- Humana (Corpus Christi, TX)
- …accuracy, and compliance with CMS and payer requirements. + Verify coding accuracy, medication reconciliation, and alignment of the plan of care with clinical ... community and help us put health first** The Home Health Quality Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and Medicare… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete reimbursement to the health ... timely manner. + Prepares trend and other reports for compliance audits and charge processes. + Serves as a...reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +… more
- Amergis (Cleveland, OH)
- …all cases in compliance with CMS policies and procedures and official coding guidelines + Keeps abreast of coding guidelines and reimbursement reporting ... as needed + Abides by the Standards of Ethical Coding as set forth by the American Health Information...American Health Information Management Association + Adheres to Official Coding guidelines, CMS policies and regulations and Medical Center's… more
- CIBC (IL)
- …assurance for our technology and business processes. As a Senior Auditor , Information Technology, you'll conduct risk-focused audits, advise business partners on ... internal controls, and help ensure compliance with CIBC policies, accounting standards, and regulatory requirements....attribute-based assessment and other skills tests (such as simulation, coding , MS Office). Our goal for the application process… more
- Dartmouth Health (Lebanon, NH)
- …education required. * An understanding of health care operations, audit, compliance , and federal/state laws, coding and reimbursement guidelines required. ... to audit and monitor completeness, accuracy and timeliness of documentation, coding , billing, reimbursement, efficiency and effectiveness of operations and … more
- Datavant (Dover, DE)
- …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. +… more
- Molina Healthcare (Albany, NY)
- …Provides support for claims audit activities including identification of incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and claims ... using standard principles, and state-specific regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… more
- Texas Health Resources (Arlington, TX)
- Manager Compliance Coding _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like ... Resources + Core work hours: Monday - Friday; 8:00a-5:00p; Position Summary The Coding Compliance Manager oversees and manages auditing and monitoring activities… more
- BJC HealthCare (St. Louis, MO)
- …providers giving instruction on federal and state regulations, documentation guidelines, and coding training in a way that ensures compliance with governmental ... **Responsibilities** + Researches, analyzes, and responds to inquiries regarding compliance , inappropriate coding , denials, and billable services identified… more
- Rush University Medical Center (Chicago, IL)
- …and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * Experience ... a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of...reviews of EMR documentation of patient encounters to ensure coding accuracy and documentation adequacy. The professional will work… more