- Stanford Health Care (Palo Alto, CA)
- …and edit appeals for clarity and accuracy prior to submission to ensure high- quality presentation. + Audit Response: Ensuring the medical record documentation ... America) **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue… more
- Providence (CA)
- …the best people, we must empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting ... + **This posting is for multiple openings of a Coding Quality Auditor, HEDIS** + **This position...in a medical record. + 2 years - HEDIS, Quality management/ quality improvement/utilization review auditing… more
- University of Southern California (Los Angeles, CA)
- …The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding ... federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review ...rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of… more
- University of Southern California (Alhambra, CA)
- …coding accuracy rate as determined by any internal or external review of coding and/or department quality review (s). * Ability to achieve a minimum of ... by any internal or external review of coding and/or department quality review (s)....Dept. coders who historically/previously met the ≥ 90% internal/external audit standards of the previously held USC Job Code.… more
- Adecco US, Inc. (Stanford, CA)
- …CMS, CCI, HAC, PSI, NCD/LCD and hospital requirements + Maintain high standards of coding quality , accuracy, and productivity + Stay current with CMS regulations ... assign accurate and ethical ICD-10-CM/PCS codes. You will: + Review and assign ICD-10 diagnosis and procedure codes for...problem-solving skills + Utilize tools such as **Epic, 3M Coding & Reimbursement System, 3M CDIS, 3M Audit… more
- Datavant (Sacramento, CA)
- …provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining to ... closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. **You will:** + Maintain a quality … more
- Datavant (Sacramento, CA)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding ...appropriate manager. + Prepare the final reports for the coding audit and actively participates in the… more
- Datavant (Sacramento, CA)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... (at least 30 hours/week). MUST have 3-5+ years of audit experience at an Academic/Trauma Level 1 facility. Experience...preferred. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the… more
- Coinbase (Sacramento, CA)
- …alignment. Attendance is expected and fully supported. Coinbase is looking for an Internal Audit Senior, IT to join the Internal Audit team focusing primarily on ... US (Remote) and will be reporting to an Internal Audit IT Senior Manager. The individual will be responsible...to maximize meetings utility, testing efficiencies and internal controls review coverage across the organization. * Serve as a… more
- UCLA Health (Los Angeles, CA)
- …and appeals. Leverage your expertise to support UCLA Health's commitment to accuracy and quality in claim processing. As an Audit and Appeals Specialist, you ... will: + Facilitate responses to regulatory audits related to billing, coding , and collection practices in compliance with federal and state guidelines + Collect,… more
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