- Commonwealth Care Alliance (Boston, MA)
- …recovery; Program benefits; Clinical initiatives; Referral and authorization; Regulatory compliance ; Billing and payments; Complaints and appeals; Policies and ... **Experience (Desired)** + Medicare/Medicaid experience preferred. + Experience with CPT coding and authorization process highly desired. + Experience with and… more
- SMBC (Charlotte, NC)
- …and Data Quality tooling. Here you will ensure team member activities are in compliance with and aligned with the bank's strategic directives. This role is well ... standards, identifies improvements to the development process and maintains documented coding standards. + Performs administrative tasks such as timesheet approvals,… more
- Allegis Global Solutions (Troy, MI)
- …based on analytics and user feedback. + Ensure governance, security, and compliance through role-based access, audit logs, and sensitivity labels. + Thoroughly ... dynamic responses and action execution. + 3+ years' experience with any modern coding language (Javascript, .NET, Python, C#, Ruby, etc) + 2+ years' experience… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Ongoing mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and ... participates in continuing education opportunities to remain current with billing and coding compliance best practices (ie, conferences, workshops, and other… more
- Trinity Health (Hartford, CT)
- …CERTIFIED CODING SPECIALIST (CCS) CERTIFICATION **Position Purpose** The Coding Compliance Specialist is primarily responsible the development, ... records within the scope of the Health Information Management Department. The Coding Compliance Specialist will be expected to assist in the development of … more
- University of Southern California (Los Angeles, CA)
- In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously ... documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA… more
- Hunterdon Health Care System (Flemington, NJ)
- …by means of webinars and teleconferences offered by Medicare + General & Medicare Compliance : Medicare and Coding Compliance Reviews and monitors MR for ... coding compliance , use of Medicare website tools, educates providers and...plans, Medicare and Medicaid regulations. Knowledge of NextGen- software's coding compliance module and charge master for… more
- Centene Corporation (Jefferson City, MO)
- …and evaluate clinical documentation to ensure alignment with regulatory standards and coding compliance . + Review and appropriately challenge coding ... coding teams to improve documentation practices and ensure compliance with regulatory and coding guidelines. + Ensure coding accuracy by reviewing… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …at MSK and around the globe. Exciting Opportunity at MSK: **Senior Healthcare Coding & Billing Compliance Specialist (Auditor)** At Memorial Sloan Kettering ... and accountability across our institution. As a **Senior Healthcare Coding & Billing Compliance Specialist (Auditor)** , you'll help safeguard MSK by conducting… more
- Atlantic Health System (Morristown, NJ)
- …new providers throughout the year + Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies + Prepares ... office staff, providers, and billing department + Provides clarification on coding and compliance policies Required: * CPC Certification * Minimum 6 months… more
