- Sedgwick (Annapolis, MD)
- …provided to insurance carriers, corporate legal departments and government entities. The auditor will apply client specified billing guidelines and/or Generally ... Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor As an Attorney Auditor at Sedgwick,...Ability to effectively communicate with law firms to discuss compliance with client's billing requirements. + Effectively… more
- Elevance Health (Hanover, MD)
- …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for ... **Clinical Provider Auditor Senior** **Supports Payment Integrity line of business**...investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates… more
- Highmark Health (Annapolis, MD)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code… more
- Johns Hopkins University (Baltimore, MD)
- … Compliance Professional Fee Services and is responsible for all billing compliance and training programs for Johns Hopkins Medicine's clinical care ... planning, implementation and direct and indirect management of all professional fee billing compliance activities.... auditor , or third-party insurers as related to billing compliance . + Performs other duties as… more
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