- UCLA Health (Los Angeles, CA)
- Description Support compliance excellence at UCLA Health by joining our team as a Compliance Auditor, MAPD, focused on Medicare Advantage (Part C) and Prescription ... will conduct Risk Adjustment Data Validation (RADV) audits, compliance risk-based audits, support external audit coordination, and ensure alignment with CMS and DMHC… more
- Mount Sinai Health System (New York, NY)
- …Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and optimization of the hospital Charge Description ... in hospital chargemaster maintenance and medical coding. + Certified Professional Coder (CPC) or equivalent credential required + Proficient in CPT, HCPCS,… more
- Weill Cornell Medical College (New York, NY)
- …Manager plays a critical role in aligning education and audit strategies to support the compliance framework. This role is responsible for designing, managing, and ... with a strong focus on billing, coding, & documentation accuracy, & fully support the creations & implementation of a compliance education program + Oversee provider… more
- CenterWell (Beaumont, TX)
- …care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with ... in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and...of employment. + CME Allowance/Time. + AI Clinical documentation support . (Elaborate) + Optional flexible schedule with one day… more
- Penn Medicine (Bala Cynwyd, PA)
- …compliance with organization and Medicare guidelines and regulations. Provide support and leadership for Professional Fee Coding Quality Specialists. ... and entity values, policies, and procedures + Other duties as assigned to support the unit, department, entity, and health system organization + Assist with the… more
- Rush University Medical Center (Chicago, IL)
- …related field, or 3 years of relevant experience * Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) * Registered Health ... CPT, ICD-10, and modifiers based on supporting documentation and EMR charge capture support . 7. Serves as a liaison point of contact for clinical coding inquiries… more
- University of Utah (Salt Lake City, UT)
- …contact with patients, families, doctors, or insurance companies. Senior-level support role. Completes assignments with little supervision. May assist ... experience. This is a Skilled Level position in the Support track. The starting salary for this position is...employee at one of the following job levels:** **Medical Coder , III :** Requires 3+ years of related experience.… more
- Integrative Emergency Services (Dallas, TX)
- …line leadership and physicians to optimize reimbursement, ensure compliance, and support scalable revenue growth across specialty divisions. IES is dedicated to ... and drive initiatives that enhance the quality of client management and practice support . + Partner with service line leaders to scope and onboard new business… more
- Corewell Health (Southfield, MI)
- …positive relationships between client groups and the Compliance department to support and sustain an effective compliance program. With oversight, acts as ... regarding regulatory and policy changes. Provides ongoing consultations to support leaders with day-to-day compliance. With oversight, facilitates projects and… more
- Magellan Health Services (Boise, ID)
- …Prepare correspondence + Obtain and preserve physical and documentary evidence to support investigations + Maintain comprehensive case files + FRAUD, WASTE AND ABUSE ... a high level of accuracy + Prepare clear and concise investigatory reports to support findings of potential fraud, waste and abuse + CASE RESOLUTION + Identify,… more
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