- Intermountain Health (Columbus, OH)
- **Job Description:** The goal of the Clinical Documentation Specialist - Auditor is to improve the accuracy of the overall clinical picture and the ... of the complexity and severity of illness of patients through improved clinical documentation and diagnostic coding practices. Job Essentials Reviews medical… more
- Elevance Health (Columbus, OH)
- …Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified ... **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position...is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- ProMedica Health System (Toledo, OH)
- …and documentation trends and issues of both physicians and clinical staff and collaborates with the office manager/operations director, physicians and staff ... audit, and billing education services to providers. Ensures medical service documentation and coding conforms to guidelines and regulations. Responsible for handling… more
- Hackensack Meridian Health (Hackensack, NJ)
- …The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code assignment for compliance with billing ... with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency...efficiency in filing of inpatient claims. Collaborates with the Clinical Documentation Quality Liaison to assist in… more
- Veterans Affairs, Veterans Health Administration (Fredericksburg, VA)
- …modifier usage for outpatient health records. Audit function includes evaluation of clinical documentation to support optimal code assignment. Reviews coding and ... perform prospective and retrospective coding audits and use results to identify documentation , coding inadequacies, and re-educate clinical and coding staff… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Quality Auditor ** is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to insure ... A day in the life of an **Coding Quality Auditor ** at **Hackensack Meridian** **_Health_** includes: + Reviews Diagnosis...needed) in 3M as needed for DRG mismatches on Clinical Documentation Improvement (CDI) reviewed cases. +… more
- Hackensack Meridian Health (Edison, NJ)
- …healthcare and serve as a leader of positive change. The Research Compliance Auditor is a key contributor to HMH's Research Compliance Audit and Monitoring Program ... with applicable policies, regulations, and best practices. The Research Compliance Auditor is also responsible for identifying and developing resources to support… more
- Elevance Health (Indianapolis, IN)
- …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues ... **DRG (DIAGNOSTIC RELATED GROUP) CODING AUDITOR ** **Location** : This position will work a...and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical… more
- Houston Methodist (Austin, TX)
- …appropriate, utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG ... At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in...and procedure to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance… more
- Columbus Regional Hospital (Columbus, IN)
- …+ Registered Health Information Technician (RHIT) + Certified Professional Medical Auditor (CPMA) or Certified Documentation Improvement Practitioner (CDIP) ... position: + Responsible for evaluating and auditing provider coding and documentation compliance to determine appropriate code assignments for diagnoses and services… more
- Baylor Scott & White Health (Columbus, OH)
- …**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and compliance with standards of ethical ... offer feedback on Risk Adjustment Methodology + Interprets health record documentation to code and abstracts diagnoses and/or procedures for inpatient, outpatient,… more
- Northwell Health (Garden City, NY)
- …and visiting nurses those Medical Records that are deficient in diagnosis and clinical documentation . + Reviews Outcome Assessment Information Set (OASIS) and ... visit documentation for errors and inconsistencies related to clinical documentation , including wounds. + Discusses findings related to OASIS reviews and… more
- Northwell Health (Garden City, NY)
- …RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist -Diagnosis, COS-C Certificate for OASIS Specialist - Clinical .** Validates Acute Inpatient ... by the documentation in the Medical Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI… more
- Kelly Services (Rochester, NY)
- ** Clinical Quality Specialist ** Kelly(R) Science & Clinical is seeking a Clinical Quality Specialist for our client in Rochester, New York. If you're ... into 2025 **Pay:** $28-29 an hour Depending on experience Clinical Quality Specialist manages the logistics of...liaison with audit Consultants and Audit Firms. + Collect Auditor qualification documentation and ensure qualifications met… more
- LSI Solutions (Victor, NY)
- …devices. After all, our customer is ultimately the patient. JOB TITLE: Regulatory Specialist (Labeling) - Days 8:00AM to 5:00PM SALARY RANGE: $113,000 - $131,000 ... Onsite at LSI Solutions in Victor, NY JOB SUMMARY: The Regulatory Specialist applies her/his experience, knowledge, organization skills, and communication skills in… more
- Columbus Regional Hospital (Columbus, IN)
- … (CPMA), Certified Documentation Improvement Practitioner (CDIP), or Certified Clinical Documentation Integrity Specialist (CCDS) certification preferred ... teams. + The PB Coding Reimbursement Specialist assists with communicating documentation issues to physicians and clinical departments. + This position… more
- Astellas Pharma (Westborough, MA)
- **QA Compliance Specialist ** Do you want to be part of an inclusive team that works to develop innovative therapies for patients? Every day, we are driven to develop ... range of disease indications, ranging from macular degeneration (currently in clinical trials) and other ocular indications to vascular and autoimmune disease.… more
- Astellas Pharma (Westborough, MA)
- **Senior Validation Specialist , Quality Assurance** Do you want to be part of an inclusive team that works to develop innovative therapies for patients? Every day, ... range of disease indications, ranging from macular degeneration (currently in clinical trials) and other ocular indications to vascular and autoimmune disease.… more
- HonorHealth (Scottsdale, AZ)
- …urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, ... HonorHealth.com. Responsibilities Job Summary The Environmental, Health, and Safety (EHS) Specialist will assist and support with safety inspections and risk/hazard… more
- Molina Healthcare (Columbus, OH)
- …Please identify this experience on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance contributes to one or ... Quality Interventions and Quality Improvement Compliance. + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and… more