- Ochsner Health (New Orleans, LA)
- …This job assists with maintaining an effective auditing and compliance program . Independently completes assignments, manages projects, performs audits, and ensures ... audits and presents oral and written conclusions to the Lead Nurse Auditor and department management. Educates and assists employees in applying and improving… more
- LifePoint Health (Marquette, MI)
- …requirements. Provide Onboarding education to all new providers. Provides education regarding documentation requirements to improve coding quality and ensure ... and complete capture of maximum revenue. Work closely with the RCS (Regional Coding Specialist) program (HSC) System Administrator for Systems Intergy and… more
- Elevance Health (Hanover, MD)
- …Requirements** + Requires a AA/AS and minimum of 1 year related medical coding /auditing experience; or any combination of education and experience, which would ... **Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health**...and substance use disorder management, a comprehensive employee assistance program , work/life support, specialty programs for autism and depression,… more
- Mohawk Valley Health System (Utica, NY)
- …and coding conventions. This role emphasizes denial management, educational program development, and provider education . Core Job Responsibilities Provider ... analysis + Creates educational content based on denial findings Program Development and Education + Acts as...maintains educational resources for the department + Collaborate with Coding leadership on coding education … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Sr. Compliance Auditor will develop and execute audit, monitoring, and education for both facility and professional billing, coding and documentation ... billing compliance activities to assess compliance with the Compliance Audit and Analysis Program Work Plan and appropriately focuses on risk areas. Serve as a… more
- CHS (Clearwater, FL)
- **Overview** ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... + Reviews Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) to determine proper category for benefit code determination.… more
- Surgery Care Affiliates (Birmingham, AL)
- …, or risk management requirements , as well as support SCA Health' s compliance program . The Senior Clinical Auditor will work with all Support Services ... Summary: As a member of the Regulatory Compliance Team, the Senior Clinical Auditor will conduct compliance focused clinical audits to ensure compliance with medical… 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 ... reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +...CPC-H) required within 1 year of hire. + MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS + Graduate of a Bachelors… more
- Henry Ford Health System (Troy, MI)
- …medical records to determine accuracy of billing through verification of coding , billing and supporting clinical documentation. Coordinates all activities associated ... accurate charge capture, enhance reimbursement and identify savings potential. EDUCATION /EXPERIENCE REQUIRED: + Diploma from an accredited school/college of nursing… more
- Mohawk Valley Health System (New Hartford, NY)
- …play a key role in assessing and improving the effectiveness of the compliance program across the organization. The Internal Auditor - Compliance will identify ... Compliance Coding Specialist - Hybrid - Full time -...Days Department: LEGAL AND COMPLIANCE Job Summary The Internal Auditor - Compliance will oversee the internal and external… more
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