ABA Clinical Compliance Reviewer
Acentra Health
Acentra Health is looking for a Behavioral Health Clinical Reviewer to conduct administrative reviews of ABA services, evaluate documentation, and ensure medical record accuracy and contract compliance. This BCBA-focused role does not involve direct patient care, but supports clinicians by validating ABA-related records. The ideal candidate holds a BCBA certification, a Master’s in psychology or ABA, 4–7 years of ABA experience, and strong communication skills to coordinate with families and #J-18808-Ljbffr Acentra Health
$28.37 - $39.19 per hour
...through technology, services, and clinical expertise. Our mission is to... ...a Behavioral Health Clinical Reviewer to join our growing team.... ...to Applied Behavior Analysis (ABA) services. The BCBA Clinical... ...Instead, the focus is on ensuring compliance, accuracy, and completeness...SuggestedHourly payContract workLocal area$28.37 - $39.19 per hour
...empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that... ...Responsibilities Acentra Health is looking for a Clinical Reviewer to join our growing team. Job Summary: ~ The purpose...SuggestedContract workWork at officeLocal areaFlexible hours- ...Clinical Reviewer The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction with contract requirements. Position is Remote HOWEVER Candidates MUST Reside in California and they need to have an...SuggestedContract workRemote workFlexible hours
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- ...leader in health care and life sciences disputes, compliance, and investigations. The team combines clinical, technical, operational, financial, economic, and analytic... ...eight or more active engagements.Direct and review the development of complex analyses for provider and...Suggested
$27.45 - $31.57 per hour
...CCS) who is passionate about accuracy, compliance, and improving patient care? We are seeking... ...hear from you. What You’ll Do: Review electronic medical records (EMRs) to... ...environment. Why PTHA? We are more than a clinic — we're a culturally grounded, patient-...Hourly payFull timeWork at office- ...LLC is seeking a Medical Coder to perform clinical coding activities for adverse events,... ...ensuring consistency, accuracy, and regulatory compliance. Requirements Duties and... ...coding conventions and coding guidelines. Review CRFs and contribute to data review activities...
- ...service provider in Washington, DC is seeking a DME Medical Reviewer to ensure compliance with nursing standards and provide comprehensive... ...hold an active RN license and have at least two years of clinical experience. Responsibilities include submitting monthly reports...Remote job
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- ...empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that... ...and Responsibilities Acentra Health is looking for a Clinical Reviewer to join our growing team. Job Summary: The purpose of this position...Remote jobContract workReliefWeekend workAfternoon shift
- ...Weekend Shift Differential Pay ($4.00 per hour)What You Will Do:The Clinical Coordination Assistant demonstrates knowledge and skill in the... ...this job, the employee will interact with others and ensure compliance with medical regulations, ethical guidelines, and...Hourly payTemporary workWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend work
- ...a Medical Coder I to support the Medicare Operations team by reviewing claims for coding accuracy, assigning ICD-10-CM and CPT codes,... ...leveraging KPI insights and standard tools to drive accuracy, compliance, and process improvements across office visits, procedures, and...Work at office
- ...Clinical Reviewer Position Are you passionate about using your clinical expertise to support quality healthcare outcomes and ensure members... ...teams and Medical Affairs, and supports quality and compliance standards throughout the review process. We're looking for someone...Full timeRemote workWork from homeMonday to Friday
- ...healthcare staffing firm is seeking a Certified or Registered Medical Assistant in McLean, Virginia. The role involves providing clinical and administrative support, including documenting patient histories and preparing examination rooms. Ideal candidates will have 2+...Full time
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- ...Venesco is seeking a detail-oriented Medical Coder to support clinical trials through accurate coding and reconciliation of medical... ...Ensure consistency and quality of coded clinical trial data • Review case report forms (CRFs) for accuracy • Maintain coding conventions...Full timeRemote work
- Medical Reviewer/Safety Reviewer III - Scientific Content and Medical Affairs Review Location... ...reviews scientific content, evaluates clinical data, and provides balanced medical... ...inaccuracies, data-interpretation concerns, or compliance risks and recommend appropriate...Part timeWork at officeRemote workWorldwideVisa sponsorshipWork visaMonday to FridayFlexible hours
- ...professionally. Position Overview We are seeking Clinical Utilization Review Nurses (RN) based in Alabama to assess the medical necessity... ..., appropriate, and cost-effective care while ensuring compliance with clinical criteria, organizational policies, and contract...Full timeContract workRemote work
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- Venesco, LLC is seeking a detail-oriented Medical Coder to support clinical trials from a remote/hybrid location. The role involves coding... ..., ensuring the quality of coded clinical data, and reviewing case report forms for accuracy. Candidates should have a Bachelor...Remote job
- Inova Systems Operations is seeking a Medical Records Coder 4 for Inpatient to join a full-time day-shift team. The role offers potential remote work for eligible states and requires at least two years of inpatient coding experience with ICD-10-CM/PCS. RHIA/RHIT/CCS certification...Remote jobFull timeDay shift
- ...deductibles, coinsurance, balances, copays, and sales of OTC items Review and update accounts receivable/payable changes since prior... ...~ Ability to maintain confidentiality and uphold HIPAA compliance at all times ~ Sound judgment and discretion in handling sensitive...Work at officeLocal area
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$88.7 - $140 per hour
...outcomes through technology, services, and clinical expertise. Our mission is to innovate... ...Health is looking for a Physician Medical Reviewer to join our growing team. Job Summary:... ...expert testimony, and ensuring compliance with guidelines. Job Responsibilities:...ReliefLocal areaRemote work- Chapters Health System is seeking a Team Secretary to provide administrative support to the Clinical Manager and the Clinical Team. The role includes handling phone calls, directing messages, processing mail, and coordinating scheduling per policy. The position requires...
$88.7 - $140 per hour
Acentra Health in McLean, Virginia is seeking a Physician Medical Reviewer to join their team. The role involves conducting independent... ...candidate will have an M.D. or D.O. degree, with at least 3 years of clinical practice and experience in Utilization Review. Acentra Health...Remote jobHourly pay- ...Medical Coder to support coding, billing, documentation compliance, and revenue cycle operations in a clinic setting. This role will be responsible for... ...current coding guidelines and official updates. Review and process encounters from charge review work queues...Full timeApprenticeshipFlexible hoursShift workEarly shift
- ...patient interaction, administrative support, and collaboration with clinical staff to deliver excellent patient care and service.... ...and supportive environment for patients and their families. Compliance and Confidentiality: Adhere to all healthcare regulations and...Full timeTemporary workWork at officeImmediate startFlexible hours
- ...with insurance companies to obtain/verify pre-certification/authorization for services Ability to understand/interpret documented clinical information and relay pertinent medical/clinical information to the insurance company Faxes pre-certification request form to...Work at officeLocal area
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