Auditor Clinical Validation DRG - Remote, United States

We are seeking an experienced Certified Coder to support medical review activities through complex coding validations and quality assurance efforts. · Perform complex coding validations for accuracy reviews · Contribute documentation and analysis for coding validation deliverable ...

· Overview · This role is part of the training team for the Clinical Chart Validation team. This position is responsible for improving the technical effectiveness of our teams by planning, developing, and delivering technical training, mentoring, and assessment. The individual w ...

· At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sec ...

POSITION SUMMARY: · The CDI Validation Specialist assists the CDI Manager with oversight, evaluation, and analysis of CDI functions including efficiency, accuracy, continuing education needs, and overall quality. This individual identifies individual education needs of Clinical D ...

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services ...

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services ...

· Data Analyst III – Medical Economics · Location: Fully Remote (CST/EST preferred; CA candidates must start ~6:00am PST) · Type: Permanent · Salary: $85,000–$95,000 base + 8% target bonus  · Industry: Healthcare / Managed Care · Overview · We are expanding our Medical Economics ...

· The Payment Integrity team is a group of innovative thinkers sitting at the intersection of Clover's provider Network, Claims, and Tech teams. The Payment Integrity team ensures that Clover pays claims in an accurate manner, with a particular focus on reducing inappropriate me ...

· The Payment Integrity team is a group of innovative thinkers sitting at the intersection of Clover's provider Network, Claims, and Tech teams. The Payment Integrity team ensures that Clover pays claims in an accurate manner, with a particular focus on reducing inappropriate me ...

· Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans ...

About Us: · Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keep ...

The Clinical Auditor I performs detailed medical record audit review and analysis of the health plan's outpatient, professional and ancillary claims to ensure that all reimbursement to the provider is paid accurately and ensuring adherence to regulations, internal policies and be ...

About Us: · Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keep ...

We are seeking a Lead Coding Specialist to join our Medical Coding Department. As a Lead Coding Specialist, you will conduct reviews to validate I-10-CM diagnosis codes and PCS procedure codes for inpatient bill hold related to PSI, PPC & other reimbursement conventions to be res ...

· Overview · The Sr. Auditor, Quality Assurance position is responsible for ensuring that the audited claims meet quality standards necessary to generate high quality recoverable claims for the benefit of Cotiviti and our clients. Quality assurance emphasizes compliance with est ...

RemoteIf you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. · Adventist HealthCare seeks to hire an experienced Lead Coding Specialist for our Medical Coding Department who will embrace our mission to extend God's care t ...

Adventist HealthCare seeks to hire an experienced Inpatient Coding Specialist for our Medical Coding Department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. · As an Inpatient Coding Specialist, you will: Utiliz ...

About the role · Concept Plus is seeking an experienced Oracle Cloud Infrastructure (OCI) Engineer to support the transition of a mission-critical Oracle E-Business Suite (EBS) environment from on-premises infrastructure to Oracle Cloud Exadata Infrastructure. This role will focu ...

About Us: · Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keep ...

· Hi, we're Oscar. We're hiring an Associate, Itemized Bill Review to join our Payment Integrity team. · Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create th ...