EXL USA Healthcare is seeking an IRF Auditor III to join our team. This role offers a fully remote work experience with possible 10% travel per year for team meetings and limited client onsite engagements. The
This role offers a fully remote work experience with possible 10% travel per year. The rest of the time, youll enjoy the flexibility of working from your home office. Why EXL? At EXL, we believe in
Gainwell Technologies LLC is seeking a DRG Nurse Reviewer Appeals and Hearings to coordinate and perform appeal-related duties, including analyzing and responding to appeals, participating in hearings, and maintaining current clinical knowledge. The role requires an active
Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankura’s Health Care team is a recognized leader in health care and life sciences disputes, compliance, and investigations. The team combines clinical, technical,
Department/Unit:Health Information Services Work Shift:Day (United States of America) Salary Range:$59,066.00 - $88,599.00 The Inpatient Hospital Coder applies skills and knowledge of currently mandated inpatient coding and classification systems, and official resources to select the appropriate
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we
The CVA Trainer plays a critical role in improving audit consistency, accuracy, and completeness by translating audit outcomes into effective learning experiences. This role partners closely with Clinical Auditors, Quality Analysts, and Subject Matter Experts to
Are you a nurse with a strong understanding of inpatient care and a passion for getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded accurately and fairly.
The Healthcare Analyst (HCA) provides support through the research and investigation of business issues related to cost, utilization, and revenue data for multiple Healthfirst products. The HCA will identify/monitor cost and utilization trends and the root
The MSHS Clinical Documentation Quality Coordinator supports multiple acute care hospitals within the systems department for Clinical Documentation Quality Improvement (CDQI). The Quality Coordinator is responsible for performing quality reviews on medical records to validate ICD
LocationNew York, New York Shift:Day (United States of America) Description: World-Class Clinical Coding More than a job, were offering the ultimate opportunity for clinical coding professionals. Youll work closely with top physicians and documentation improvement nurses
Department/Unit:Health Information Management Work Shift:Day (United States of America) Salary Range:$59,066.00 - $88,599.00 The Inpatient Hospital Coder applies skills and knowledge of currently mandated inpatient coding and classification systems, and official resources to select the appropriate
Remote Work Schedule: Sun-Thurs or Tues-Sat flexible hours between 7am-7pm Job Description: Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility: Analyzes and interprets the medical record
Hi, were Oscar. Were hiring an Associate, Itemized Bill Review to join our Payment Integrity team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving
This is a remote office opportunity. The CVA Quality Analyst oversees work performed by the Clinical auditors to ensure that EXL’s standard of accuracy is met. The analyst undertakes a quality review of random and targeted
Remote | Medical Coding Quality & Health Information Management Consultant Up to $60/hour New York, New York, United States Or refer someone Job Openings Remote | Medical Coding Quality & Health Information Management Consultant Up to
DRG Validation Coordinator The purpose of DRG validation is to confirm that diagnostic, procedural information, and the discharge status of the beneficiary, as coded and reported by the hospital on its claim, matches both the attending physicians description
Specialised Part-Time Consulting Opportunity We are sharing a specialised part-time consulting opportunity for United States-based healthcare revenue cycle professionals experienced in underpayment recovery, managed care contract interpretation, payment variance analysis, payer reimbursement methodologies, contract compliance monitoring,
Inpatient Coder Nesco Resource has partnered with a well-established healthcare organization in their pursuit to hire Inpatient Coders. Fully remote. Full-time with flexible scheduling options available. Competitive compensationup to $65,000 plus excellent benefits. The Inpatient Coder
Job Description Job Summary Leads and directs Strategic and Clinical Analytics team members in Medical Economics who are responsible for healthcare analytics and program evaluation, translating complex data into actionable insights that inform clinical, operational, and