- CommonSpirit Health (Englewood, CO)
- …successful candidate will also collaborate cross-functionally with Utilization Management, CDI, coding , and compliance teams to reduce inpatient denials, ... identify payer trends, advocate for documentation integrity, strengthen audit readiness, and enhance clinician education. **Essential Key Job Responsibilities** + Conducts medical record review in appropriate cases for medical necessity of inpatient admission,… more
- Giffords (Washington, DC)
- …entry, and contract tracking completed by junior staff. Review transactions for accuracy, coding , and compliance with policies in QuickBooks. Lead annual 1099 ... preparation and filing. + Revenue & Contributions: Record and reconcile contributions across systems (QuickBooks, EveryAction, Stripe, and stock contributions). Oversee deposits, manage refunds/returned checks, and maintain restricted revenue trackers. +… more
- Corning Incorporated (Painted Post, NY)
- …safety standards + Mentor and promote controls development best practices + Ensure coding standard compliance through Peer Code Reviews + Enhance centralized ... software libraries + Prepare, present technical updates in public forums Must be available for significant travel, primarily domestic, to multiple locations to support business needs. International travel could be required as well. **Required Education** + BS… more
- Cummins Inc. (Columbus, IN)
- **DESCRIPTION** Build high-quality, fully performing software in compliance with coding standards and technical design. Utilize advanced knowledge of Agile ... adherence with legal and regulatory requirements as part of Regulatory Risk Compliance Management. Perform Solution Functional Fit Analysis and Solution Modeling to… more
- The Cigna Group (Bloomfield, CT)
- …diagnostic codes from identified medical record cohorts, evaluating work of peers and coding vendor coders, to ensure compliance with quality standards, scoring ... expertise in evaluating complex medical documentation for diagnosis code accuracy and compliance in support of the HHS' Risk Adjustment (RA) program and Risk… more
- Beth Israel Lahey Health (Woburn, MA)
- …maintenance activities. * Review changes in CPT, HCPCS, and wRVUs for accuracy, compliance with applicable coding and billing guidelines, and optimization of ... experience with a focus in one or more of the following areas: coding , revenue integrity, charge reconciliation, charge compliance , charge auditing, CDM… more
- Northwell Health (New Hyde Park, NY)
- …and the complexity of care administered. Ensures the accuracy, completeness, and compliance of medical coding and documentation for all pediatric patient ... audits of coding practices to identify areas for improvement, reduce coding errors, and mitigate potential compliance risks. 8.Develops and implements… more
- Charles Schwab (San Francisco, CA)
- …experience with mutual funds and/or ETFs + Experience and strong knowledge of compliance rule coding and monitoring best practices + Experience with relational ... to their respective portfolios by ensuring proper oversight and compliance . The Investment Guidelines Oversight Manager is responsible for...databases and interpreting coding languages especially SQL or advanced use of Excel… more
- New View Alliance (Williamsville, NY)
- …trends, risks, and opportunities for improvement. + Conduct audits to ensure compliance with coding , billing, payer regulations, and internal policies. + ... the day-to-day operations of the revenue cycle. This includes billing, coding , credentialing, accounts receivable, and payer relations. The Revenue Cycle Manager… more
- HonorHealth (AZ)
- …LCD, and other coding edits, as applicable. + Complies with system-wide coding practices to meet corporate compliance guidelines and ensures appropriate and ... ensure timely notification of identified trends that might impact revenue or compliance . Educates assigned providers on appropriate coding and documentation and… more