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Compassus
Overview
The Clinical Quality Specialist ensures the accurate entry and timely review of OASIS forms and Start of Episode documentation for patient charts. They are responsible for processing workflows for the Home Health Director of Clinical Services to maintain legal compliance.
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Compensation
Salary not listed
Posted
3 days ago
University of Virginia
This role involves assigning and reviewing the accuracy of diagnostic (ICD-10-CM) and procedural (CPT/HCPCS) codes for provider services across various settings for billing and regulatory compliance. Responsibilities include resolving coding errors, assisting providers with documentation questions, and providing feedback and mentorship to junior staff.
$23 / HOUR
4 days ago
Liberty Healthcare Corporation
The role involves reviewing Medicaid HCBS waiver providers through onsite visits and critical incident management. The specialist is responsible for evaluating person-centered care practices and writing comprehensive summary reports.
$55,990 / YEAR
5 days ago
UVA Health
The Coding Quality Specialist assigns and reviews diagnostic and procedural codes to ensure accurate billing and regulatory compliance. They also manage charge review work queues, provide feedback to providers, and mentor junior staff.
11 days ago
UofL Health
The role involves coordinating imaging services within the Radiology department at Medical Center East. Specific duties are not detailed in the posting as the electronic job summary is unavailable.
12 days ago
The specialist assigns and reviews the accuracy of diagnostic (ICD-10-CM) and procedural (CPT/HCPCS) codes for provider services across all settings for billing and regulatory compliance. Responsibilities include monitoring and resolving coding denials, providing feedback to providers, and assisting staff with complex coding questions.
$24 / HOUR
14 days ago
Children’s Hospital of Philadelphia
Monitors and establishes the quality of lab tests across multiple hospital and ambulatory locations to ensure standardized policies and regulatory compliance. Leads projects for procedure development, product evaluation, and staff training for thousands of employees.
$74,250 - $94,660 / YEAR
17 days ago
NJ Sharing Network
The Quality Specialist collaborates with clinical operations to ensure tissue donor records meet regulatory guidelines and OPTN policies. They perform quality reviews, manage data entry, and conduct internal audits to maintain compliance with quality standards.
$27 - $41 / HOUR
1 month ago
St. Joseph's Health
The specialist will perform coding audits to ensure compliance with all federal and state guidelines, including Medicare/Medicaid requirements. Responsibilities also include conducting validation reviews for various quality and compliance indicators and assisting with internal/external coding education and feedback.
$29 - $44 / HOUR
2 months ago
CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK INC
The Quality Specialist II coordinates quality improvement, contract compliance, and service validation initiatives by monitoring Network Service Providers for adherence to contractual requirements, accreditation standards, and state statutes. This role involves serving as a primary contact for assigned organizations, conducting reviews, summarizing findings in reports, and providing necessary technical assistance to ensure compliance.
$53,000 - $59,000 / YEAR
NYU Langone Health
The Nursing Quality Specialist supports nursing quality and patient safety by participating in safety programs, leading quality improvement activities, and facilitating initiatives with frontline staff and multidisciplinary teams. This role involves monitoring regulatory compliance, assisting with audits and investigations, and supporting continuous quality improvement efforts using relevant tools.
$84,957 - $143,710 / YEAR
Partners in Care Foundation In
This role involves supporting the implementation of a comprehensive quality assurance strategy by conducting case reviews and audits to evaluate service quality and compliance against various standards. The specialist will identify trends and gaps, communicate findings to leadership, and support monitoring of high-risk quality concerns.
$25 - $29 / HOUR
3 months ago
