• Associate, CRP Compliance & Audit Analyst…

    UPMC (Pittsburgh, PA)
    …out of the US Steel Tower in Pittsburgh, PA. This position will have the potential to work from home with a hybrid schedule of 3 days per week at home and ... team at UPMC as an Associate, CRP Compliance & Audit Analyst! Under the guidance of the Office of...to enhance and maintain internal and external websites. Perform chart reviews to assess compliance with various regulations and… more
    UPMC (12/18/24)
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  • ROI & Audit Technician

    Cambridge Health Alliance (Everett, MA)
    ROI & Audit Technician **Date Posted:** 08/08/2024 **Requisition Number:** 8239 **Location:** CHA Everett Hospital **Work Days:** 8:30 AM to 5PM **Category:** ... records to clinical departments and patients. The Release of Information and Audit Technician is responsible for retrieving, and sending medical records and clinical… more
    Cambridge Health Alliance (12/04/24)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …Adjustment Model to confirm accuracy of Hierarchical Condition Categories (HCC)identified from abstracted ICD-10-CM diagnosis codes for the correct Benefit Year. ... Adjustment (RA) programs, including the Risk Adjustment Data Validation (RADV) audit and the Supplement Diagnosis submission program. Inclusive of Quality Audits… more
    The Cigna Group (01/07/25)
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  • Senior Medical Auditor - Pediatrics (Work…

    UPMC (Pittsburgh, PA)
    …overall results (ie, effectiveness assessments) of the regular, special and CERT+ audit programs. + Develop and manage relationships with colleagues in a ... other departments within the medical center. + Develop computer based audit spreadsheet that accurately depict all coding/documentation discrepancies, identifies the… more
    UPMC (12/07/24)
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  • Licensed Practical Nurse- Home Care-Ocean…

    Hackensack Meridian Health (Brick, NJ)
    …an RN. + Properly comply with appropriate physician orders in a timely manner. Chart , audit and demonstrate compliance on frequency and timely admission of ... thin in your current job? A return to the HOME could make you fall in love with nursing...Teach patients and families based on identified health needs. Chart , audit and demonstrate documentation of teaching… more
    Hackensack Meridian Health (12/25/24)
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  • Home Dialysis Patient Care Technician

    Fresenius Medical Center (Clinton, NC)
    …as part of the dialysis health care team in providing safe and effective home dialysis therapy and training for patients under the direct supervision of a licensed ... state, and federal agencies. Assists in the setup of home dialysis equipment and the maintenance of a safe...providers, and other team members. + Obtains treatment records from patients and/or systems, reviews for completion, and reports… more
    Fresenius Medical Center (12/31/24)
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  • Home Health Infusion Nurse - Per Diem

    Option Care Health (Rutland, VT)
    …in facility process improvement program and assists Supervisor or Nurse Manager with chart audit functions as applicable. + Performs other related duties as ... **Extraordinary Care. Extraordinary Careers.** **With the nation's largest home infusion provider, there is no limit to the growth of your career.** Option Care… more
    Option Care Health (01/08/25)
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  • PRN Home Infusion Nurse

    Naven Health (Mashpee, MA)
    …as assigned. May actively participate in company PI/QI program and assists with chart audit functions as applicable. + Performs other related duties as ... on our unyielding commitment, always.** Naven Health is a nationwide home infusion nursing network and clinical platform focused on delivering specialized,… more
    Naven Health (01/08/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (St. Johnsbury, VT)
    …in the NH/VT area with the following responsibilities: lab clinic visits, clinic audit checklists, home visits to patients' homes, HT trainings, HT patient ... or corrected by appropriate staff. + Prepare initial patient chart for admission and compile paperwork for appropriate placement...to plan. + Assists in assuring patient understanding or home dialysis products, benefits of home and… more
    Fresenius Medical Center (12/31/24)
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  • Lead Coding & Education Specialist (Hybrid - Troy,…

    Henry Ford Health System (Troy, MI)
    …through a combination of education and engagement programs and medical chart review and/or auditing activity. Identifies trends and educational opportunities for ... PRINCIPLE DUTIES AND RESPONSIBILITIES: + Leads and oversees audits projects, chart reviews, RADVs, and provider education for retrospective, concurrent, prospective,… more
    Henry Ford Health System (12/11/24)
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  • Medical Records, Intake, Prior Authorizations

    PruittHealth (Blue Ridge, GA)
    **Medical Records Specialist - Home Health Services** Home is where the heart is! That's why PruittHealth @ Home is committed to caring for our patients and ... a timely and accurate manner to ensure documentation flows from referral to final billing in an efficient and...assemble any paper or electronic medical records into proper chart order. Ensure that records are continuously updated, and… more
    PruittHealth (12/19/24)
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  • Coding and Compliance Internal Auditor

    Atlantic Health System (Morristown, NJ)
    …of coding such as appropriate documentation, accurate coding, coding trends found during chart reviews, third party audit findings, and annual coding updates. 6. ... providers and staff; also responsible for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal Accountabilities: 1.… more
    Atlantic Health System (11/26/24)
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  • CDM Analyst RI Auditor

    Chesapeake Regional Healthcare (Chesapeake, VA)
    Summary With direction from the Patient Financial Services Director, the Nurse Auditor/ Revenue Integrity/ CDM Analyst is responsible for performing audits of ... of all observation account documentation to charges, carve-out observation time from procedures, review documentation to charge code injection and infusion charges… more
    Chesapeake Regional Healthcare (10/26/24)
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  • Operations Associate Cardiac Monitor Tech

    Baystate Health (Springfield, MA)
    …earned increases + Continuing education support and reimbursement + First Time Home Buyers Financial Packages + Farm Share Memberships + 403b retirement company ... on years of service + Free money coach advice from a certified professional + Wellbeing programs that include...limited to mental, physical, and financial health + Pet, home , auto and personal insurance + Life insurance +… more
    Baystate Health (01/07/25)
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  • Senior FISMA Auditor

    Williams Adley (Washington, DC)
    …technology concepts, practices, standards, and procedures; industry best practices; and audit frameworks. The following are representative, but not all-inclusive, of ... firm + Relevant industry experience in the areas of information systems audit , internal control reviews, general and application control reviews + Demonstrated… more
    Williams Adley (11/15/24)
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  • Intern, Technical Undergraduate Year-Round - ES&H,…

    Sandia National Laboratories (Albuquerque, NM)
    …workweeks, part-time work, and telecommuting (a mix of onsite work and working from home ) + Generous vacations, strong medical and other benefits, competitive ... On any given day, you may be called on to: + Work on IT projects for audit leads and management + Review and analyze data + Develop and design our Quality Management… more
    Sandia National Laboratories (12/20/24)
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  • Inpatient Rehab PPS Coordinator

    HCA Healthcare (Charleston, SC)
    …teamwork. Demonstrates problem solving in resolving issues.** + **Participates in internal chart reviews and external audit coordination as needed.** **What ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (01/04/25)
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  • PPS Coordinator

    HCA Healthcare (Wichita, KS)
    …teamwork. Demonstrates problem solving in resolving issues. ​ ​Participates in internal chart reviews and external audit coordination as needed. ​ ​Participates ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (11/28/24)
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  • Patient Care Technician - PCT - Dialysis Preceptor

    Fresenius Medical Center (Ypsilanti, MI)
    …as part of the dialysis health care team in providing safe and effective home dialysis therapy and training for patients under the direct supervision of a licensed ... state, and federal agencies. Assists in the setup of home dialysis equipment and the maintenance of a safe...providers, and other team members. + Obtains treatment records from patients and/or systems, reviews for completion, and reports… more
    Fresenius Medical Center (12/31/24)
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  • Revenue Recovery RN

    UCHealth (Denver, CO)
    Description Revenue Recovery RN Location: Colorado. This may be a 100% work- from - home opportunity but you must reside in Colorado. Department: UCHlth Denials ... Management Payer Audit FTE: Full Time, 1.0, 80.00 hours per pay...defense audits. Facilitates accurate reimbursement through appeal writing, conducts chart review of charge capture to documentation, and provides… more
    UCHealth (01/04/25)
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