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Clinical Documentation Review Professional Jobs

Medical Documentation Review Analyst - Medicare
By Peraton At United States
Strong PC knowledge and skills
Experience in reviewing claims for technical requirements, performing medical review, and/or developing fraud cases
Make claim payment decisions based on clinical knowledge
Bachelors degree and 5-7 years, Masters degree and 3-5 years or PhD and 0-2 years of relevant experience.
Strong communication and organization skills
Ability to present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government
Clinical Documentation Medical Professional - Clinical Doc Medical Records
By Christus Health At , San Antonio, 78251 $36.75 - $49.09 an hour
A minimum of 3 years of experience in area of population to be served is required
Three (3) years pervious acute hospital inpatient coding experience highly preferred
M.D. or D.O.; ECFMG certification (preferred for Foreign Medical Graduates)
Foreign or domestic Medical School Graduate (license not required), OR
Graduate from a Physician’s Assistant program, OR
Graduate from a Registered Nurse Practitioner program required.
Specialist I, Documentation Review I
By SitusAMC At , Saint Petersburg, Fl $46,800 - $60,000 a year

SitusAMC is where the best and most passionate people come to transform our client’s businesses and their own careers. Whether you’re a real estate veteran, a passionate technologist, or looking to ...

Documentation And Review Specialist
By UnityPoint Health At Urbandale, IA, United States
Manages necessary documentation for CHAP and/or FDA requirements such as annual oxygen prescription renewals.
Collaborates with management team to identify and prioritize quality improvement strategies that affect company operations.
Completes all annual education and competency requirements within the calendar year.
Leverage the skills and abilities of each person to enable great teams.
High school or vocational school graduate or an equivalent combination of education and experience.
Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience. 
Clinical & Documentation Review Consultant
By Kaiser Permanente At Oakland, CA, United States
Must be able to work in a Labor/Management Partnership (union) environment.
Bachelor's degree in health information management, business administration, healthcare administration or other related field.
Acts as the Reg-l coding contact person for the HIM Dept to support Edu & coding requirements.
High School Diploma or General Education Development (GED) required.
Demonstrated strong interpersonal and communication skills.
Working knowledge of Hierarchical Condition Category (HCC) coding and reimbursement methodology.
Clinical Documentation Medical Professional - Clinical Documentation
By Christus Health At , Kingsville, 78363, Tx
A minimum of 3 years of experience in area of population to be served is required
Three (3) years pervious acute hospital inpatient coding experience highly preferred
M.D. or D.O.; ECFMG certification (preferred for Foreign Medical Graduates)
Foreign or domestic Medical School Graduate (license not required), OR
Graduate from a Physician’s Assistant program, OR
Graduate from a Registered Nurse Practitioner program required.
Clinical Review Specialist Jobs
By Accreditation Commission for Health Care (ACHC) At United States
Experience working with computer systems with proficient use of database and other office system programs.
Strong oral and written communication skills and presentation skills.
This position is 100% remote and can be located anywhere nationwide.
Review Summary of Findings (SOF) documentation submitted by Surveyors, ensuring accuracy.
Complete the Company Review Form and present the findings of the survey to the Accreditation Review Committee.
Participate as an active member of the Accreditation Review Committee.
Clinical Review Rn Jobs
By Centers Plan for Healthy Living At Margate, FL, United States
3-5 years of home care experience
Strong knowledge of OASIS and Medicare/Medicaid guidelines
OASIS and or Coding certification preferred
Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations.
Reviews Outcome Assessment Information Set (OASIS) and visit documentation for errors and inconsistencies related to clinical documentation, including wounds
Applies ICD-10-CM coding rules and regulations to the review process.
Clinical Quality Review Spececialist
By HCSC At , Chicago, Il
Knowledge of managed care processes.
Organizational skills and ability to meet deadlines and manage multiple priorities.
5 years combine knowledge of healthcare processes.
Verbal and written communication skills to include interfacing with staff across organizational lines plus interfacing with members and providers.
PC experience to include Microsoft Word, Access, and Excel.
Health claims and mainframe system experience.