Adventist Health

RN, Care Manager, Utilization Management (Part-time, Remote)

Adventist Health · Full Time · a day ago

Adventist Health

🌎 United States 💵 $59.23 - $81.24 per hour ⭐ 5-10 yrs exp 💼 Healthcare

Perform clinical reviews of acute medical patients using Optum/InterQual to ensure appropriate care settings and length of stay. Collaborate with healthcare providers and insurance companies to optimize resource allocation and prevent claim denials.

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Sr. Certified Coder, Acute SDS-OBSV (Remote)

Adventist Health · Full Time · 5 days ago

Adventist Health

🌎 United States 💵 $33.78 - $44.07 per hour ⭐ 2-5 yrs exp 💼 Software Development

Reviews and assigns ICD-10-CM and CPT codes for same day surgery and observation records to ensure accurate reimbursement. Audits medical records for compliance with federal and state regulatory agencies and provides feedback to leadership.

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Patient Access Scheduling Representative (Remote, Full time)

Adventist Health · Full Time · 9 days ago

Adventist Health

🌎 United States 💵 $24 - $28.69 per hour ⭐ 2-5 yrs exp 💼 Others

Perform patient access and scheduling functions to ensure high-quality care and efficient patient preparation. Coordinate with providers to verify insurance eligibility, authorizations, and financial clearance.

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Manager, Data Integrity (Remote)

Adventist Health · Full Time · 13 days ago

Adventist Health

🌎 United States 💵 $108K - $163K per year ⭐ 5-10 yrs exp 💼 Others

Leads the Data Integrity Team in managing the Enterprise Master Person Index and ensuring compliance with enterprise data standards. Develops operational procedures, monitors staff performance, and oversees the implementation of data integrity policies.

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Supervisor, Coding (Remote)

Adventist Health · Full Time · 14 days ago

Adventist Health

🌎 United States 💵 $35.37 - $53.01 per hour ⭐ 5-10 yrs exp 💼 Others

Oversees all functions of the Health Information Management coding team, providing technical leadership and monitoring department efficiencies. Manages daily operations, ensures compliant coding of medical records, and conducts performance reviews for staff.

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Sr. Certified Coder, Acute Inpatient (Remote, Part-time)

Adventist Health · Full Time · 14 days ago

Adventist Health

🌎 United States 💵 $31.41 - $47.07 per hour ⭐ 2-5 yrs exp 💼 Software Development

Reviews inpatient records to assign accurate diagnosis and procedure codes for reimbursement and statistical data submissions. Collaborates with clinical documentation and quality departments to ensure compliance with federal and state regulatory agencies.

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Certified Coder (Remote, Orthopedics)

Adventist Health · Full Time · 20 days ago

Adventist Health

🌎 United States 💵 $30.01 - $39.16 per hour ⭐ 2-5 yrs exp 💼 Software Development

The Certified Coder reviews patient records to assign valid diagnosis and procedure codes for billing and reimbursement. They also audit medical records to ensure compliance with federal and state regulatory agencies.

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RN, Quality Assurance (Home Health) Remote

Adventist Health · Full Time · a month ago

Adventist Health

🌎 United States 💵 $38.02 - $52.14 per hour ⭐ 2-5 yrs exp 💼 Software Development

Coordinates organization-wide quality improvement activities and performs concurrent and retrospective chart audits. Monitors compliance with internal and regulatory standards while preparing analytical reports for leadership.

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Coding Quality Review Auditor - Ambulatory (Remote)

Adventist Health · Full Time · a month ago

Adventist Health

🌎 United States 💵 $36.91 - $50.62 per hour ⭐ 5-10 yrs exp 💼 Finance

Performs quality reviews and audits to ensure compliance with DRG, ICD-10/PCS, and CPT coding guidelines. Acts as a subject matter expert to improve data integrity, physician documentation, and reimbursement accuracy.

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Epic‑Certified EHR Systems Analyst I (Prelude – Registration)

Adventist Health · Full Time · a month ago

Adventist Health

🌎 United States 💵 $89603 - $134K per year ⭐ 2-5 yrs exp 💼 Others

The analyst is responsible for the design, build, implementation, and support of Epic Prelude EHR software. This includes analyzing workflows, performing needs assessments, and providing on-call technical support to end-users.

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Epic‑Certified EHR Systems Analyst I (ASAP)

Adventist Health · Full Time · a month ago

Adventist Health

🌎 United States 💵 $89603 - $134K per year ⭐ 2-5 yrs exp 💼 Others

The analyst is responsible for the design, build, implementation, and support of Epic EHR software to meet user specifications. This includes analyzing clinical workflows, performing needs assessments, and providing on-call technical troubleshooting.

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Lead Certified Coder, Acute Inpatient (Remote)

Adventist Health · Full Time · a month ago

Adventist Health

🌎 United States 💵 $24.4 - $32.49 per hour ⭐ 5-10 yrs exp 💼 Software Development

Reviews inpatient records to ensure accurate diagnosis and procedure coding in accordance with guidelines. Performs audits, manages payor denials, and provides educational feedback to coding associates and leadership.

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