- 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
- St. Luke's University Health Network (Allentown, PA)
- …the Professional Coding (PC) staff to determine data quality and accuracy of coding , billing , and documentation related to DRG's, CPT, APC's, and HCPCS Level ... a patient's ability to pay for health care. The Coding Audit & Education Coordinator will be responsible for...Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD… more
- University of Southern California (Alhambra, CA)
- …RI Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This ... and provides leadership by providing direction to the revenue auditor team to all entities of Keck Medical Center...combination of clinical service delivery (nursing or allied health), coding , provider billing , medical records, charge audit… more
- Integrative Emergency Services (Dallas, TX)
- …related to specialty service lines, including but not limited to change capture, coding , billing , collections, denials, and appeals. + Serve as a liaison ... field. + Minimum of 10 years of experience in professional services and hospital coding , billing and collecting. + Strong knowledge of various EMR systems… more