Average salary: $82,328 /yearly
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- ...QA Reviewer/Analyst The QA Reviewer/Analyst, under the direction of the Director, is responsible... ...to the Department and ensuring highest quality of work by the Admissions Counselors via... ...Works with Department Coder for retro coding issues Monitors DFCI cases transferred...QualityImmediate start
Phenom People
Boston, MA2 days ago $15 per hour
...USD/hr and additional rewards based on quality of submission. Outlier is committed to... ...structured way. Evaluate AI outputs by reviewing and ranking reasoning and problem-... ...from home Join a global community of Coding experts Join a global network of experts...QualityWeekly payFreelanceRemote workWork from homeFlexible hoursOutlier
Tucson, AZ3 days ago$79k - $105k
...Position Overview The Inpatient DRG Reviewer will be primarily responsible for conducting... ...based on industry standard inpatient coding guidelines and rules, evidence based clinical... ...internal and department productivity and quality standards Recommend new methods to...QualityFull timeWork at officeLocal areaRemote workVisa sponsorshipFlexible hoursZelis Healthcare
Morristown, NJ7 hours ago- ...SUMMARY: \n Responsible for improving overall quality and completeness of clinical documentation. Performs concurrent record reviews on all selected admissions and documents... ...givers and health information management coding staff. Ensures the accuracy and completeness...QualityRelocation packageShift work
Baptist Health System - San Antonio TX
San Antonio, TX5 days ago - ...inspire your best work. \n Job Summary: \n Reviews, evaluates and assesses medical records... ...of the clinician’s documentation, coding requirements and documentation of important medical details to ensure the overall quality and completeness of clinical documentation...QualityWork experience placementImmediate start
Adventist Health
Bakersfield, CA7 days ago - ...the agency in ensuring the patient health records contain quality documentation and coding that adhere to required standards and guidelines. Ensures... ...department. Duties and responsibilities Chart Review & Quality Assurance : Conducts quantitative and qualitative...QualityWork at officeLocal areaMonday to Friday
Center for Addiction Treatment
Cincinnati, OH7 hours ago - ...Integrity (ICDI) Specialist is accountable for reviewing patient medical records in the inpatient... ...of illness and facilitate proper coding. Validates coding reflects medical necessity... ...medical documentation to support quality and effective coding. Understands and applies...QualityWeekly payRemote workShift work
PRIDE Health
Rochester, MN27 days ago - ...and records maintained in Client’s Veeva Quality Docs Electronic Data Management System (EDMS... ...Vault Quality Docs workflows daily. Review Documents & Update Metadata ~ Meet with... ...with document type, record class codes, and Client retention policies. Prepare...QualityContract workFor contractorsWork at officeWeekend work
Medasource
Durham, NC7 hours ago - ...appropriate cases to the Medical Director for review. Refer to and work closely with Case... ...procedure, identifies and refers potential quality of care and utilization issues to Medical... .... May be responsible for pricing, coding, researching claims to ensure accurate application...QualityContract workLive inWork at office
Excellus Health Plan
Binghamton, NY7 hours ago $42.28 per hour
...Job Title: Coding Quality Reviewer (CQR) Specialist Location: Remote (Excluding: CA, AK, NY, CO) Schedule: Full-Time • Work From Home Compensation: Up to ~$42.28/hr (midpoint; experience-based) Employment Type: Permanent, Full-Time Job...QualityPermanent employmentFull timeRemote workWork from homeFlexible hours$54k
...Job Summary Conducts retrospective review of medical/surgical claims and behavioral... ...and related functions. Applies clinical, coding, and processing knowledge to conduct review... ...Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor...QualityContract workTemporary workFor subcontractorInterim roleLocal areaRemote workShift workTriWest Healthcare Alliance
Phoenix, AZ24 days ago$59k - $79k
...Overview At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing... ...and TPA’s to ensure adherence to proper coding and billing guidelines. They will work... ...production-based role with production and quality metric goals. What You'll Do...QualityFull timeWork at officeLocal areaRemote workVisa sponsorshipFlexible hours$2,949 per week
...concurrent and retrospective inpatient medical record review to capture accurate severity of illness and support compliant coding ~ Collaborative role working closely with... ...agent, improving clinical documentation quality across the care team ~ Utilizes advanced knowledge...QualityWeekly payPermanent employmentContract workZero hours contractReliefLocal areaRemote workMonday to FridayFlexible hoursShift workAfternoon shiftRevolution Healthcare Services
Rochester, MN22 hours ago$94.9k - $105.7k
...Compliance, the Senior Billing Compliance Reviewer ensures the integrity, accuracy, and... ...conducts complex, risk-based audits across coding, charge capture, and documentation to assess... ...and AAMC as well as other continuous quality improvement processes and workgroups as needed...QualityRemote jobFull timeWork at officeFlexible hours- ...Summary Performs medical reviews using clinical/medical information provided by... ...potential fraud and/or abuse, and correct coding for claims/operations. Makes reasonable... ...contractor guidelines. Participates in quality control activities in support of the...QualityFull timeFor contractorsWork experience placementWork at officeLocal areaRemote workWork from homeMonday to FridayShift work
- ...Description: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality reporting (annual Healthcare Effectiveness Data and Information Set...QualityContract workWork experience placementWork at office
US Tech Solutions
Philadelphia, PA18 days ago - .... Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description The HIM Coding Quality Reviewer & Educator is responsible for: Ensuring the accuracy, integrity, and quality of coding practices within the HIM department...QualityFull timePart time
Cooper University Health Care
Camden, NJ18 days ago $66.4k - $109.53k
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 timeFor contractorsRemote workWork from homeDay shift$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- ...Peer Reviewers iMPROve Health is seeking a Hematology/Oncology physician to conduct independent peer reviews. Reviewer Benefits Use your clinical knowledge to improve the quality of health care. Join a pool of professionals who are experts in their specialties...QualityRemote work
iMPROve Health
United States1 day ago - ...Emergency NP / VA Reviewer - Remote Greenlife Healthcare Staffing is currently seeking an Emergency Nurse Practitioner - VA Reviewer... ...NP / VA Reviewer: Audits/ Facility Requested: Quality Management Reviews Standardized set of questions Was the...QualityPrivate practiceRemote work
GreenLife Healthcare Staffing
Kissimmee, FL3 days ago $70k - $85k
...science-driven innovators who are collaborating to bring new therapies to patients in need. The Position The Data Reviewer will ensure the quality of laboratory data and reports produced within Analytical Development (AD). This includes the review of analytical...QualityContract workArrowhead Pharmaceuticals, Inc.
Verona, WI1 day ago$55k - $65k
...Distribution Reviewer Are you looking for a position where you can utilize your experience... ...In this position, you will provide work quality review for retirement plan loan and... ...knowledge of ERISA and Internal Revenue Code and Regulations specific to distributions...QualityRemote workWork from homeMonday to FridayNova 401(k) Associates
Louisville, KY7 hours ago- ...cancellations for non-payment. The position will provide high-quality customer service responsibilities both virtually and in-person... ...Major/Minor/Expected Graduation, Change of Catalog, Honors program coding, and course of study updates. Acts as the main contact for...QualityFull timeTemporary workWork at office
$150 per hour
...JOB TITLE (#25023): Emergency NP / VA Reviewer - Remote Minimum of 5 years active clinical practice within the specialty and 2 years... ...NP / VA Reviewer: Audits/ Facility Requested: Quality Management Reviews Standardized set of questions Was the...QualityPrice workContract workPrivate practiceRemote workGreenLife Healthcare Staffing
New York, NY4 days ago- ...Job Description Job Title: QC Microbiology Data Reviewer and Writer Hybrid/Onsite: Onsite Site Location: Indianapolis, IN... ...degree in microbiology , Biology or Biotechnology or equivalent • Preferred training in Quality systems, cGMP, and Data Integrity...QualityContract workMonday to FridayWeekend work
TSR Consulting
Indianapolis, IN10 days ago $55k
...Utilization Reviewer Developmental Disabilities Services Human services professionals are encouraged to consider an outstanding career... ...a statewide program which endeavors to develop continuous quality improvement processes that enhance person-centered service delivery...QualityFull timeImmediate startRemote workWork from homeHome officeMonday to FridayLiberty Healthcare
Annapolis, MD7 hours ago$25 - $28 per hour
...tirelessly to pioneer advancements in manufacturing, distribution, and quality control, ensuring a holistic approach to healthcare. Through... ..., CA 95834 About the Job: Title of the Position: Data Reviewer We are hiring an experienced Data Reviewer to support our...QualityWork at officeNivagen Pharmaceuticals Inc
Sacramento, CA7 hours ago- ...The Data Reviewer, Office of Data Reliability (ODR) is accountable for critical review of pre-submission applications ready for regulatory... ...regulatory pre-submission documents from the manufacturing and quality units within the purview of ODR checklist Communicates any...QualityImmediate start
Sun Pharmaceutical Industries
New Brunswick, NJ1 day ago - ...AmeriHealth Caritas Long Term Services And Supports Reviewer Your career starts now. We are looking for the next generation of healthcare... ...Coordination team and refers accordingly. Participates in quality reviews and interrater reliability processes and achieves...QualityRemote workFlexible hours
AmeriHealth Caritas
Augusta, GA7 hours ago
