- 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 ... special focus audits and reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. + Participates as a member of… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional ... coding and billing audits. Duties/Responsibilities: Analysis of coding and billing data, identification of trends and aberrations. Performance of routine and… more
- Baystate Health (Springfield, MA)
- …more accurate billing. **2)** Validates and identifies appropriate ICD-9 (ICD-10) diagnosis coding as it pertains to specific risk adjustments and correct coding ... reports analyses for review by management. **4)** Performs Pathology and Radiology coding ; applicable use of all carrier guidelines and review of clinical… more
- Dartmouth Health (Lebanon, NH)
- …audit and monitor completeness, accuracy and timeliness of documentation, coding , billing, reimbursement, efficiency and effectiveness of operations and compliance ... compliance objectives. Performs complex professional and facility (DRG or APC) coding and billing audits across all clinical specialties. Responsibilities * Plans… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Job Functions** + Assists in the review of Bon Secours Mercy Health coding , billing and claims processing policies and procedures for the development of compliance ... Mercy Health's public status. + Develops educational content on documentation, coding , and trending of non-compliant activities to enhance compliance proficiency and… more
- Molina Healthcare (Iowa City, IA)
- …and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules ... principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… more
- Centene Corporation (Tallahassee, FL)
- …ability to interpret state and provider contracts preferred. Knowledge of CPT/HCPCS Coding preferred.Pay Range: $19.04 - $32.35 per hour Centene offers a ... comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will… more
- JPMorgan Chase (Jersey City, NJ)
- …+ Solid understanding of technology risk concepts, artificial intelligence, coding , data analytics and/or distributed technologies and internal control concepts ... with the ability to evaluate and determine the adequacy of controls by considering business and technology risks in an integrated manner. + Advanced analytical skills, particularly in regard to assessing the probability and impact of an internal control… more
- Trinity Health (Ann Arbor, MI)
- …is required. Working knowledge of medical terminology, and medical record coding experience (ICD-9, CPT, HCPCS) are highly desirable. Customer service background ... is required. Working knowledge of Electronic Health Records (EHR) is preferred. Ability to interact effectively with multidisciplinary teams, including physicians and other clinical professionals internally and externally. Must possess in-depth familiarity… more
- Amergis (Cleveland, OH)
- …& Preferred) IP auditing + Minimum of 2 years of inpatient facility coding experience + Minimum of 2 years inpatient facility auditing experience + Excellent ... oral and written communication skills + Knowledge of Microsoft Word and Excel + Computer savvy and ability to shift priorities to meet tight deadlines Systems (Required & Preferred) Prefer well rounded system experience. Epic, Cerner, 3M, Optum 360 AHIMA… more