- 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
- 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)
- …adherence to regulatory requirements and organizational policies. Evaluate the effectiveness of internal controls and compliance procedures. Coding & ... Manager Compliance Coding _Are you looking for...and establishing management correction plans when necessary. Additionally, the Compliance Auditor Manager effectively communicates audit findings… 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 ... to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay...a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of… more
- Huron Consulting Group (Chicago, IL)
- …denial review and appeals. + 2+ years of experience as a coding auditor with proven accuracy and compliance . + Required certification: CCS, CIC, or CDIP. ... by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and… more
- St. Luke's University Health Network (Allentown, PA)
- …Coding Audit & Education Coordinator will be responsible for performing internal , concurrent, prospective and retrospective coding audit activities. The ... Director of Coding in designing and executing concurrent and retrospective internal audits of hospital PC staff. + Conducts one-on-one education sessions for PCs… more
- Houston Methodist (Houston, TX)
- …inpatient/outpatient coding : MS-DRG, APR DRG and APC assignment systems + Official coding guidelines and coding compliance + Working knowledge of medical ... programs for new hires and current staff to enhance coding skills as well as to ensure compliance...with physicians, peers and healthcare professionals; effectively communicates with internal and external customers. + Exhibits ability to adjust… more
- WMCHealth (Valhalla, NY)
- …to providers and staff regarding accurate and complete medical record documentation and coding in compliance with established documentation and coding ... standards. Responsibilities: . Audits medical records to assure compliance with applicable coding and documentation standards. Manages query process that is… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …based on the then-current Office of the Inspector General work plan and internal and external compliance risk analysis. + Perform targeted pre-bill and ... (eg, CCS, CPC, RHIT, or RHIA). + Preferred: CPMA (Certified Professional Medical Auditor ) and/or CHC (Certified in Healthcare Compliance ) or equivalent … more