Average salary: $82,328 /yearly
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$15 per hour
...USD/hr and additional rewards based on quality of submission. \n Outlier is committed... ...structured way. \n Evaluate AI outputs by reviewing and ranking reasoning and problem-... ...home \n Join a global community of Coding experts \n Join a global network of...QualityRemote jobWeekly payFreelanceWork from homeFlexible hoursOutlier AI
Memphis, TN3 days 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, MN3 days ago - Position titleOASIS Quality Assurance Chart Reviewer(PHRN)DescriptionThe main responsibility of an **OASIS Quality Assurance Chart Reviewer** is to... ...the McBee Associates OASIS database tool* Review ICD-10 coding and sequencing from documentation in the patient chart* Enter...QualityNight shift
- A healthcare organization in Myrtle Point is seeking a Coding Quality Reviewer II responsible for quality analysis of coded medical records. The ideal candidate will have at least three years of experience with multi-specialty coding, specifically in Neurosurgery, Neurology...Quality
- A healthcare facility in Kingman is looking for a Professional Services Certified Coding Reviewer to ensure coding accuracy and compliance with regulations. The ideal candidate will have extensive knowledge of ICD-10-CM, CPT, and HCPCS, along with strong communication skills...Quality
- ...process. Certified Coder/Surgical Case Reviewer (F/T) - Remote Full-time Regular Remote,... ...reviewed for appropriate documentation and coding; feedback given to physicians on any discrepancies... ...levels and maintains 95% accuracy in quality assurance reviews Experience with...QualityRemote jobFull time
$40 - $45 per hour
Coding Quality Reviewer Specialist (Inpatient MS-DRG) Compensation: ~$40-$45/hr (midpoint $42.28/hr, based on experience) Location: Nashville, TN (Remote Work From Home) Work Policy: Full-time | Remote (eligible in most U.S. states; not available in CA, AK, NY, or CO...QualityHourly payFull timeRemote workWork from home$79k - $105k
Overview Join to apply for the Inpatient DRG Reviewer role at Zelis At Zelis, we get stuff done... ...DRG billed, based on industry standard coding guidelines and the clinical evidence... ...internal and department productivity and quality standards. Recommend new methods to improve...QualityWork at officeLocal areaRemote work- Responsibilities Review OASIS and document recommended changes in approved system Review ICD-10 coding and sequencing from documentation in the patient chart Complete documentation... ...meet chart equivalent targets and quality metrics Qualifications Required At least 1 year...QualityFor contractorsWork experience placementReliefRemote work
$32 - $37 per hour
Overview BerryDunn is seeking a Per Diem Coding & OASIS Reviewer to join our Healthcare group. This position is responsible for accurate review... ...recent Home Health coding and OASIS operational and/or quality experience. Knowledge of medical terminology, anatomy and physiology...QualityHourly payDaily paidInterim roleRemote work- Veterans Engineering is seeking a highly skilled and experienced Code Reviewer, Software Assurance to perform code scan reviews and to analyze custom-developed software for security and quality flaws. The ideal candidate will bring a strong software development background...QualityContract workLocal areaRemote work
- Insurance Reviewer - Clinical SR Maryland Oncology Hematology Join to apply for the Insurance... ...Compliance Program, including the Code of Ethics and Business Standards. Responsibilities... ...efficiently to achieve them. Commits to Quality: Emphasizes the need to deliver quality...QualityFull timeWork experience placementWork at officeRemote workMonday to FridayShift work
$95k - $127k
Join to apply for the Inpatient DRG Sr. Reviewer role at Zelis At Zelis, we Get Stuff Done.... ...Perform comprehensive inpatient DRG validation Quality Assurance reviews to determine accuracy... ...DRG billed, based on industry standard coding guidelines and the clinical evidence...QualityWork at officeLocal areaRemote work$51k - $85k
Remote Pro Fee Coding Quality Reviewer Position: Remote Pro Fee Coding Quality Reviewer (full‑time, mid‑senior level). The role reports directly to the Pro Fee Quality Review Supervisor and involves reviewing coding accuracy using ICD‑10‑CM, CPT, and HCPCS systems, abstracting...QualityRemote jobFull timeTemporary workFlexible hours- ...Network is looking for a Clinical Insurance Reviewer to join our team at Texas Oncology. This... ...Network, Texas Oncology delivers high-quality, evidence-based care to patients close to... ...Oncology Compliance Program, to include the Code of Ethics and Business Standards....QualityFull timeWork experience placementWork at officeRemote workMonday to FridayShift work
$143.1k - $264.2k
...consulting on both hardware and software, threat modeling, auditing code and reviewing designs, the job is as diverse as it is critical. This... ...and privacy while preserving ease-of-use and increasing the quality of the user experience. Work with engineers to analyze...QualityWorldwideRelocation- ...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 workWork at officeRemote work
- ...International Position: Senior Complex Bill Reviewer Location: US--Remote Job ID: 25-18418... ..., specialty claims and adjustments for coding and billing accuracy and to ensure compliance... ...that meets or exceeds production and quality goals May serve as subject matter expert...QualityHourly payFull timeWork at officeLocal areaRemote work
- ...NEorthEast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role The Coding Quality Reviewer II is responsible for performing quality analysis of coded medical records, documenting the analysis, summarizing the metrics...QualityRemote jobWork at officeLocal areaFlexible hoursShift workDay shift
$26.5 - $47.59 per hour
Utilization Management Reviewer - Dental at Envolve Pharmacy Solutions Join to apply for the... ...based upon medical necessity. Monitor quality of care and collect and analyze utilization... ...Knowledge and Understanding of Dental Coding. Excellent Customer Service and Communication...QualityHourly payFull timeContract workPart timeWork at officeRemote workFlexible 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, AZ16 hours agonew$93.4k - $116.8k
...Provides consultative services and manages quality improvement activities and initiatives... ...Facilitates quality assurance and utilization review activities with interdisciplinary teams... ...disciplines to ensure documentation and coding accuracy. Perform Risk Adjustment data...QualityWork experience placementFlexible 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
- ...Adheres to GBS' privacy policies. Follow procedures to improve the quality of services rendered to GBS customers. Support and promote the... ...office equipment. Filing skills including alpha, numeric, coding, sorting, and reading comprehension. Strong problem-solving skills...QualityTemporary workWork at office
- ...Summary Responsible for improving the overall quality and completeness of clinical... ...physicians, nursing staff, medical records coding staff and other essential patient caregivers... ...by performing admission/ continued stay reviews using Compliant Documentation Program Management...QualityWork experience placementImmediate startFlexible hours
$28 per hour
...in any U.S. jurisdiction for a Document Reviewer role. This is a project-based, temporary... ...matters using an electronic review platform to code for relevancy, confidentiality, and... ...relevancy, confidentiality, and privilege. Quality control tasks and preparation of privilege...QualityHourly payTemporary workRemote workWork from homeHome office$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$25 per hour
...respected. We have an ongoing need for Document Reviewers. Location NV, United States (Remote)... ...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 hours$40 - $50 per hour
Dental Consultant Reviewer (PRN - District of Columbia) This range is provided by Comagine... ...organization that has engaged in health care quality consulting and quality improvement... ...Dental Hygienist Strong knowledge of dental coding systems (e.g., CDT codes) and insurance claim...QualityReliefRemote work- ...effective and secure management of documents and Project Team support that includes document capture, quality assessment, rejection as applicable, coding, updating, review routing, distribution to ensure that project documents adhere to the documentation requirements (...QualityFor contractors
