Medical Record Reviewer

HEDIS LPN/LVN Opening at ActalentWe are hiring for a HEDIS LPN/LVN to work in our office in North San Antonio, TX. As a key member of our team, you will be responsible for reviewing medical records for data collection, entry, and quality monitoring to ensure accurate and comprehensive care.About the Position:In this role, you will:Review medical records for...

About Rose InternationalRose International is a trusted partner in the staffing industry, providing top talent to healthcare organizations nationwide. Our team of experts works closely with clients to understand their unique needs and deliver tailored staffing solutions.Clinical Quality LPN Job DescriptionThis Clinical Quality LPN role involves working with...

Join our team as a Medical Records Coordinator at Superior Health Consulting in San Antonio, TX!The estimated salary for this role is around $52,000-$62,000 per year, depending on experience.Job Duties:Review and update patient charts according to regulations.Conduct quality control checks on medical records.Communicate with healthcare providers regarding...

About UsRose International is a leading provider of healthcare services, and we are committed to delivering exceptional quality and patient care. Our team of professionals is dedicated to excellence in all aspects of our work, and we are seeking like-minded individuals to join us.Job DescriptionIn this role, you will work closely with our Quality SDS/PSV...

Quality Assurance Specialist Job DescriptionWe are seeking a highly skilled Licensed Practical Nurse (LPN) to join our team as a Quality Assurance Specialist. In this role, you will be responsible for conducting medical record reviews, analyzing trends, and developing quality improvement strategies to enhance patient care.Duties and ResponsibilitiesConduct...

About San Antonio Behavioral HealthWe are seeking a skilled and detail-oriented Medical Records Coordinator to join our team at San Antonio Behavioral Health. As a key member of our healthcare staff, you will play a vital role in maintaining accurate and up-to-date patient records.The estimated salary for this position is $45,000 - $55,000 per year,...

Job Title: Medical Records Management SupervisorDisability Solutions is seeking an experienced Medical Records Management Supervisor to join our team. This role will be responsible for supervising Medical Records staff, maintaining accurate records and ensuring compliance with regulations.The ideal candidate will have excellent leadership skills, be able to...

About the JobWe are seeking an experienced LPN/LVN to work on our HEDIS team in San Antonio, TX. The ideal candidate will have at least 2 years of experience working with HEDIS roles and be licensed in Texas.Job Responsibilities:Review medical records for data collection, data entry, and quality monitoring that close gaps in care.Communicate identification...

ResponsibilitiesCollaborate with providers to recommend policies, procedures, and standards affecting member care.Provide summary clinical and ancillary information to Clinical Pharmacist and Medical Director for review and decision-making for targeted Part B medications.Gather additional information and research requests for cases requiring presentation to...

Job SummaryWe are seeking a Medical Records Specialist to join our team at Christus Health. This role is responsible for providing care to assigned patients that meets their physical, psychological, social, cultural, spiritual, and developmental needs.About the RoleAssist the team leader in assessing the status of patients with simple health problems on...

About the RoleAs a Clinical Data Coordinator at University Health, you will play a vital role in ensuring the accuracy and completeness of patient data. You will be responsible for reviewing and verifying patient records, identifying and correcting errors, and maintaining compliance with regulatory requirements.This is an exciting opportunity for individuals...

Leadership OpportunityJoin University Health as a Coding and Compliance Specialist Leader and take advantage of a unique opportunity to shape the future of our Medical records department. With a strong focus on quality, accuracy, and compliance, you will play a critical role in ensuring the highest standards of patient care and satisfaction.About the RoleIn...

Job OverviewAt University Health, we are committed to delivering high-quality care to our patients. As a Senior Claims Examiner, you will play a crucial role in ensuring that claims are processed efficiently and accurately.ResponsibilitiesPerform thorough review and analysis of all claim types, including coordination of benefits and DME claims.Conduct...

Job Summary:We are seeking a qualified teaching professional to join our faculty team at St. Philip's College. As an Adjunct Faculty member, you will play a vital role in shaping the future of our students by providing instruction and guidance in the Health Information Systems program. Your expertise in medical records administration and management will be...

About the RoleThe Clinical Review Specialist II is a critical member of our team, responsible for conducting thorough clinical reviews of medical data to ensure accurate prior authorization for specialty medications. As a skilled pharmacist, you will apply your expertise to develop approved criteria for prospective and concurrent reviews.

Job Summary:We are seeking a highly motivated and experienced Licensed Doctor of Dental Surgery to join our team. As a key member of our team, you will be responsible for providing dental pre-authorization policy and compliance for our federal health plan client. You will work closely with our team to develop and implement effective policies and procedures...

Job DescriptionWe are seeking a Medical Quality Assurance (QA) Specialist to support our Veteran Affairs Operations in San Antonio, TX. As a QA Specialist, you will work closely with medical providers and the Veterans Administration to ensure the documentation process is complete and accurate.In this role, you will review documentation sent over from medical...

Job Summary: We are seeking an experienced Insurance Compliance Analyst to review sales calls for compliance, assess regulatory risks, and provide expert advice to management. The successful candidate will have strong attention to detail, excellent communication skills, and the ability to analyze complex data. This is a 06+months contract opportunity with...

Job Description: We are seeking a skilled Healthcare Claims Specialist to join our team at University Health. The successful candidate will be responsible for reviewing, analyzing, and adjudicating claims, as well as coordinating with providers and internal stakeholders.About the Role: As a Healthcare Claims Specialist, you will play a critical role in...

Required Skills and QualificationsWe are seeking a career-minded individual who possesses a high school diploma or equivalent work experience. Prior data entry experience is preferred, with a strong working knowledge of HIPAA rules and regulations. The ideal candidate will have proficient knowledge of Microsoft Office products, excellent communication...