Search Results: 3,756 vacancies
...Software Verification Engineer (Code Reviewer)
Aversan Inc. ( is a reputable Engineering Company that provides expertise in the Aerospace and Defense industries. We are currently seeking a "Remote Software Verification Engineer" to help develop and test low-level...
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...Under general supervision, the Special Investigations Unit Medical Reviewer (SIU Medical Reviewer) performs reviews of medical records and... ...federal and state regulations and contractual requirements of codes billed to identify coding errors and billing discrepancies in...
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...Job Description
GQR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Ontario, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 04/29/2024
~ Duration: 13 weeks...
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...Job Summary: Responsible for the review and evaluation of the medical record in order to assign accurate diagnosis and procedural codes ensuring optimal reimbursement while remaining compliant with all regulatory agencies. Also responsible for abstracting specific data...
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...Position
Quality Review Nurse, RN
Description
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for:
- Receive and research all PQI and QR cases as assigned, provide a summary and recommendations to...
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...Valley Global Medical Center
Victorville, CA
~ Coordinates and reviews all medical records, as assigned to caseload
Actively... ...medical director for review
Appropriate letter language and coding (denials, deferrals, modifications)
Appropriate selection of...
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...City of Anaheim Planning & Building Department is seeking a highly motivated, customer service-driven, and team oriented Part Time Code Enforcement Officer I for the Code Enforcement Division. The Code Enforcement Officer investigatesviolations of and enforce City...
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Part time
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Afternoon shift
...educational learning opportunities for homeschooled elementary and middle school students. We are looking for an experienced Part-Time Coding Teacher for the 2024-2025 academic year (Fall 2024 through Spring 2025) who enjoys designing lessons that are engaging, feature...
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Part time
Monday to Thursday
...Rancho Cucamonga, CA 91730
The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent... ...& SKILLS:
Must have a thorough knowledge of both CPT and ICD coding
Effective multi-tasking skills in a high-volume, fast-paced,...
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Full time
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...Job Description
Job Description
Coordinates and reviews all medical records, as assigned to caseload
Actively participates in Case Management and Treatment Team meetings
Serves as on-going educator to all departments
Responsible for reviewing patient charts...
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...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Ontario, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 12 weeks
~40 hours per week
~ Shift...
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...Responsible for the oversight of HCC Program and STAR measures coding related functions. The HCC coding specialist will work with the... ...lines of business. HCC Coding specialist will be responsible to review medical records and claims data to ensure external physicians are...
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Full time
...right setting.
2. As part of a team of medical directors, nurses and coordinators, participates in the pre-service medical necessity review of patient care.
3. Reviews prior authorization requests for medical necessity with respect to Health Plans, CMS, third-party...
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Flexible hours
...The HCC Coding Quality Auditor is responsible for reviewing provider documentation of diagnostic data from each assigned MA enrollee's medical record to verify that all Medicare Advantage risk adjustment documentation requirements are met, and to deliver education to...
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Full time
Local area
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...If you need special accommodation for the application process, please contact Human Resources. Know Your Rights:
The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. This...
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Full time
Remote job
...Interested in a career in the Medical Billing & Coding field? My Medical Career can help!
START TRAINING FOR YOUR NEW MEDICAL CAREER TODAY! Graduate employment services may be available once training is complete. This posting is for Career Training Services, provided...
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...Job Description
Job Description SUMMARY
The Correspondence Reviewer is responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. Daily duties will include but are not limited to processing daily incoming insurance correspondence...
Relocation bonus
...be expected to provide proof of driver license and auto insurance upon request. See policy for additional information.
~ Current Coding Certification in one or more of the following: CPC, CPC-H, CPC-P, CCS, CCS-P, CCA, RHIA or RHIT upon hire
~2 years of HCC coding/...
Full time
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...Responsibilities
Canyon Ridge Hospital is currently seeking a compassionate and talented Utilization Review Specialist to join our team.
At Canyon Ridge Hospital we understand that not all wounds are visible. Depression, anxiety, trauma, PTSD, addiction, and...
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...& Life Safety Consultant, you will be responsible for providing expert guidance and consultation on fire protection and life safety codes for diverse projects and clients. Leveraging extensive experience and an engineering background, the consultant will play a crucial...
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