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Coding Quality Reviewer Jobs

Coding Quality Associate Jobs
By R1 RCM, Inc. At , Remote
Works with the Regional Manager to identify areas of educational need based on audit results
Must have proficient MS Office computer skills, specifically in Excel and knowledge of various coding software/platforms and EMRs
A minimum of seven (7) years of hospital inpatient coding experience is required
Extensive knowledge of ICD-10-CM/PCS classification system and MS- DRG and APR-DRG methodologies is required
In-depth knowledge of medical terminology, human anatomy/physiology, pharmacology, and pathology is required
Expert and up-to-date knowledge of industry Official Coding and Reporting Guidelines along with CMS and other agency directives for ICD-10 coding
Quality Control Reviewer (R1289)
By Sompo International At , Tifton From $55,000 a year
Proficient computer skills, including working knowledge of Microsoft Office Suite.
Tuition Reimbursement & Professional Qualification benefits.
Perform reviews pursuant to the requirements of the SRA including but not limited to Appendix IV reviews.
Pharmacy benefits with mail order options.
Dental benefits including orthodontia benefits for adults and children.
Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children.
Quality Reviewer, Rn Jobs
By Atlantic Health System At , Morristown, 07960
Position is responsible for review of clinical documentation of home care clinicians after admissions, recertifications, resumptions of care and discharge.
Minimum of 3 years of certified home care experience
Experience in OASIS review and coding highly desirable
Utilize decision software to assure OASIS assessment is completed accurately
Follows PDGM guidelines regarding coding with accuracy
Coach clinical staff on documentation accuracy
Coding Quality Auditor (Fully Remote)
By Cleveland Clinic At , Cleveland, 44195 $27.65 an hour
Specific training related to CPT procedural coding and ICD-10 diagnostic coding through continuing education programs/seminars and/or community college preferred.
In depth knowledge of ICD-10-CM/PCS coding principles, CPT coding principles, DRG assignment, APC assignment, and modifier assignment.
Working knowledge of human anatomy and physiology, disease processes.
Demonstrated knowledge of medical terminology.
Knowledge of auditing concepts and principles.
A minimum of 5 years professional coding experience required.
Senior Quality Reviewer Jobs
By Blue Cross Blue Shield of Louisiana At , Baton Rouge, 70806
Mentors and trains less experienced staff and complete special assignments as requested by management. Assists staff with complex questions and issues.
Must have strong organizational and analytical abilities and effective interpersonal skills.
This role does not manage people
Must have knowledge in the processes and produces (i.e., claims processing and/or enrollment coding) is required
Must demonstrate verbal and communication skills with the ability to interpret and communicate information with tact, diplomacy, patience and professionalism.
Must have working knowledge about plan products, company initiatives and other operational changes affecting the department.
Coding Quality Coordinator, Inpatient Coding
By UCHealth At , Denver $29.54 - $44.31 an hour
Coding-related certification from AHIMA or AAPC
3 years of relevant coding experience
Tuition and continuing education reimbursement
Full suite of voluntary benefits such as identity theft protection and pet insurance
UCHealth offers their employees a competitive and comprehensive total rewards package:
Responds to coding questions submitted throughout the Health System. Reviews physician queries for appropriateness, and related correspondence.
Public Aid Quality Control Reviewer
By State of Illinois At , Chicago, 60605 $56,856 - $83,568 a year
Requires two (2) years of professional experience in casework or related area.
Three (3) years of professional experience administering a supplemental nutrition assistance program.
Two (2) years of professional experience working with public assistance policies and programs including a supplemental nutrition assistance program.
Two (2) years of professional experience working with policies, rules, and procedures for public or private organization.
One (1) year of professional experience utilizing public assistance interviewing techniques.
One (1) year of professional experience examining and evaluating data in accordance with established criteria.
Appraiser/ Quality Control Reviewer
By ACT Appraisal At , Dundee, 60118
Have a current working knowledge of Fannie Mae, HUD/FHA, UAD and USPAP requirements and guidelines.
Keep current with client specific underwriting requirements.
Review residential appraisals for accuracy, relevancy, and consistency of data in the report being reviewed.
Identify flaws in the appraisal development, logic and theory.
Effectively communicate with vendors regarding appraisal issues.
Communicate with staff in all departments to meet client expectations and maintain a high level of customer service.
Quality Control Data Reviewer
By Regeneron At , East Greenbush
Executing detailed data review for analytical test results generated by QC for compliance with cGMP, internal SOPs and Specifications
Supporting production, stability studies, and lab operations
Reviewing release and stability data, trend charts of reference standards, lab equipment calibration records and logbooks
Performing detailed data review for analytical test results created by contract testing labs to assure correctness and accuracy
Maintaining and updating relevant SOPs for data review and reporting
Collaborating with Stability and other groups to support stability report writing and regulatory updates
Transcription Quality Reviewer - Health Information - Remote
By PeaceHealth At , Vancouver, 98683
Communicates results of QA checks to supervisor for use in management of MTSOs.
Basic computer skills including knowledge of MS Office applications
Knowledge of medical transcription guidelines and practices
Excellent written and verbal communication skills, including English usage, grammar, punctuation, and style
Working knowledge of Centricity Enterprise and Epic/CareConnect preferred.
Job duties frequently require intense concentration and attention to detail (up to 65% of work time).
Medical Coding Reviewer Ii
By Michigan Health Plan At , , Mi

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll ...

Quality Data Reviewer Jobs
By Avecia At , Milford, Ma
Interpersonal skills to lead and train less experienced QC staff
8+ years’ experience as a QC chemist/analyst.
Review quality data and reports (including stability and release) for compliance against specifications, GMP regulations, and scientific technique.
Author’s stability reports, COAs, data summaries, Standard Operation Procedures, deviation and OOS investigation reports as needed.
Provide training and guidance to other analysts
BS/MS in chemistry, biology or related discipline
Transcription Quality Reviewer - Health Information - Remote
By PeaceHealth At Vancouver, WA, United States
Communicates results of QA checks to supervisor for use in management of MTSOs.
Basic computer skills including knowledge of MS Office applications
Knowledge of medical transcription guidelines and practices
Excellent written and verbal communication skills, including English usage, grammar, punctuation, and style
Working knowledge of Centricity Enterprise and Epic/CareConnect preferred.
Job duties frequently require intense concentration and attention to detail (up to 65% of work time).
Quality Control Data Reviewer
By Regeneron At , Rensselaer, Ny
You have effective time management skills
You have excellent attention to detail and critical thinking skills
You have basic working knowledge of Microsoft Suite (Word, Excel, Powerpoint)
You have strong interpersonal skills
You have excellent written and verbal communication skills
Documenting in real time all GMP activities performed
Quality Assurance Reviewer 1 Jobs
By State of Georgia At DeKalb County, GA, United States
Enhances skill and knowledge of all DAS staff by providing both formal and informal training as needed and assigned.
Two (2) years of experience processing Continuing Disability Reviews (CDR’s) and Disabled Children (DC) claims.
Excellent presentation, verbal, and written communication skills
Serves as a quality assurance reviewer conducting in-development, end-of-line, and rebuttal reviews on all case types (except DHU hearings).
Serves as resource to Claims Processing staff providing consultation and technical assistance to staff and other DAS departments.
Participates in special projects, DAS pilots, and performs other duties as assigned.
Quality Assurance – Deviation Reviewer
By Barrington James At New Jersey, United States
· Collaborating with manufacturing and laboratory management to ensure compliance with global regulatory requirements.
· Knowledge of cGMP requirements in the United States and globally.
· Verifying that the site stability program aligns with global and regulatory requirements.
· Minimum of 3 years of experience in the pharmaceutical or a related industry.
· Strong writing skills and the ability to thoroughly review investigations, interpret findings, and draw technical conclusions.
Quality Assurance – Deviation Reviewer
Coding And Cdi Quality Specialist #Pp
By Avispa At United States
Worksite: Leading children's medical institution (Dallas, TX 75235 - Open to remote candidates in Texas)
Participate in educational programs and in-service meetings; attend other meetings as required. Completes all required training and education.
3 years of coding experience.
Two-year Associate's degree or equivalent experience is preferred - Health Information Technology (must provide proof of PPE/internship hours) is required.
Four-year Bachelor's degree or equivalent experience is preferred - Health Information Administration (must provide proof of PPE/Internship hours).
General knowledge of EHR's (electronic health record systems).
Quality Assurance Reviewer - Acute Quality And Quality Review - Days
By INTEGRIS Health At Oklahoma, United States

Job Description INTEGRIS Health, Acute Quality and Quality Review, Oklahoma’s largest not-for-profit health system has a great opportunity for a Quality Assurance Reviewer in Oklahoma City, ...

Coordinator Professional Coding Quality/Education Full Time Remote
By Henry Ford Health At , Troy, Mi
Minimum of three (3) years of coding experience required.
Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
At least five (5) years of specialty coding experience, preferred.
education and training, the health system has trained nearly 40% of physicians currently practicing
in the state and also provides education and training for other health professionals including nurses,
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
Rn Quality Assurance Reviewer
By Vatica Health At Alpharetta, GA, United States
QA data management and strategic planning for upcoming needs
Competitive salary based on your experience and skills – we believe the top talent deserves the top dollar
Manage structured QA audits and subsequent remediation
Registered nurse with minimum of 3 years of clinical experience
Excellent organizational skills with the ability to multi-task and pivot with organizational needs.
Work closely with Clinical Training to identify and remediate RNs/APPs QA within weeks 4 through 12 of new hire orientation