA,...quality and completeness of clinical documentation. This position analyzes medical records for DRG's, complications, and comorbidities; identifies trends;… more
    Houston Methodist (10/10/24)
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  • Intern, Business Graduate Summer - Technology…

    Sandia National Laboratories (Albuquerque, NM)
    …You can view the Intern Pay Rate chart here (https://www.sandia.gov/app/uploads/sites/51/2024/10/Student-Rate-Sheet-Sept-2024.pdf) . Qualifications We Require: You ... of onsite work and working from home) + Generous vacations, strong medical and other benefits, competitive 401k, learning opportunities, relocation assistance and… more
    Sandia National Laboratories (11/22/24)
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  • Intern, R&D Graduate Year-Round - Wind Energy…

    Sandia National Laboratories (Albuquerque, NM)
    …You can view the Intern Pay Rate chart here (https://www.sandia.gov/app/uploads/sites/51/2024/01/Student-Rate-Sheet\_2024.pdf) . Qualifications We Require: You ... of onsite work and working from home) + Generous vacations, strong medical and other benefits, competitive 401k, learning opportunities, relocation assistance and… more
    Sandia National Laboratories (10/12/24)
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  • Sr. Abstractor, HEDIS/Quality Improvement…

    Molina Healthcare (GA)
    …level abstractors. **Job Duties** + Performs the coordination and preparation of the HEDIS medical record review which includes ongoing review of records ... and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over...submitted by providers and the annual HEDIS medical record review . + Participates in meetings… more
    Molina Healthcare (11/29/24)
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