- UPMC (Pittsburgh, PA)
- …of departmental chart and documentation flow, prior to the performance of a medical audit , to assure that documentation review encompasses all available records, ... toward patients, visitors, staff, peers, physicians and other departments within the medical center. + Develop computer based audit spreadsheet that accurately… more
- Children's Mercy Kansas City (Kansas City, MO)
- …Systems Senior Manager, provides analytical implementation of a process for thorough medical record review and professional audit services based on advanced ... patient medical record. + Develops and designs the medical record review and clinical audit process utilizing a continuous and thorough program gap analysis;… more
- YesCare Corp (Goshen, NY)
- …Orange County Sherriffs Office in Goshen, NY: **Administrative** + Serve as Chairman of the Medical Audit Committee. + Consult with medical providers in the ... **Experience & Requirements** + Graduate of an accredited medical school. + Fully licensed to practice medicine...review and approve clinical protocols, policies and procedures, and medical disaster plan. + Provide direction and assistance to… more
- YesCare Corp (Philadelphia, PA)
- …Industrial Correctional Center, Philadelphia, PA** **Administrative** + Serve as Chairman of the Medical Audit Committee. + Consult with medical providers in ... **Experience & Requirements** Graduate of an accredited medical school. + Fully licensed to practice medicine...appropriate delivery of on site and off site necessary medical care. While in charge of a site, this… more
- Rising Medical Solutions (Chicago, IL)
- …of medical records and medical billing statements, and will: + Audit medical and billing records to determine if services provided are reasonable, ... Have you ever looked a medical bill and immediately noticed something was wrong?...business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who… more
- Elevance Health (Morristown, NJ)
- … chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- Robert Half Finance & Accounting (Phoenix, AZ)
- …check writing procedures, and bank reconciliations. * Oversee and manage the external audit of the firm's medical benefit plans. * Coordinate the bi-annual ... an engaging opportunity in the Services industry, for the role of an Internal Audit Manager, based in Phoenix, Arizona, United States. In this role, your primary… more
- Justice, Bureau of Prisons/Federal Prison System (Pekin, IL)
- …Bureau of Prisons (BOP) and medical staff requirements. Performs the monthly medical record audit in coordination with the medical staff. Processes ... of humanity and normalcy, we develop good neighbors. Responsibilities Analyzes medical records for completeness, consistency and compliance with Joint Commission on… more
- Trinity Health (Detroit, MI)
- …and others to assure compliance. May be requested to assist with the medical record audit process. + Documents patient phone calls and advice/treatment ... supervision, prepares patients for office visit, takes vital signs and records in medical record, obtains patient chief complaint, escorts patient to exam room, and… more
- Molina Healthcare (Los Angeles, CA)
- …Certification, Association** + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + ... federal, NCQA, and any other applicable requirements. + Distributes audit results letters, follow up letters, audit ...Distributes audit results letters, follow up letters, audit tools, and annual reporting requirement as needed. +… more
- Jupiter Rehabilitation and Healthcare Center (Jupiter, FL)
- …laws and in compliance with HIPAA (Health Insurance Portability Accountability Act). + Conduct audit of closed medical records using audit tool and submit ... Central Supply/ Medical Records PRINCIPLE FUNCTION: Performs activities associated with...record information within the resident's record in accordance with medical record order in a timely manner. These include… more
- Dignity Health (Phoenix, AZ)
- …+ Understanding of rules and guidelines to include American Association of Medical Audit Specialists (AAMAS) and National Commission on Insurance Guidelines ... heart of Phoenix, Arizona, (http://phoenix.gov/visitors/index.html) St. Joseph's Hospital and Medical Center is a 571-bed, not-for-profit hospital that provides a… more
- McLaren Health Care (Detroit, MI)
- **Job Summary:** Under indirect supervision, audit medical charges and record for compliance with federal coding regulations and guidelines ensuring that ... medical billing is correct and conforms to legal and...requirements; ensure the integrity of department billing. **Responsibilities:** + Audit billing reports to ensure patient encounters are billed… more
- State of Colorado (Denver, CO)
- …packages, incident reports, pharmacy invoices, Electronic Health Record documentation. Ensures that DYS medical audit standards are met in the medical clinic ... of the clinic. Job Duties: Clinical Management: Functions as the facility medical authority (RHA). Ensuring that health screens, health appraisals, histories and… more
- Ultium Cells (Warren, OH)
- …illness reporting) at all sites c. Assure quality of medical care and medical records through audit process d. Timekeeping Approval e. Manage complex staff ... people to get around. **Job Summary** The Ultium Cells Medical Director is a critical role responsible for overseeing...Director is a critical role responsible for overseeing the medical operations at Ultium Cells 1 and 2. They… more
- PruittHealth (Gainesville, GA)
- …in discussion of hospital list and status of each patient. * Review and audit medical records according to agency SOPs for accuracy and completeness, eg ... ** Medical Records Specialist - Home Health Services** Home...PURPOSE:** Reporting to the Branch Office Manager (BOM), the Medical Records Specialist (MRS) is responsible for maintaining … more
- Robert Half Accountemps (Plantation, FL)
- …billing, and claim administration, while utilizing various computer programs. Responsibilities: * Audit medical claims to ensure accuracy and compliance with ... offering a short term contract employment opportunity for a Medical Claims Analyst in the insurance industry, based in...the insurance industry, based in Plantation, Florida. As a Medical Claims Analyst, you will be tasked with handling… more
- Elderwood (Lake Placid, NY)
- …program, Tuition reimbursement program, Uniform Provided Responsibilities Unit Clerk Responsibilities: + Audit Medical Records of residents on assigned unit for ... This position is responsible for coordinating proper placement of documents in Medical Record; performing secretarial duties for assigned unit; assist with inventory… more
- PruittHealth (Norcross, GA)
- …in discussion of hospital list and status of each patient. + Review and audit medical records according to agency SOPs for accuracy and completeness, eg ... our commitment to caring for our 16,000 partners. **Position:** Medical Records Specialist, Intake Coordinator, Insurance Verification **Location:** 1626 Jeurgens… more
- City of New York (New York, NY)
- …related to mental health and behavioral health. - Provide partial oversight to the Medical Audit Team in developing and updating auditing and monitoring tools ... The New York City Administration for Children's Services' OCFH is seeking a Medical Director to provide clinical and administrative oversight for the PBHU. The … more
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