Average salary: $82,328 /yearly
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$95k - $120.65k
...service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the savings achieved for Zelis... ...they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA Coding Clinic evidence based clinical criteria...QualityFull timeWork at officeLocal areaRemote workVisa sponsorshipFlexible hoursZelis Healthcare
Convent Station, NJ23 hours ago$66.17k - $123.07k
...SPRINGS State: Florida Postal Code: 32714 Job Description:... ...Completes well-timed follow-up case reviews on all cases, prioritizing those with clinical... ...compliance, including completeness, accuracy and quality. Inputs data accurately and concisely...QualityFull timeLocal areaShift workAdventHealth
Altamonte Springs, FL3 days ago$79.2k - $143.4k
...Remote #137607 HB Second Level Reviewer - Remote Extended Deadline: Wed 3/25/202... ...high-performing team with a commitment to quality, collaboration, and continuous improvement... ...deviation from compliant Inpatient facility coding, training the coding staff, and educating...QualityHourly payLocal areaRemote workUC San Diego
San Diego, CA4 days ago- ...professionals, every day. The QA Home Care Reviewer will facilitate the process of improving... ...compliance, reimbursement and relevant quality and performance improvement opportunities... ...collaborative professional relationships with peers, coding staff, clinical team members and medical...QualityFlexible hours
- ...standards. Within AO, is the Office of Quality Assurance & Fiscal Integrity conducts complex internal audits and quality control reviews to identify areas of programmatic... ...accuracy of the system generated output/coding based on SNAP case activity view....QualityPermanent employmentFull timeWork at office
City of New York
New York, NY4 days ago $95k - $120.65k
...division focuses on conducting comprehensive Inpatient DRG Quality Assurance reviews—post-service, pre-payment, and post-pay—to maximize savings... ...claims against medical records, adhering to ICD-10 Official Coding Guidelines, AHA Coding Clinic standards, and client-...QualityFull timeWork at officeRemote workVisa sponsorshipFlexible hoursZelis Healthcare
Morristown, NJ3 days ago$80k - $90k
...facilitates accurate documentation for severity of illness (SOI) and quality in the medical record. This involves extensive record review, interaction with physicians, health information management professionals, coding professionals, and nursing staff. Active participation in...QualityRemote workFlexible hoursDay shiftRichmond University Medical Center
Staten Island, NY1 day ago$28 per hour
...respected. We have an ongoing need for Document Reviewers. Document Reviewers will review... ...matters using an electronic review platform to code for relevancy, confidentiality, and... ...privilege is preferred. ~ Experience with quality control, and preparation of privilege and...QualityHourly payTemporary workRemote workWork from homeHome officeMonday to ThursdayFlexible hoursKLDiscovery
Doral, FL23 hours ago$100.29k - $126.08k
...Provides clinically based concurrent review of patient medical records to ensure documentation... ..., nursing staff, medical records coding staff, compliance specialists and other healthcare... ..., clinical severity, outcomes and quality are captured for the level of service rendered...QualityFull timeFlexible hoursShift workWeekend workWMCHealth
Valhalla, NY2 days ago$60 per hour
...are valued and respected. Document Reviewers will review documents for complex litigation... ...using an electronic review platform to code for relevancy, confidentiality, and privilege... ...is preferred. ~ Experience with quality control, and preparation of privilege and...QualityTemporary workRemote workHome officeMonday to ThursdayFlexible hoursKLDiscovery
Eden Prairie, MN4 days ago- ...This role is responsible for producing high-quality, searchable PDF files from both large and... .... Proficiency in data entry, document coding, and basic computer operating systems and... ...laws. For further information, please review the Know Your Rights notice from the Department...QualityWork at office
LJA Engineering
Houston, TX3 days ago $181.1k - $318.4k
Security Reviewer, Secure Design Platform Cupertino, California, United States Software and... ...on both hardware and software, auditing code and reviewing designs, the job is as diverse... ...ease-of-use and increasing the quality of the user experience. Work with engineers...QualityRelocation$59k - $75.05k
IBR Facility Reviewer page is loaded## IBR Facility Reviewerlocations: US FL St. Petersburg... ...and TPA’s to ensure adherence to proper coding and billing guidelines. They will work closely... ...-based role with production and quality metric goals.**What you'll do:*** Conduct...QualityFull timeWork at officeLocal areaRemote workVisa sponsorshipFlexible hours- Description Introduction Do you want to join an organization that invests in you as an Inpatient Coding Quality Audit Reviewer? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course...QualityFull timeTemporary workPart timeWork from homeFlexible hours
- ...inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality... ...management, construction administration systems to store, manage, coding and tracking pertinent documents Ability to use scanning and...QualityFor contractors
$104k - $130k
...related to documentation improvement and coding validation, and follows through with all... ...assignments AND CMS AND NEW YORK STATE HOSPITAL QUALITY PERFORMANCE DATA PROGRAMS . Monitors key... ...with Health Information Management for review of denials based on clinical...QualityShift work- ...record requests, payor audits, utilization reviews or appeals, this role offers the chance... ...staff, Health Information Management (HIM), coding, billing, and utilization management... ...outcomes. Demonstrate consistently high-quality work with strong attention to detail. Show...QualityHourly payFull timeWork at office
- ...for Claims Operations staff. Provides training and performs quality reviews during training periods. Minimum Qualifications: Bachelor's... ...candidates with one or more of the following: (1) industry standard coding formats experience, (2) medical claims processing/billing,...QualityWeekend workAfternoon shift
- ...Network is looking for an Clinical Insurance Reviewer to join our team at Texas Oncology .... ..., Texas Oncology delivers high-quality, evidence-based care to patients close to... ...Oncology Compliance Program, to include the Code of Ethics and Business Standards. Responsibilities...QualityFull timeWork experience placementWork at officeRemote workMonday to FridayShift work
$105.7k - $142.9k
...controls for credit. You will complete highly complex loan reviews to evaluate credit quality and administration to identify and mitigate risk. Ensures... ...loss grade, approved terms and conditions, loan system coding, and ongoing monitoring and collection, including service...QualityTemporary workWork experience placementSummer workCasual workInternshipSeasonal workWork at officeRemote workWork from homeWork visaFlexible hours$67.72k - $111.72k
SUMMARY: Under the direction of the Manager of Coding Policy and Education, research coding and... ...materials, etc. Works with Manager to review findings from external audits and... ...Participates in various committees, task forces and quality improvement teams as needed. Performs...QualityFull timeRemote workWork from homeDay shift- ...and insights to advise and make recommendations to enhance the quality and consistency of guidance. This position is in-office at our... ...templates (formatted as a mail merge with extensive conditional coding). Experience with .dotx or .dotm templates. Experience with...QualityOngoing contractContract workWork at officeImmediate startFlexible hours
$80k - $133k
...None What You Will Do: Second level reviewer responsibilities include comprehensive,... ...’s care and diagnosis following Official Coding Guidelines, Coding Clinics, and Client policies... ..., Clinicians, Coding Educator, Coding Quality Auditors, Case Managers and Quality...QualityRemote jobTemporary workFlexible hours$75.6k - $106.78k
...professional experience. Job Overview: The Professional Coding Provider Educator/Reviewer is responsible for preparing educational materials and... .... This blended role is accountable for improving coding quality, reducing denials, and ensuring enterprise‑wide...QualityFull timeTemporary workWork experience placementWork at officeLocal areaRemote workFlexible hoursShift work$60k
...today. Scheduled Weekly Hours: 40 We are hiring for a Coding & Documentation Education Specialist! This position requires... ...with payer regulations. Conduct documentation and coding quality reviews, analyze performance trends, and provide feedback to support...QualityRemote jobFull timeMonday to FridayDay shift- ...C2 Labs is seeking an experienced FedRAMP SME to serve as a quality gate and advisor for our authorization acceleration and ConMon managed... ...Coach writers/consultants on FedRAMP documentation and common review pitfalls. • Help define internal quality standards and "...QualityFor contractorsRemote workFlexible hours
C2 Labs, Inc.
United States4 days ago $20 - $25 per hour
...Document Control Specialist (GMP) Quality Assurance Roanoke, Virginia, US ~ Added - 27/03/2026 Pay Rate Low: 20 | Pay Rate... ...archiving, and retrieval. Perform batch reconciliations and review Bills of Materials (BOMs) for accuracy and compliance. Release...QualityContract workMonday to FridayShift workDay shiftAstrix Technology
Roanoke, VA4 days ago$22.6 - $38 per hour
...trusted, reliable partner and dependable source of over 760 high-quality generic, specialty and branded pharmaceutical products that... ...management system SKILLS Ability to write, revise and review SOPs Strong interpersonal skills and great attention to detail...QualityHourly payFull timeWork at officeHikma Pharmaceuticals PLC
Bedford, OH3 days ago- ...Quality Assurance Specialist Quality Agents, LLC offers validation and quality expertise to the pharmaceutical and biotechnology industries. Our Validation specialists will be involved with the qualification and requalification of equipment used to manufacture and test...QualityFull timeWork at office
Quality Agents
Rockville, MD23 hours ago - ...health centers. Summary: Performs secondary clinical chart reviews, resolves DRG discrepancies, and educates clinical staff... ...assignments (MS and APR).Current working knowledge of Official Coding Guidelines, Coding Clinic and federal updates to the DRG system...Shift work
The MetroHealth System
Cleveland, OH23 hours ago
