- Elderwood (Buffalo, NY)
- …accuracy and integrity of clinical reimbursement data and billing processes. + Audit MDS coding and supporting documentation; identify opportunities for ... setting. + Strong knowledge of SNF reimbursement models, ICD-10 coding , and CMS Quality Reporting Programs. +...integrity of clinical reimbursement data and billing processes. + Audit MDS coding and supporting documentation; identify… more
- Mohawk Valley Health System (Utica, NY)
- …and procedure codes, for accurate and timely billing of most appropriate payer + Audit charges and establish proper coding in collaboration with providers + ... the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International...+ Respond to Insurance, compliance and RAC denials + Review and assist in the maintenance of coding… more
- St. Luke's University Health Network (Bethlehem, PA)
- …meets established productivity targets for coding assignment and record review . + Communicates and collaborates with Quality Managers, Patient Care ... reflect the patient's clinical status and care needs. + Maintains accuracy rate of coding data as measured through quarterly quality reviews. + Consistently… more
- Catholic Health Initiatives (Omaha, NE)
- …management, compliance with governmental and private payer regulations, appropriate physician coding and documentation requirements.** + Review medical records ... survey, or other review of the Departments + Ensure consistency of utilization review services, quality control, and patient safety + Act as a liaison with… more
- Walmart (Bentonville, AR)
- …standards; Emerging tools and technologies; Telemetry. To adhere to all relevant coding guidelines (Ex: code review processes, code branching strategies, ... and hot fixes. Escalate any issue that occurs in the backup media. Audit desktops for compliance with IT policies. Conduct regular database integrity checks to… more
- Truist (Atlanta, GA)
- …English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Job Profile Name Software Engineer II Job ... efficient tools for regulatory monitoring. 4. Participate in compliance reviews, audit reviews, and remediation plan reviews to ensure solution development meets… more
- CHS (Clearwater, FL)
- …Manager of Quality to implement appropriate standards for accuracy and audit procedures intended to validate those standards are met. This includes setting ... random audit percentages for Examiners reflecting experience and historical quality results. It will also include development of coaching and training programs… more
- Walmart (Bentonville, AR)
- …Help resolve any issue that occurs in the backup media. Regularly audit firewall logs to identify any suspicious activity. Optimize device configurations by ... and standard operating procedures/runbooks with a goal minimize runbooks by automation. Coding : Requires knowledge of: Coding standards and guidelines; Coding… more
- Snap Inc. (Los Angeles, CA)
- …identified as part of the RAP team's Business Process Plan + Prepare and review audit results (ie, control design and operating effectiveness workpapers) that ... are high quality and in line with audit standards,...a part of an operational, regulatory, or compliance internal audit project or operational review that resulted… more
- Ventura County (Ventura, CA)
- …limited to, the following: + Ensures accuracy and compliance with billing, coding , and follow-up requirements and identifies overpayments and lack of documentation ... International Classification for Diseases (ICD)-10 codes, and Health Care Procedure Coding Systems (HCPCS) codes. + Knowledge of Treatment Authorization Request… more