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The on-call HEDIS Clinical Audit Coordinator is responsible for conducting clinical quality audits for the Quality Department. The auditor identifies and coordinates clinical audits to determine potential areas for quality improvement within the PHP network. The audit coordinator collects data by way of chart extraction, using objective specifications for the Healthcare Effectiveness and Data ...

Home Health Coding & OASIS Reviewer (remote)
SimiTree has an opening for a Home Healthcare Coding & OASIS Reviewer, fully remote position based in the United States. The Coding & OASIS Reviewer will review chart documentation for accuracy, review plan of care, enter information into EMR System, and maintain quality standards for Coding & OASIS. Candidates must have experience with Home Healt...

Job Description
Job Summary
Molina's Quality Improvement Abstraction team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards.
Job Duties
* Coordinates the HEDIS medical record review ...

Employment Type:
Full time
Shift:
Day Shift
Description:
RN - Endocrinology Office – Albany, NY / Hybrid Remote – FT
If you are looking for an RN II position in an outpatient Endocrinology Office, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position will be located at 63 Shaker Road, Albany, NY and is available hy...

Overview
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
The Outpatient Clinical Documentation Specialist I RN facilitates modifications to clinical docu...

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Must be willing to travel to NYC twice a year for required meetings.
Position Purpose:
The focus of this p...

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.
Must reside in Iowa, Missouri, Kansas, Nebraska. Relocation assistance available
Position Purpose: Oversee all related activities for the Quality Improvement functions. Lead and direct process improvement activities f...

Overview
Catholic Health is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.
At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compas...

Job Description
Cardiology RN Abstractor, Remote
*This is a remote position with a requirement to live in the Kansas City metro.
The Work:
Review scanned medical records. Identify risk factors. Keep new patient information updated for future visits.
Pull in outside records into chart from CareEverywhere when available.
We are looking for a nurse with a strong cardiology background and abi...

RN Clinical Reviewer / IDR - Remote to Office-Based Setting - Jericho, NY (#25293)
Location: Hybrid (Remote to Office-Based) - Jericho, NY
Employment Type: Full-time
Hourly Rate: For remote, it's $50/hr, and as soon as the candidate transitions into an office-based position, the rate will be increased to $60/hr
About Greenlife Healthcare Staffing:
Greenlife Healthcare Staffing is a lead...

Details
* Remote - Clinical Documentation Specialist
* Inpatient Coding
* Full Time Status
* Day Shift
* Pay: $60,382.40 - 96,616.00 / year
Summary
* Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Ca...

Details
* Remote - Clinical Documentation Specialist
* Inpatient Coding
* Full Time Status
* Day Shift
* Pay: $60,382.40 - 96,616.00 / year
Summary
* Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Caroli...

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themse...

Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub.
Position Summary
* The Clinical Documentation Improvement Second Level Reviewer is a Professional Registered Nurse with a broad clinical knowledge base and understanding of DRG documentation requirements who works under the supervision of the CDI Manager. R...

Overview
This auditing role will be responsible for performing retrospective clinical chart reviews on Readmission and Place of Service Claims by utilizing nationally accepted guidelines, clinical review judgment and review methodologies specific to the contract for which services are being provided. This involves accessing proprietary systems to audit medical records, applying critical thinki...

Everlywell is a digital health company pioneering the next generation of biomarker intelligence—combining AI-powered technology with human insight to deliver personalized, actionable health answers. We transform complex biomarker data into life-changing insights—seamlessly integrating advanced diagnostics, virtual care, and patient engagement to reshape how and where health happens.
Over the p...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3....

Registered Nurse Clinical Reviewer / CPD - Remote (#25295)
Location: Remote
Employment Type: Full-Time
Hourly Rate: $45/hr - $50/hr
About Greenlife Healthcare Staffing:
Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty group...

Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities ...

Location: 575 Stanton Rd, Unit B, Mobile AL 36617
PURPOSE AND SCOPE:
Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.
Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supe...