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Medical Audit Coord, RN Spec','625654','Aug 29, 2017','!*!Review claims for services obtained outside of Kaiser facilities for compliance with health plan service agreement with members; identifies health plan claims with potential quality ..
Anthem, Inc. is the nation's leading health benefits company serving the needs of approximately 40 million medical members nationwide.
Your Talent. Our Vision.
, a proud member of the ..
MUST be RN with clear/active license in CA
2 years of auditing experience with a background in quality/auditing - NCQA, MOC, CMS
2 years of Utilization Management experience
Position Description For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. ..
Provides training and education for the coding staff on all aspects of coding. Provides one-on-one and group coding training. Prepares comprehensive training materials and presentations on various ..
nLooking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. Blue ..
Position Description We're changing the way health care works for the better. That means consulting with our members, partnering with our physicians, and delivering drugs in the most efficient and effective ..
nHealthcare-Audit ManagerRSM is looking for a dynamic Manager to join our Healthcare Assurance team in our Los Angeles office. We have a rapidly growing practice with a diverse healthcare client base, ..
nAs one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive ..
nThe Coder Auditor Trainee reviews and analyzes documentation present in the medical record for both inpatient and outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders ..
Business Analyst, Audit and Reporting Oversight
Under the general direction of the Senior Manager of Audit and Reporting Oversight, the Business Analyst, Audit and Reporting is ..
CareMore Clin Qual Auditor JP25700
SUMMARY: Responsible for performing Quality Management (QM) functions ..
... best work.(sm) The Medical Records Auditor is responsible to perform audits ... medical exam. The Medical Records Auditor will document discrepancies in documentation ... posting. Required Qualifications:AA/AS degree in..
Healthcare Coding Auditor (CPC or CCS-P) – Managed Care
Your Job Summary:
The Coding Auditor performs coding audit activities by evaluating medical records and validating that appropriate clinical diagnosis ..