- Cleveland Clinic (Cleveland, OH)
- …most respected healthcare organizations in the world. As a Senior Internal Auditor , you will conduct audit procedures for assigned audits, including evaluating the ... audits, thorough analysis, and constructive feedback, the Senior Internal Auditor strengthens patient centered care, supports operational and financial integrity,… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete ... DUTIES AND RESPONSIBILITIES + Ensures adherence to regulatory requirements related to billing and supporting documentation, as well as facilitates the completion of… more
- Saint Francis Health System (Tulsa, OK)
- …program activities within Saint Francis Health System (SFHS). This role supports clinical coding and billing audit functions as well as the performance of ... services included on claims and accurately supports reasons for treatment, billing , payment, and operations. Performs clinical review audits to validate compliance… more
- Sharp HealthCare (San Diego, CA)
- …other third party payers.Performs provider quality audits to ensure provider is billing to meet established coding guidelines. + Client supportProvider, ... End Time** Certified Professional Coder (CPC) - AAPC; Certified Coding Specialist--Physician-based (CCS-P) - The American Health Information Management Association… more
- Dartmouth Health (Lebanon, NH)
- …to audit and monitor completeness, accuracy and timeliness of documentation, coding , billing , reimbursement, efficiency and effectiveness of operations and ... objectives. Performs complex professional and facility (DRG or APC) coding and billing audits across all clinical specialties. Responsibilities * Plans and… more
- Guthrie (Sayre, PA)
- …the audit program. * Conduct regular audits and reviews of medical records, billing , coding , provider activity, and departmental processes to ensure compliance ... of vulnerability and recommend corrective actions. * Investigate compliance billing -related incidents and ensuring proper documentation and reporting to authorities.… more
- Molina Healthcare (Syracuse, NY)
- …Provides support for claims audit activities including identification of incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and ... claims using standard principles, and state-specific regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and… more
- Texas Health Resources (Arlington, TX)
- … Compliance Manager oversees and manages auditing and monitoring activities related to billing and coding compliance. This role is responsible for developing ... resource, this position provides guidance to providers, HIMS, the Central Billing Office, and other departments regarding coding compliance, documentation… more
- UHS (Binghamton, NY)
- … coding department staff in obtaining full and compliant reimbursement, supporting the coding and billing process review, billing analysis as it relates ... and Revenue Cycle teams and will oversee the reimbursement auditor , reimbursement specialists and coding support staff....+ 3+ years of experience with professional or hospital coding and billing experience. + Experience with… more
- Houston Methodist (Katy, TX)
- …+ Where applicable assists with pre-billed claim edits to ensure complaint coding , charting and billing . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Designs, ... At Houston Methodist, the Coding Educator position is responsible for developing ...Coders only) **or** + CPMA - Certified Professional Medical Auditor (AAPC) (CBO Coders only) **SKILLS AND ABILITIES** +… more