Click to search for jobs

Regional One Health is currently seeking a Trauma/Burn Quality and Research Analyst.
A Brief Overview
The Trauma Quality and Research Analyst is responsible for the monitoring compliance with ACS/ABA and State or other regulatory standards for trauma/Burn registry data of records meeting inclusion criteria. The Trauma/Burn Quality and Research Analyst will prepare statistical, and analytics rep...

Requisition Details
GENERAL REQUISITION INFORMATION
EEO Statement:
UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and individuals with disabilities.
Location
Omaha, NE
Requisition Number:
Staff_14224
Department
Neurological Sciences 50001975
Business Unit
College of Medicine
Reg-Temp
Full-Time Regular
Work Schedule
As ...

UPMC Health Plan has an exciting opportunity for a Clinical Auditor/Analyst position in the Fraud, Waste & Abuse department. This is a full time position working Monday through Friday daylight hours and will be a remote position.
The Clinical Auditor/Analyst is an integral part of the Special Investigations Unit (SIU) and is responsible for conducting clinical audits and reviews regarding the...

About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment tha...

Employment Type:
Full timeShift:
Day Shift
Description:
GENERAL SUMMARY AND PURPOSE:
The fully remote, RN Clinical Documentation Specialist is responsible for reviewing medical records to facilitate the accurate representation of the patient's severity of illness and risk of mortality by improving the quality of the physician's clinical documentation. This involves extensive record review, i...

Clinical Quality Assurance Analyst
This Position is Remote and requires an active coding certification
We are more than just a healthcare company; we are a community of professionals driven by the knowledge that our success leads to a positive impact on the communities that we support.
At ComplexCare Solutions, you'll play a crucial part in innovating solutions that empower health plan members...

Job Summary
The Clinical Documentation Excellence Specialist (CDES) is a pivotal role. The role works closely with providers and healthcare teams to enhance clinical documentation accuracy and ensure ICD-10 coding precision. Your efforts will help us deliver the highest quality of care and accurately reflect the services provided to our patient populations
Duties and Responsibilities
Primary...

Site: Mass General Brigham Community Physicians, Inc.
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams ...

So, you like working with a creative, dynamic team and making a difference?
Sometimes the grass is greener!
The mission of First Call Hospice, a locally owned agency founded in 1993, is to provide individualized quality hospice care to meet the unique needs of patients with a limited life expectancy. The primary goal of First Call Hospice is to enhance the quality of life when the quantity of l...

Requisition Details
GENERAL REQUISITION INFORMATION
EEO Statement:
UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and individuals with disabilities.
Location
Omaha, NE
Requisition Number:
Staff_14562
Department
CHRI Administration 50010500
Business Unit
Child Health Research Institute
Reg-Temp
Casual
Work Schedule
PRN
...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.
Reporting to the Manager, Patient Financial Services, the Clinical Analyst plays an important role in a high-profile team tasked with handling all commercial and government clinical appeals and audit processes. The Clinical Analyst will perform high-level clinical appeal for services...

Who We Are
UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory car...

Company :
Highmark Inc.Job Description :
JOB SUMMARY
This job will deliver value to the Health Plan and its beneficiaries enrolled in risk-adjusted government programs (MA and ACA) through Hierarchical Condition Category (HCC) coding, medical coding, clinical terminology and anatomy/physiology, CMS coding guidelines, and support of Risk Adjustment Data Validation (RADV) audits. Conducts qual...