Viewing 1 - 8 of 20 jobs
The Ambulatory Medical Coding Auditor will review and audit a representative sample of outpatient records to determine ... processes. Assists in developing and providing outpatient clinical coding training (initial and refresher) to providers...
Knowledgeable and Experienced DRG Auditor The DRG Auditor is a member of the team and will be responsible for ... accuracy of billing. This includes, but is not limited to; review of claims, abstract clinical data, audit assigned...
The Hospital Bill Auditor will conduct both onsite and desk hospital audits to investigate medical claim data and/or med ... Auditor, Clinical Auditor, Hospital Auditor, Hospital Bill Auditor, Utilization Review, Chart Auditor, RAC Auditor,...
utilization management/utilization review or in broad-based clinical nursing. Certification. Certified Professional in ... for BSN experience in utilization management/utilization review or in broad-based clinical nursing. Must possess...
CCS Policies and Procedures (both administrative and clinical) and legal requirements, regulations set forth by ... 8. Assesses established policies and procedures with re-review as needed 9. Communicates information to other...
The Clinical Documentation Supervisor supervises the Clinical Documentation Specialists. These Specialists are advisors ... Specialist Program required. 3. Three (3) years clinical, coding, case management, utilization review or...
Third Party Payors/Insurance Companies, Auditors/Review Agencies, News Media. POSITION ... software and database structures. Expertise in hospital clinical computer applications (e.g., Cerner) Training...
new product development 17) Develop clinical data plans and clinical data reports for devices requiring CE Marking 18) ... reviews and reports 23) Coordinate any necessary Simulated Clinical Use studies or Clinical Use studies, including...