- Elevance Health (Waukesha, WI)
- …Possibilities. Make an Extraordinary Impact.** **Title** : Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG) **Virtual: ... for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues… more
- CVS Health (Madison, WI)
- …the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations ... conditions. + Diagnosis codes must be appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations… more
- Datavant (Madison, WI)
- …audits. + Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation . + Communicate effectively with co-workers, ... our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and...the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma… more
- Molina Healthcare (WI)
- **Job Description** **Job Summary** The Senior Specialist , Quality Program Management and Performance implements new and existing healthcare quality improvement ... and monitoring for key quality program activities. Acts as a lead specialist to provide project, program, and/or initiative related direction. Provides guidance for… more