Current jobs related to Professional Coding Quality Review Specialist - West Allis - Children's Wisconsin
-
HC QA-Coding Review Clinician
4 weeks ago
West Nyack, United States Good Samaritan Hospital Full timeThe Home Care Quality Assurance and Coding Review Clinician is responsible for assisting the PI Manager in ensuring excellent clinical outcomes and accurate HHRG Coding. This position performs reviews of OASIS assessment and 485 for completeness and accuracy with coding based on ICD and CPT classification systems. In addition, this position is responsible...
-
HC QA-Coding Review Clinician
4 weeks ago
West Nyack, United States Good Samaritan Hospital Full timeThe Home Care Quality Assurance and Coding Review Clinician is responsible for assisting the PI Manager in ensuring excellent clinical outcomes and accurate HHRG Coding. This position performs reviews of OASIS assessment and 485 for completeness and accuracy with coding based on ICD and CPT classification systems. In addition, this position is responsible...
-
Hospital Coding Educator
5 days ago
West Allis, Wisconsin, United States Advocate Health Full timeCoding Educator Job DescriptionJob Summary:We are seeking a skilled Coding Educator to join our team at Advocate Health. The successful candidate will be responsible for delivering education sessions within our coder education program, including remote onboarding and ongoing coder education.Key Responsibilities:Deliver education sessions to coders and...
-
Healthcare Coding Specialist
1 month ago
West Palm Beach, Florida, United States Dane Street, LLC Full timeJob OverviewDane Street, LLC is on the lookout for dedicated professionals in the field of medical coding and billing. We invite experienced Coders, bill reviewers, and payment integrity specialists to become part of our dynamic team. Our organization prides itself on providing a stimulating work atmosphere, competitive remuneration, and significant...
-
HC Coding Specialist
2 weeks ago
West Nyack, United States Good Samaritan Hospital Full timeJob Title: HC QA-Coding Review ClinicianThe Home Care Quality Assurance and Coding Review Clinician plays a vital role in ensuring excellent clinical outcomes and accurate HHRG Coding at Good Samaritan Hospital. This position performs reviews of OASIS assessment and 485 for completeness and accuracy with coding based on ICD and CPT classification systems.Key...
-
Quality Assurance Specialist
2 weeks ago
West Allis, Wisconsin, United States Chili's Grill & Bar Full timeQuality Assurance SpecialistAt Chili's Grill & Bar, we're committed to delivering exceptional Guest experiences. As a Quality Assurance Specialist, you'll play a vital role in ensuring our food meets the highest standards of quality and taste.Key Responsibilities:Monitor food preparation to ensure consistency and qualityCollaborate with kitchen staff to...
-
Healthcare Coding Specialist
2 weeks ago
West Covina, California, United States Emanate Health Full timeAbout Emanate HealthEmanate Health is a leading healthcare provider dedicated to delivering world-class care to our patients. As a member of our team, you will play a vital role in shaping the future of healthcare.Job SummaryWe are seeking a skilled Healthcare Coding Specialist to join our team. In this role, you will be responsible for assigning diagnostic...
-
Fire Protection Specialist
4 weeks ago
West Covina, California, United States City of West Covina, CA Full timeJob SummaryUnder the direction of the Fire Marshal, the Fire Protection Specialist is responsible for ensuring compliance with fire safety codes and regulations in various structures and installations within the City of West Covina. This role involves promoting fire safety, investigating the causes and origins of fires, and enforcing applicable laws and...
-
Fire Protection Specialist
4 weeks ago
West Covina, California, United States City of West Covina, CA Full timeJob SummaryUnder the direction of the Fire Marshal, the Fire Protection Specialist is responsible for ensuring compliance with fire safety codes and regulations in various structures and installations within the City of West Covina. This role involves promoting fire safety, investigating the causes and origins of fires, and enforcing applicable laws and...
-
Accreditation Quality Assurance Professional
4 weeks ago
West Covina, California, United States Success Education Colleges Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Junior Accreditation Specialist to join our team at Success Education Colleges. As a key member of our accreditation team, you will play a critical role in ensuring the quality and integrity of our accreditation process.Key ResponsibilitiesAccreditation Process ManagementDevelop, implement, and...
-
Clinical Utilization Review Specialist
2 weeks ago
West Coxsackie, New York, United States Albany Medical Center Full timeJob SummaryWe are seeking a highly skilled Clinical Utilization Review Specialist to join our team at Albany Medical Center. As a key member of our Care Management department, you will play a critical role in ensuring the quality and efficiency of patient care.Key ResponsibilitiesConduct thorough reviews of patient records to identify opportunities for...
-
Medical Bill Review Specialist
3 weeks ago
West Des Moines, Iowa, United States CorVel Healthcare Corporation Full timeJob SummaryCorVel Healthcare Corporation is seeking a highly skilled Medical Bill Review Specialist to join our team. As a Medical Bill Review Specialist, you will be responsible for reviewing, auditing, and data-entering medical bills for multiple states and lines of business.Key ResponsibilitiesMedical Bill Review: Conduct thorough reviews of medical bills...
-
Manager of Utilization Management and Review
3 weeks ago
West Allis, Wisconsin, United States Foundations for Living Full timeJob SummaryFoundations for Living is seeking a highly skilled and experienced Manager of Utilization Management and Review to oversee the Utilization Management Program for Inpatient and Outpatient services.Key ResponsibilitiesDirect the response to requests for services, including the initial response, assessment and referral process, designation of...
-
Manager of Utilization Management and Review
1 week ago
West Allis, Wisconsin, United States Foundations for Living Full timeJob SummaryWe are seeking a highly skilled and experienced Manager of Utilization Management/Review to oversee the Utilization Management Program for Inpatient and Outpatient services at Foundations for Living.Key ResponsibilitiesDevelop and implement case management scenarios to ensure effective treatment plans for patients.Collaborate with internal teams...
-
Quality Assurance Specialist
2 days ago
West Allis, Wisconsin, United States Chili's Grill & Bar Full timeJob Title: QA/Expeditor - Miller Park Way Chili'sWe are seeking a Quality Assurance Specialist to join our team at Chili's Grill & Bar in West Milwaukee. As a Quality Assurance Specialist, you will play a critical role in ensuring that every guest receives perfectly prepared, high-quality food.Responsibilities:Ensure food is prepared to company standards and...
-
Manager of Utilization Management and Review
2 weeks ago
West Allis, Wisconsin, United States Foundations for Living Full timeJob SummaryWe are seeking a highly skilled and experienced Manager of Utilization Management and Review to join our team at Foundations for Living. This is a critical role that requires strong leadership and clinical expertise to oversee the Utilization Management Program for Inpatient and Outpatient services.Key ResponsibilitiesDevelop and implement case...
-
West Allis, Wisconsin, United States GE Healthcare Full time{"title": "Quality & Regulatory Leadership Program Internship", "description": "Unlock Your AmbitionAt GE HealthCare, we're committed to creating a world where healthcare has no limits. As a Quality & Regulatory Leadership Program Intern, you'll have the opportunity to accelerate your career and make a meaningful impact in the medical technology and digital...
-
Regulatory Compliance Specialist
1 week ago
West Allis, Wisconsin, United States 505 Aurora Health Care, Inc. Full timeJob Title: Regulatory Accreditation Compliance SpecialistJoin Aurora Health Care, Inc. as a Regulatory Accreditation Compliance Specialist and contribute to the success of our organization.About the RoleThis is a full-time, salaried position that requires frequent travel within the enterprise system. As a Regulatory Accreditation Compliance Specialist, you...
-
Regulatory Compliance Specialist
2 weeks ago
West Allis, Wisconsin, United States 505 Aurora Health Care, Inc. Full timeJob SummaryWe are seeking a highly skilled Regulatory Compliance Specialist to join our team at 505 Aurora Health Care, Inc. as an Accreditation Compliance Specialist. This is a full-time, salaried position that requires frequent travel within the enterprise system.Key ResponsibilitiesConduct scheduled internal risk assessments of assigned laboratories to...
-
Senior Specialist, Quality Engineer
2 weeks ago
West Palm Beach, United States L3Harris Technologies Full timeJob Title: Senior Specialist, Quality Engineer Job Code: 15807 Job Location: Jupiter, FL Job Schedule: 9/80 Job Description: We are seeking a Senior Specialist Quality Engineer to join our team in West Palm Beach, FL. Essential Functions: Provides Quality Engineering direction including, but not limited to these areas:Requirements flowdown:...
Professional Coding Quality Review Specialist
4 months ago
At Children’s Wisconsin, we believe kids deserve the best. _
- Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country. _
The Quality Assurance Specialist - Professional Coding is responsible for conducting audits of coding staff to ensure the highest coding quality standards are upheld, and that policies, procedures and protocols are followed appropriately. This position will provide feedback and education to coding leaders and staff based on audits completed.
**Requirements and Responsibilities**
- Coding certification (CPC, CCS, CCS-P or RHIT).
- High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED).
- Requires 5 years of experience in a multi-specialty physician practice, coding multiple medical/surgical specialties/subspecialties.
- Exhibits guiding behaviors that reflect Children's values and support our mission and vision.
- Advanced knowledge of ICD10, CPT and HCPCS coding guidelines, payer and governmental policies.
- Working knowledge of CCI edits, healthcare insurance guidelines and other regulatory guidance.
- Prior use of an Electronic Health Record.
- Excellent communication (oral and written) skills
- Ability to work independently and exercise independent judgment and decision making.
- Normal office environment where there is no reasonable potential for exposure to blood or other high risk body fluids.
- Remote work (home).
- Associate Degree or Bachelor's Degree preferred.
- Epic Experience preferred.
This is a 100% remote position with no travel to Milwaukee required.
Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.
**Certifications/Licenses**:
