Search Results: 24,029 vacancies
...be part of our transformation across the enterprise.
DRG Reviewer
Full-Time
The DRG Reviewer reports to the Director of... ...conflicting, or incomplete documentation.
Works closely with Clinical Documentation Improvement (CDI) to identify areas of documentation...
Suggested
Full time
Work experience placement
...Enter Job Description...
Maintain knowledge of medical record review and EMR systems.
Maintain up-to-date knowledge of HEDIS,... ...internal and regulatory standards and requirements.
Perform clinical audits via EMR, in-house paper medical records, on-site provider...
Suggested
...care agencies on a variety of health-related topics and
provides clinical expertise in developing medical and mental health policies,... ...initiatives that support best case practice agency wide.
The Medical Review Authorization and Monitoring Unit (MRAM) reviews foster care...
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Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position... ...health plan utilizing the evidence-based medical policies and clinical guidelines of the plan, to ensure the appropriate and most cost...
Suggested
...Job Description
Wage/Salary: $20 to $24 per hour
Position Summary:
The Quality Reviewer provides free, quality tax return review for eligible taxpayers. Using IRS approved software (Tax slayer), along with the information provided by the client, and by asking...
Suggested
Hourly pay
Local area
Flexible hours
...post-payment claims audits.
We are looking for a Medical Bill reviewer to join our team! Do you have experience reviewing claim forms... ...potential coding/billing violations
Auditing revenue codes against clinical documentation
Confirmation of services billed were rendered...
Suggested
Work from home
Flexible hours
...our clients and the people they serve.
Responsibilities
Nurse Reviewer - Quality Assurance in Albany, NY
Position Description:
Under... ...experience, at least two years of which must have been professional clinical experience in a licensed health care facility, preferably a...
Suggested
Local area
Immediate start
...collections and centralized data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and Processing (DFRP), Office of Liens & Trust (OLT) and Supplemental Nutrition Assistance Program - Claims & Recovery (SNAP-CR)....
Suggested
Permanent employment
Full time
Work experience placement
Monday to Friday
Job Description
Summarized Purpose:
Effectively reviews documents created within or outside of the company to ensure quality of a standard... .... Documents include: regulatory submissions, integrated clinical study reports, serious adverse event narratives, study protocols...
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...Dream Teams.
Who You Are:
The Compliance Analyst will be responsible for implementing the firm's compliance policies related to the review and approval of marketing materials relating to Galaxy Digital. The Compliance Analyst will also be asked to help review marketing...
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Holiday work
Local area
Remote job
Flexible hours
Description
Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the health plans. This role requires a strong clinical background...
Suggested
Remote job
Part time
Local area
Shift work
Responsibilities
Peraton seeks a
Red Team Cybersecurity Reviewer
to provide information assurance expertise in the conduct of DODIN cybersecurity reviews on site at CONUS, OCONUS, and DOD mission partner locations.
Location:
Fort Meade, MD and/or Chamberburg...
Suggested
Local area
Remote job
Worldwide
Physician Telecommute Medical Review Stream Location
US-CO-Denver
Job ID 287403
Pos. Category Medical - Medical Review - UR... ...basis as a 1099 independent contractor. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation...
Suggested
Contract work
Temporary work
For contractors
Remote job
Flexible hours
Monday to Friday
...Job Description
Job Description RN- Utilization Review Nurse
LTSS/DME
*Full Time 100% Remote Opportunity*
COME WORK FOR... ...Milliman Care Guidelines and other applicable, evidenced-based clinical guidelines will be vital to this role.
There are many benefits...
Suggested
Holiday work
Full time
Local area
Remote job
...functional area to evaluate the effectiveness and sustainability of internal controls relating to business risks. Create audit reports for review with senior audit management and business leadership. Facilitate audit issue tracking to ensure timely remediation.
Role Objectives...
Suggested
Local area
Work from home
Worldwide
...needed to discuss lien re-payment.
OLR/OLT is recruiting for (1) one Supervisor of Nurses to function as a Complex Medical Case Reviewer, who will:
-Conduct medical reviews and analyses claims to calculate injury related Medicaid liens pursuant to SSL-104b on cases...
Full time
Monday to Friday
...of motor vehicle occupants, pedestrians, and cyclists. Traffic Engineering and Planning Unit (TEP) is responsible for conducting, reviewing, and approving transportation engineering and planning studies, analyses and methodologies including transportation planning assumptions...
Full time
Remote job
Shift work
2 days per week
...records, labs, imaging, and medication records. Abstracts pertinent clinical information from these records to determine the appropriateness... ..., recommends and assigns appropriate level of care. The Reviewer is responsible for obtaining the order for appropriate level of...
Holiday work
Immediate start
Shift work
Responsibilities:
Review and analyze complex credit actions, considering various factors in assessment areas outlined below.
Conduct ongoing and risk-based monitoring of credit actions, evaluating data and identifying trends.
Assist in individual credit assessments, collaborating...
...improving water quality. The Bluebelt staff is monitoring in operation and under-construction best management practices (BMP) projects, reviewing, and managing designs, modeling, and designing new Bluebelt systems in New York City.
This position will be part of an internal...
Internship
Summer internship
Rotational program
