180 auditor jobs found

Job Title: Medical Auditor Description Employment Status: Full time Shift: Day (United States of America) Facility: Remote - VA CP07 Carilion Medical Center. Requisition Number: R159300 Medical Auditor (Open) How You’ll Help Transform Healthcare: The Medical Auditor conducts chart audits by reviewing documentation in the patient’s record, including orders, medications, supplies, and procedures performed, and ensures all applicable charges are accurate and appropriately supported. Makes adjustments to the patient’s account, adding or removing charges as supported by documentation. Provides education to individuals and groups to improve charging accuracy and documentation practices. The Medical Auditor Performs chart audits in a timely, accurate, and thorough manner. Reviews patient documentation, identifies charging discrepancies, and makes appropriate account adjustments. Records charging weaknesses and communicates deficiencies and trends to...

Job Description: Summary: This position is responsible for the accurate and thorough claim and clinical investigation of potential claim payment integrity issues involving all lines of business. This position investigates and remediates claim overpayments, creating data and reporting analytics to analyze data from multiple sources to extract trends, business insights, and to ensure claims payment integrity. Activities are performed through a variety of audits utilizing various systems, data applications, and/or medical records and directed toward reducing costs for the Health Plan, identifying risks and trends, facilitating, and collaborating with stakeholders from all business units on root cause analysis to implement solutions compliant with Provider/Member contracts, as well as internal/external standards set by regulatory and accreditation entities. Essential Accountabilities: Level I Adherence to official coding guidelines, coding clinic determinations, and CMS and...

About Avalon Healthcare Solutions: Avalon Healthcare Solutions is the world's first and only Lab Insights company, bringing together our proven Lab Benefit Management solutions, lab science expertise, digitized lab values, and proprietary analytics to help healthcare insurers proactively inform appropriate care, reduce costs, and improve clinical outcomes. Working with health plans nationwide, the company covers over 44+ million lives and delivers 10-20% proven outpatient lab benefit savings. Avalon is pioneering a new era of value-driven care with its Lab Insights Program that captures, digitizes, and analyzes lab results in real-time to provide actionable insights for earlier disease detection, ensuring appropriate treatment protocols and driving down overall costs.  Avalon is a portfolio company of Francisco Partners, a global private equity firm that specializes in investments in technology and technology-enabled service companies. Avalon is a high growth company where...

Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center.  Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations.  You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application.  You can only apply one time to a job requisition.  Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process. Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted. After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the...

Position Title: Audiology extern for 26/27 year Department: Ear, Nose & Throat Clinic Job Description: The Audiology Extern will work with a mentor under direct supervision to receive training and expertise to aid in preparation for a professional career in audiology. Essential Responsibilities Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position. Perform with supervision all audiology outpatient services including audiograms, vestibular testing, auditory evoked potentials and hearing aids. May provide presentations to audiology team members or leadership. General Responsibilities Performs other duties as assigned. Minimum Qualifications Education Requirements : Bachelor of Science required. Completed 3 years of an accredited Audiology Program. Experience Requirements:  No experience...

Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center.  Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations.  You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application.  You can only apply one time to a job requisition.  Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process. Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted. After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the...

*Come join our growing therapy team. Part-time & PRN Positions Available. Relocation assistance may be available for qualifying candidates!* *Overview:* Our mission is to create a great place to work and a great place to live. Join our team as a Speech Language Pathologist and contribute to our mission of enhancing the communication and swallowing abilities of individuals through speech therapy interventions. As a Speech Language Pathologist, you will play a vital role in assessing, diagnosing, and treating speech and language disorders to improve the quality of life for our patients. *Position Purpose* The primary purpose of this job position is to identify and meet the speech-language therapy and related service needs of each resident in accordance with physician orders and the resident plan of care as well as federal, state and local standards, guidelines and regulations to ensure that the highest quality of resident care is maintained at all times. The SLP assumes the...

General Purpose The Director of Rehabilitation (DOR) oversees the day-to-day operations of the rehabilitation department for assigned facility or facilities. This role includes the delivery and coordination of direct and indirect services to both inpatient and outpatient populations, supervision of all Rehabilitation personnel, interviewing and recommending candidates for hire, firing, and training and development of Rehabilitation staff. The DOR is responsible for implementing new programs to meet the clinical and operational needs of the facility and its residents. The DOR holds the administrative authority and accountability needed to oversee the clinical and operational delivery of rehabilitative services. Essential Duties Directly supervises and guides all Rehabilitation personnel, in an assigned facility which would include licensed, registered, certified therapists, assistants, aides and students. Daily scheduling for the department staff to meet the needs of the...

General Purpose The Staff Occupational Therapist evaluates and treats residents, communicates with families, physicians and other health team members, and maintains documentation of services in the medical records. Conducts in-services and training for facility staff on an ongoing basis. Essential Duties Evaluate residents to determine occupational therapy needs, functional limitations, and rehabilitation potential in accordance with physician orders and facility policies. Develop, implement, and update individualized treatment plans to improve mobility, strength, balance, endurance, and functional independence. Assist nursing department with training of Restorative Aides. Supervise Occupational Therapy Assistants in direct resident care and resident related activities, following state practice act. Communicate regularly with physicians, nursing staff, interdisciplinary team members, residents, and families regarding progress, goals, and discharge planning....

General Purpose The Staff Physical Therapist Assistant assists the Staff Physical Therapist with resident-related activities and direct resident care. Essential Duties Treat residents as directed by Physical Therapist. Complete timely, accurate, and compliant documentation in accordance with facility, governmental, and third-party payer requirements. Maintain a safe treatment environment by following infection control, safety, and equipment maintenance protocols. Participate in Resident Care conferences and/or Rehabilitation meetings, as needed. For California PTAs, remain in accordance with the California Laws and Regulations related to Physical Rehabilitation Manual Article 4 § 1398.44. Assist nursing department with training of Restorative Aides. Communicates routinely with the supervising physical therapist to ensure timely updates to physicians, nursing staff, the interdisciplinary team, residents, and families regarding progress, goals, and discharge...

General Purpose The Director of Rehabilitation (DOR) oversees the day-to-day operations of the rehabilitation department for assigned facility or facilities. This role includes the delivery and coordination of direct and indirect services to both inpatient and outpatient populations, supervision of all Rehabilitation personnel, interviewing and recommending candidates for hire, firing, and training and development of Rehabilitation staff. The DOR is responsible for implementing new programs to meet the clinical and operational needs of the facility and its residents. The DOR holds the administrative authority and accountability needed to oversee the clinical and operational delivery of rehabilitative services. Essential Duties Directly supervises and guides all Rehabilitation personnel, in an assigned facility which would include licensed, registered, certified therapists, assistants, aides and students. Daily scheduling for the department staff to meet the needs of the...

General Purpose The Staff Occupational Therapist evaluates and treats residents, communicates with families, physicians and other health team members, and maintains documentation of services in the medical records. Conducts in-services and training for facility staff on an ongoing basis. Essential Duties Evaluate residents to determine occupational therapy needs, functional limitations, and rehabilitation potential in accordance with physician orders and facility policies. Develop, implement, and update individualized treatment plans to improve mobility, strength, balance, endurance, and functional independence. Assist nursing department with training of Restorative Aides. Supervise Occupational Therapy Assistants in direct resident care and resident related activities, following state practice act. Communicate regularly with physicians, nursing staff, interdisciplinary team members, residents, and families regarding progress, goals, and discharge planning....

General Purpose The Staff Physical Therapist Assistant assists the Staff Physical Therapist with resident-related activities and direct resident care. Rate being offered at $40+ Essential Duties Treat residents as directed by Physical Therapist. Complete timely, accurate, and compliant documentation in accordance with facility, governmental, and third-party payer requirements. Maintain a safe treatment environment by following infection control, safety, and equipment maintenance protocols. Participate in Resident Care conferences and/or Rehabilitation meetings, as needed. For California PTAs, remain in accordance with the California Laws and Regulations related to Physical Rehabilitation Manual Article 4 § 1398.44. Assist nursing department with training of Restorative Aides. Communicates routinely with the supervising physical therapist to ensure timely updates to physicians, nursing staff, the interdisciplinary team, residents, and families regarding progress,...

General Purpose The Staff Occupational Therapist Assistant assists the Staff Occupational Therapist with resident related activities and direct resident care. Rate offered $40+ Essential Duties Treat residents as directed by the Occupational Therapist. Complete timely, accurate, and compliant documentation in accordance with facility, governmental, and third-party payer requirements. Maintain a safe treatment environment by following infection control, safety, and equipment maintenance protocols. Participate in Resident Care conferences and/or Rehabilitation meetings, as needed. Assist nursing department with training of Restorative Aides. Communicates routinely with the supervising occupational therapist to ensure timely updates to physicians, nursing staff, the interdisciplinary team, residents, and families regarding progress, goals, and discharge planning. Provides in-services on training programs for other staff in the facility as needed. Educate...

General Purpose Rate offered $60+ The Staff Speech-Language Pathologist evaluates and treats residents, communicates with families, physicians and other health team members, and maintains documentation of services in the medical records. Conducts in-services and training for facility staff on an ongoing basis. Essential Duties Evaluate residents to determine speech therapy needs, functional limitations, and rehabilitation potential in accordance with physician orders and facility policies. Develop, implement, and update individualized treatment plans to improve mobility, strength, balance, endurance, and functional independence. Assist nursing department with training of Restorative Aides. Supervise Speech-Language Pathologist Clinical Fellows (CFY) or students in resident care and resident-related activities, following state practice act. Communicate regularly with physicians, nursing staff, interdisciplinary team members, residents, and families regarding...

Job Ref:JR-253 Location:450 Brookline Ave, BOSTON, MA 02215 Category:Quality/Risk Management/Patient Safety Employment Type:Full time Work Location:Boston Job Posting Location Salary/Pay Rate:$55,530.00 - $61,700.00 per year Overview The Regulatory Coordinators (RC) works under the direction of the Breast Oncology Principal Investigator(s), Regulatory Operations Manager, Clinical Research Manager and / or directly for the Clinical Trials Office to complete the regulatory requirements of the clinical research project. The RC coordinates aspects of protocol submissions, prepares and submits regulatory documents, and maintains records on assigned studies to ensure regulatory compliance with DFCI and DF/HCC policies as well as federal regulation and ICH/GCP guidelines.  This position will work collaboratively with a variety of personnel at all levels, including faculty and study team members of DF/HCC and external institutions, cooperative groups, clinical trials...

*Come join our growing therapy team today. Full time, Part time, and PRN positions available. Relocation assistance may be available for qualifying candidates!* *Job Overview:* Our mission is to create a great place to work and a great place to live. Join our team as a Physical Therapist and be part of our mission to enhance the quality of life for individuals through physical therapy interventions. As a Physical Therapist, you will play a crucial role in optimizing the functionality and skills of patients by providing comprehensive physical therapy services. *Position Purpose* The primary purpose of this job position is to identify and meet the physical therapy and related service needs of each resident in accordance with physician orders and the resident plan of care as well as federal, state and local standards, guidelines and regulations to ensure that the highest quality of resident care is maintained at all times. The PT assumes the authority, responsibility and...

*Come join our growing therapy team today. Full time, part time, and PRN positions available. Relocation assistance may be available for qualifying candidates!* *Job Summary:* Our mission is to create a great place to work and a great place to live. Join our team as an Occupational Therapist where you will play a vital role in enhancing the quality of life for individuals through occupational therapy interventions. *Position Purpose* The primary purpose of this job position is to identify and meet the occupational therapy and related service needs of each resident in accordance with physician orders and the resident plan of care as well as federal, state and local standards, guidelines and regulations to ensure that the highest quality of resident care is maintained at all times. The OT assumes the authority, responsibility and accountability necessary to understand and carry out his or her assigned duties within the OT scope of practice. *Job Requirements* * Must have...

*Job Description* _Sensible Rehab is the leading speech and occupational therapy clinic in the Willamette Valley. We were voted best in the _Willamette _valley for specialty therapy by the community in 2022-2025. We have a dynamic and collaborative team SLP's and _OTR/Ls _and COTAs_ _*About Sensible Rehab*_ * Sensible Rehab is located in Albany, Salem & McMinnville and provides sensible and evidence-based approaches to treatment, prevention, and education. * We are a dynamic and growing team of SLPs and three full-time OTs we are rapidly expanding in our community. * We are a private practice looking to add another speech-language pathologist with experience working with children, especially those under 5 years of age. * Currently, we serve pediatrics of all ages and a variety of disorders (including hearing impairment, stuttering, articulation/phonology, tongue thrust, language disorders, autism spectrum disorders, cerebral palsy, etc.). The adult population includes tongue...

General Purpose Rate: Offering $60+ The Staff Physical Therapist evaluates and treats residents, communicates with families, physicians and other health team members, and maintains documentation of services in the medical records. Conducts in-services and training for facility staff on an ongoing basis. Essential Duties Evaluate residents to determine physical therapy needs, functional limitations, and rehabilitation potential in accordance with physician orders and facility policies. Develop, implement, and update individualized treatment plans to improve mobility, strength, balance, endurance, and functional independence. Assist nursing department with training of Restorative Aides. Supervise Physical Therapy Assistants in direct resident care and resident related activities, following state practice act. Communicate regularly with physicians, nursing staff, interdisciplinary team members, residents, and families regarding progress, goals, and discharge planning....