Remote Clinical Quality Auditor & Coding Specialist
CorroHealth, Inc.
- Remote job
CorroHealth, Inc. is seeking a Clinical Reviewer to support the WISeR Prior Authorization program from a remote US-based role. You will perform comprehensive clinical reviews, validate documentation accuracy, and support physician determinations in line with CMS requirements and WISeR guidelines. The role operates in a 24/7 review environment, collaborating with physicians, nurses, quality teams, and technology partners to ensure timely, compliant determinations and high-quality outcomes. #J-18808-Ljbffr CorroHealth, Inc.
$60.1k - $98.7k
This is a remote office opportunity. The Quality Analyst oversees work performed by the Clinical CVA auditors to ensure that EXL’s standard of accuracy is met. The analyst undertakes... ...targeted clinical CVA audits. A brief coding/auditing assessment may be included as part...Remote workFull timeWork at office$28 - $37 per hour
...Remote Coding Specialists, Clinics - single path (Fac and Profee) We offer comprehensive health and wellness plans, including medical, dental and... ...through continuous research. Actively participate in coding quality improvement processes to uphold and enhance your coding...Remote workHourly payExtra incomeFull timeTemporary workLocal areaWork from homeHome office- ## Specialist Clinical Coding IIApply: Hybrid: Remote Kentucky: Remote Indiana: Cincinnati, Ohio: Full time: Posted Today: JR314357**Engage with us for your... ...Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We’re...Remote workFull timeApprenticeshipFlexible hours
- Virtix Health, LLC is seeking a Clinical Quality Reviewer (Coder/Auditor) to perform comprehensive clinical reviews... ...under CMS guidelines. This remote US role operates in a 24/7 review environment... ...ideal candidate has CPT and ICD-10 coding experience, strong analytical and...Remote job
- ...team as a Pharmacovigilance Specialist (Medical/Clinical Safety). Pharmacovigilance... ...assuring compliance with the Quality Management System.... ..., Argus, ArisG) and MedDRA coding Ability to interpret and apply... ...Additional health insurance Remote/home based Influenza vaccines...Remote workLocal areaWork from home
- Adventist HealthCare seeks a Clinical Documentation Specialist to ensure documentation accuracy, support proper ICD-10-CM/PCS and CPT coding, and collaborate with physicians and the coding team. The role emphasizes regulatory alignment with CMS guidelines and ongoing education...Remote job
- ...E-Verify Revenue Recovery Specialist, Clinical Denials Are you seeking an exciting... ...striving to provide quality results that have lasting impact... ...Familiarity with CPT, ICD coding preferred The above statements... .... This position is remote and requires a dedicated, distraction...Remote workTemporary workWork from home
$20 - $36 per hour
...Coding Specialist Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the... ...to help drive higher quality, higher patient satisfaction and... ...position. This position offers remote work for candidates based in Houston...Remote jobHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaImmediate start- ...Oncology Network is looking for a Coding Specialist to join our team at Texas... ...! This full time hybrid remote position will support our Central... ...Oncology delivers high-quality, evidence-based care to patients... ...and abstracts relevant clinical and demographic information...Remote workFull timeLive inWork at officeMonday to Friday
- SummaryPerform coding and related duties using established billing office policies in an... ...department administrators, hospital and/or clinical department administrators and their... ...billings for selected clinical departments.All remote work must be performed within one of the...Remote workWork at officeLocal areaFlexible hours
- Jefferson Health is seeking a Clinical Documentation Specialist to review medical records and ensure accurate... ...documentation, while working remotely in a compliant setting. The specialist... ...HIPAA compliance, and utilize EHR and coding tools in a remote hospital environment...Remote job
- ...reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic... ....About this position: Clinical Quality ReviewerLocation: Remote (Within US Only)Required Schedule:... ...Instructions, and review standards.Coding & Documentation AccuracyReview and...Remote workWork at officeImmediate startMonday to Friday
$78.27k - $117.31k
Job-ID: 391413Category: Quality AssuranceLocation:... ...worker: Flexibility of both remote and on-site... ...100 miles of ANY Mayo Clinic campus for onsite expectations... ...services and accurate coding. Ensures documentation... ...Documentation Improvement Specialist (CDIS).Certifications (...Remote workMonday to FridayFlexible hoursAfternoon shift- ...Certified Coding Specialist Penn Medicine is dedicated to our tripartite... ...collaboration with top clinical, technical and business professionals... ...living your life's work? Remote position. Hiring nationwide!... .... Participates in data quality peer review process,...Remote jobFull timeWork experience placementMonday to FridayFlexible hours
$68.9k - $99.62k
...The Clinical Quality Specialist is responsible for performing Healthcare Effectiveness Data and Information... ...a hybrid work model consisting of remote and office-based work. Office location... ...validates clinical documentation and coding from electronic medical records (EMRs)...Remote workTemporary workWork experience placement$68.64k - $70.72k
...Clinical Operations QA Specialist Remote About Reveleer Reveleer delivers a unified platform spanning risk adjustment, quality improvement, clinical intelligence, and member management for health... ...to the Training and QA team of coding error trends and assists in...Remote workFull timeWork at officeLocal areaFlexible hours- ...The Lead Clinical Quality Documentation Specialist reflects the mission vision and values of Northwestern Medicine... ...(NM) adheres to the organizations Code of Ethics and Corporate Compliance... ...Nurse at NM may be eligible. Remote Work : No Employment Type :...Remote workFull timeTraineeshipWork at officeLocal areaRelocation package
- ...national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer... ...need them today. Position Summary: The Inpatient Coding Quality Auditor is an exempt professional role responsible for independently...Remote workWork experience placement
- ...of positive change. The Coding Quality Auditor is responsible for monitoring... ...compliance with applicable clinical documentation to support... .... This position is 100% remote, the hours are 11 am - 7:30... ...Required: ~ Certified Coding Specialist. #J-18808-LjbffrRemote workWork at officeWeekend work1 day per week
- Reveleer is seeking a Clinical Operations QA Specialist to oversee clinical resources for quality scores and support the QA and Training team. This role emphasizes independent... ...bring meticulous attention to detail, strong coding knowledge in Medicare and risk adjustment, and...Remote job
- ...Title: Coding Quality Auditor and Specialist, HB Coding Duration: Full Time Employment Location: 100% Remote (occasional onsite meeting attendance may be required) Start Date... ...be the expert in the work related to clinical documentation and coding. This...Remote workFull timeImmediate start
$97.01k
...Coding Quality AuditorThe Coding Quality Auditor is responsible for monitoring compliance with applicable clinical documentation to support coding and billing... ...This position is 100% remote, the hours are 11 am -... ...Clinical Documentation Specialists by furnishing input as...Remote workHourly payFull timeContract workPart timeApprenticeshipWork experience placementWork at officeShift workNight shiftWeekend workAfternoon shift1 day per week$85k - $100k
...This is a remote office opportunity. The CVA Quality Analyst oversees work performed by the Clinical auditors to ensure that EXL’s standard of accuracy is met. The analyst undertakes... ...validation of the provider's billed DRG code. Salary Range : $85k - $100k Location...Remote workFull timeWork at office- ...Coding Quality Auditor At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment... ...established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS...Remote workWork at office
- ...reduced waste and improved clinical outcomes. With... ...& Government Programs Specialist Position: Avalon... ...Practitioner with a coding background strong analytical... ...is eligible for remote work but travel to the... ...tools. Prior work in quality assurance or audit...Remote workFull timeWork experience placementWork at officeFlexible hours
$112.7k - $193.2k
.... Connecting. Growing together. The Clinical Quality Consultant for the Oncogenetic Program... ...You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you... ...Familiarity with molecular diagnostic coding systems and claims platforms ~ Proficiency...Remote workMinimum wageFull timeWork experience placementLocal area$130k - $165k
...in the country, like Cleveland Clinic, Mayo Clinic, NewYork-... ...what matters most - delivering quality patient care. We train internal... ...to backoffice billing codes. This person should be fluent... ...Francisco. As a company, we embraced remote work before COVID-19. We consider...Remote jobFull timeLocal areaHome officeFlexible hours- ...recommendations in accordance with the Clinical Documentation Program.... ...in the documentation and coding of diagnoses and procedures;... ...reimbursement changes; promotes quality coding and serves as a... ...both in-facility as well as remotely and has multi-facility/entity...Remote work
- ...s leading provider of clinically integrated eye care. Our... .... Job Title: RCM Specialist- Vision Ophthalmology... ...limited to: Billing, Coding, Payment Posting, Accounts... ...a culture of high quality and great customer service... ...standards. For remote team members, HIPAA compliant...Remote workFull timeWork at officeHome officeFlexible hoursAfternoon shiftEarly shift
- Ensure clinical resources meet quality standards as a Clinical QA Specialist. Support QA and training teams to deliver excellent quality and productivity outcomes. Responsibilities... ...assist in onboarding QA processes. Communicate coding error trends and help create action plans to...Remote jobWork at office
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