36 chart review specialist jobs at 24 companies in United States
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Clinical Review Specialist
Somerville, Massachusetts, United States
$64k-$93k/yrRemoteFull Time
Mass General Brigham Community Physicians: Nonprofit physician organization employing community physicians and advanced practitioners across 78 care locations.
3+ YOEBachelor's degree in nursing or related field, or equivalent experience; 3+ years of CDI or risk adjustment experience; 2+ years of EMR chart review and quality improvement experience.
Adventist Health Bakersfield: Faith-based nonprofit acute-care hospital serving patients and families in Kern County, California.
2+ YOEAssociate/technical degree in nursing, healthcare administration, or health information and 2+ years experience in quality/data abstraction required; RN preferred; ability to perform chart abstraction and regulatory reporting.
Hillsides: Nonprofit provider of behavioral health, foster care, adoption, and young-adult support in Southern California.
4+ YOEMaster's in social work/psychology or related, 4+ years EPSDT/Short Doyle Medi-Cal experience, knowledge of mental health regulations, clinical documentation and compliance expertise, ability to train staff and conduct chart reviews.
Midland Health: Government hospital system providing nonprofit acute and outpatient healthcare to Midland County and surrounding West Texas communities.
3+ YOEConcurrent review of clinical records, querying clinicians for documentation, chart review for comorbidities/complications; RN license with 5 years acute care or 3-5 years coding experience with coding certification preferred.
UK HealthCare: Public academic medical center and hospital-and-clinic system serving patients across Kentucky and beyond.
2+ YOEAssociate degree in nursing, registered nurse licensure, and 2+ years of related paid experience. Requires expertise in clinical documentation, coding, chart review, and documentation integrity.
Mid-America Transplant Services: Nonprofit organ procurement organization and eye-and-tissue bank serving donor families, transplant patients, and hospitals.
Bachelor's degree required; registered nurse experience preferred. Responsible for hospital relationship management, donor assessment, chart review, family approach, education, and process improvement.
AdventHealth: Faith-based non-profit healthcare system providing whole-person care.
1+ YOEAssociate degree in nursing required; 1+ year applicable experience; RN, BLS/CPR, ACLS, and PALS required. Requires regulatory knowledge, audits, chart reviews, data analysis, process improvement, and Microsoft Office proficiency.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, electronic health records, healthcare IT systems
Parkview Health: Not-for-profit health system serving Indiana and Ohio.
1+ YOEIndiana RN license required, ASN required and BSN required within 3 years, minimum 1 year hospital experience, clinical chart review and data abstraction, Microsoft Word/Excel proficiency; PowerPoint/Access preferred.
Microsoft Word, Microsoft Excel, PowerPoint, Access
Northwell Health: New York's largest integrated healthcare network.
1+ YOERegistered nurse in New York required; knowledge of ICD-10, MS-DRG/APR grouper logic; 1+ years clinical documentation or nursing experience; BLS/CCDS/CCS as needed; strong communication and chart review skills.
Green Meadows Home Health Care: Private California home health and hospice agency providing skilled nursing and supportive care to patients at home.
2+ YOEReview clinical documentation, perform ICD-10 coding and OASIS review, conduct chart audits, ensure Medicare/CMS compliance, and support QAPI initiatives. Requires 2+ years home health experience and EMR proficiency.
AllCare Practice Operations: A healthcare organization providing provider services, practice support, and value-based care programs.
1+ YOESupports EHR training and eHealth, performs chart review and charge scrubbing for value-based care, assists with provider enrollment/credentialing; 1 year healthcare/operations experience, Associate degree or equivalent, valid Oregon driver\u0002s license, MS Office proficiency.
Veradigm EHR, Modio, PECOS, NPI Registry, Availity, Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Teams, Relias Learning Module System (LMS)
Rula: Behavioral health platform connecting U.S. patients with licensed therapists and psychiatric providers.
3+ YOEActive CA PMHNP license with CA DEA, PMHNP board certification, 3+ years outpatient psychiatric experience, telehealth experience, CPT coding and documentation knowledge, chart review and coaching skills, and EHR/data platform proficiency.
UVA Health: Public academic health system providing patient care and medical education.
3+ YOEHigh school/GED and CPC or CCS-P credential, 3+ years coding/clinical experience, proficiency in ICD-10-CM/CPT/HCPCS, chart review, charge review, and ability to query providers.
Dover Health: Private home health and hospice provider serving seniors and families across Missouri and Illinois.
5+ YOE5+ years compliance experience in home health/hospice, knowledge of Medicare CoPs and OIG seven elements, experience with chart review, audits, credentialing, investigations, Medicaid (IL/MO) requirements, and corrective action plans.
Aspirus Health: Non-profit health system serving Wisconsin, Michigan, and Minnesota.
2+ YOERequires at least two years of acute care hospital experience. Critical care, nursing, educational presentation, chart review, CDI, ICD, and DRG experience are beneficial or preferred.
Aspirus Wausau Hospital: Nonprofit hospital providing comprehensive medical services to patients in central Wisconsin.
2+ YOERequires at least two years of acute-care hospital experience. Critical care, nursing, educational presentation, chart review, CDI, ICD, and DRG experience are beneficial or preferred.
Freeman Health System: Regional not-for-profit health system providing comprehensive medical services.
3+ YOECurrent CMA or RMA and AHA BLS, minimum 3 years clinical experience, 2 years medical-setting experience preferred, ability to perform chart review, patient engagement, and program reporting.
Physician Services Specialist, Otolaryngology,Full Time, First Shift
Cincinnati, Ohio, United States
OnsiteFull Time
University of Cincinnati Medical Center: Nonprofit academic medical center providing advanced hospital care, trauma services, teaching, and research for Greater Cincinnati.
1+ YOEHigh school diploma or GED, 1–2 years of equivalent experience, medical terminology knowledge, chart review accuracy, record navigation, organization, customer service, and initiative.