- UCLA Health (Los Angeles, CA)
- …Specialist, you will: + Facilitate responses to regulatory audits related to billing, coding , and collection practices in compliance with federal and state ... field, or equivalent training and experience + Certification in clinical coding or compliance , strongly preferred + Basic understanding of audit and appeals… more
- Insight Global (Nottingham, MD)
- …Coordinates Patient Financial Services (PFS) requests for medical records, clarification of coding , and compliance with Medicare billing guidelines for Local ... problems with the assistance of the Management team. Ensures compliance of CPT, HCPCS and ICD-10 coding ...Ensures compliance of CPT, HCPCS and ICD-10 coding regulations and guidelines. 3. Works with the Medicare… more
- Humana (San Juan, PR)
- …CPT) to patient records. This position ensures accurate application of coding guidelines, maintains compliance with regulatory requirements, and supports ... community and help us put health first** The Medical Coding Coordinator 3 reviews clinical information from medical records...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Providence (Portland, OR)
- …& Outreach:** Develop strategies for provider education and outreach, enhancing coding compliance standards. + **Regulatory Management:** Supervise all changes ... risk adjustment strategies, ensuring alignment with business objectives. + ** Compliance Leadership:** Manage all compliance activities and...related to industry coding standards and oversee regulatory audits. + **Vendor Solutions… more
- Cedars-Sinai (CA)
- …including leading all aspects of the review for performance management and accurate coding . + Develops and supervise compliance with corrective action plans as ... **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the...monitoring program within the Managed Care department by ensuring compliance with applicable rules and regulations including but not… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- …management processes, clinical documentation requirements, current standards of care, coding and compliance guidelines, knowledge of Diagnostic Related ... the medical/hospital staff on topics such as clinical documentation opportunities, coding /reimbursement, and updates on regulatory changes. These RNs would function… more
- Apex Health Solutions (Houston, TX)
- …inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. EDUCATION: . High ... Professional Coder (CPC) . Certified Risk Adjustment Coder (CRC) . Certified Coding Specialist (CCS) . Registered Health Information Technician (RHIT) or Registered… more
- Tula Technology, Inc. (San Jose, CA)
- …tools * Knowledge of coding best practices and tools for coding standards compliance and testing methodologies * Some experience developing effective ... and system testing * Collaborate with other engineers on requirements, coding , and verification * Develop communication interfaces for functional interactions with… more
- Vanderbilt University Medical Center (Nashville, TN)
- …or practice revenue, to develop volume budgets, to enhance billing and coding compliance , and to facilitate improved documentation. Incorporate new benchmarks ... for corrective action. Maintain oversight for Departmental security roles and compliance for procurement and purchasing functions. + Manage the faculty compensation… more
- Carle Health (Urbana, IL)
- …Develops new processes to enhance and streamline work related to registration, coding , billing, compliance , and regulatory standards. Provides subject matter ... and licensure and education requirements are current. + Ensures compliance with relevant regulations, standards and directives from regulatory agencies,… more
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