- Cambia Health Solutions, Inc (Portland, OR)
- …of the Risk Adjustment team, our Risk Adjustment Medical Coders performs Retrospective /Prospective chart review both on and off-site utilizing various types of ... to ensure accurate risk adjustment reporting. Identifies trends in provider coding/ documentation and works closely with Provider Education Consultants to develop… more
- Baystate Health (Holyoke, MA)
- **Summary:** The Clinical Documentation Specialist - Retrospective reviewer, collaborates with coding compliance and the department of healthcare quality in ... retrospective review of qualified selected cases. The employee as...staff, Nursing, Coding and QI specialist to ensure the clinical documentation supports and reflects the most… more
- University of Miami (Hialeah, FL)
- …by all reviewers. Support staff as the key resource for clinical documentation and coding. + Maintain concurrent and retrospective review expertise to ensure ... review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Manger of Clinical Documentation Integrity (CDI) provides daily leadership… more
- Navient (Chicago, IL)
- …POSITION IS HYBRID ( 3 DAYS/WEEK ON-SITE AT MT. SINAI HOSPITAL, IN CHICAGO, IL./ REMOTE 2 DAYS/WEEK) The Clinical Documentation Improvement Specialist (CDIS) ... is responsible for the concurrent and retrospective (when applicable) review of medical records to assure...actively participate in team meetings to improve physician and clinical staff chart documentation . Patient charts not… more
- Highmark Health (Dover, DE)
- …the potential of quality medical care and service to members and to improve documentation of these services for appropriate ICD 10-CM coding. Serves as a resource ... and educator regarding provider and office staff medical record documentation , federal and state standards including CMS and NCQA standards and continuous quality… more
- AdventHealth (Altamonte Springs, FL)
- …Friday **Job Location** : Remote **The role you'll contribute:** The Clinical Documentation Integrity (CDI) Implementation Specialist and Educator who, under ... the direction of the corporate Director of Clinical Documentation Integrity and in some cases...in the CDI Department. . Audits CDS concurrent and retrospective cases to assist with missed documentation … more
- HCA Healthcare (Nashville, TN)
- …medical necessity for emergent inpatient admissions and outpatient services. + Perform clinical reviews and maintain clinical documentation in accordance ... + Review denied account to determine justification for Appeal requests + Maintains clinical documentation according to HCA'S documentation policy + Meet… more
- Weill Cornell Medical College (New York, NY)
- …denials for their root causes thereby driving efficiencies, to include clinical documentation improvement and coding denials prevention. **Job Responsibilities** ... Title: Revenue Cycle Specialist-Revenue Integrity ( Remote ) Location: Midtown Org Unit: AR - Coding...+ Performs retrospective coding and documentation review of denied… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- … history/medical record when responsible for autopsy coverage and discuss with clinical team ensuring appropriate consent documentation before proceeding with ... Summary The Anatomic and Clinical Staff Pathologist provides diagnostic services within the...autopsy. Participate in Quality Assurance measures including 10% retrospective review of all anatomic pathology cases and inter-laboratory… more
- AdventHealth (Altamonte Springs, FL)
- …and Clinical Care Gaps to improve overall quality and completeness of clinical documentation in the patient medical record on a concurrent, and potentially ... **The value you'll bring to the team:** + Reviews clinical documentation and coding during ambulatory encounters...two (2) years of experience as a concurrent or retrospective documentation specialist depending on degree +… more
- University of Virginia (Charlottesville, VA)
- …position + 10 hours shifts sat/sun + Analyze and evaluate complex medical documentation + Demonstrates competence in interpretation of clinical data and the ... to regulatory compliance. The UM RN conducts initial concurrent and retrospective medical necessity reviews. All Utilization Management activities are performed in… more
- Stryker (Los Angeles, CA)
- …creation of value-based resources (eg, value summaries, calculators, etc) and clinical -economic evidence (ie, abstracts, posters, and manuscripts) + Manage projects ... vendors (Optum, Premier, etc) to gather and review evidence development builds ( retrospective claims analysis, health economic models, etc.) to support market access… more
- R1 RCM (Chicago, IL)
- …and retrospective reviews of inpatient medical records to evaluate the clinical documentation of clinical services by identifying opportunities for ... **Here's what you will experience working as a (position title):** + Reviews clinical documentation to facilitate the accurate representation of the severity of… more
- Veterans Affairs, Veterans Health Administration (Eureka, CA)
- …are present, thereby allowing quick review of inpatient stays by the Clinical Coordinators. Requests additional medical documentation as needed. Using ... of the EDRP application. Responsibilities Duties and responsibilities Incumbent performs retrospective medical review of non-VA health care records to determine… more
- Banner Health (AZ)
- …concurrent and retrospective charge reviews across Banner facilities comparing clinical documentation to billed charges as directed by Revenue Integrity ... **Monday - Friday Day Shift** **This can be a remote position if you live in the following states...queues to identify opportunities for improvement in charge capture, clinical documentation and system enhancements to improve… more
- Veterans Affairs, Veterans Health Administration (Pittsburgh, PA)
- …The ideal candidate should be board certified or eligible in anatomic and clinical pathology and have current up-to-date knowledge in the Pathology field. The ... should have a strong background and recent experience in Anatomic and Clinical Pathology. Preference will be given to those applicants with subspecialty training… more
- Cleveland Clinic (Stuart, FL)
- …Specialist, you will perform UM activities, such as admission review, concurrent review, retrospective chart review and clinical systems review to measure ... your responsibilities include: + Medical record review. + Providing clinical information to the payer. + UM data collection...By taking this opportunity, you will work in a remote environment with a caring department culture. Cleveland Clinic… more
- Institute for Medical Research (Durham, NC)
- …observational research, clinical trials, tissue and serum-based studies, and retrospective population studies. Location: This position is remote with ... + Adhere to standard operating procedures (SOPs) as they apply to documentation and validation of clinical research statistics; provide recommendations for… more
- Veterans Affairs, Veterans Health Administration (Montgomery, AL)
- …angiography using bolus tracking, cardiac gating (prospective and retrospective gating techniques). Well-developed time management and organizational skills, ... Nuclear Medicine, Emergency Department. Confers with Radiologists and other clinical staff to interpret all radiology requests for accuracy, appropriateness,… more
- Veterans Affairs, Veterans Health Administration (Pittsburgh, PA)
- …should have a strong background and recent experience in Anatomic and Clinical Pathology. Applicants must also be eligible for an academic appointment with ... autopsies with pathology trainees. Participate in prospective peer review and retrospective review of 10% cases when needed. Perform review and interpretation… more
