- Beth Israel Lahey Health (Woburn, MA)
- …departments' adherence to professional charge reconciliation, work-queue, and professional coding quality expectations and support departments with education, ... HMFP Compliance Department. * Monitor, investigate, and report revenue integrity and coding quality concerns to appropriate stakeholders and provide any… more
- Billings Clinic (Billings, MT)
- …an action plan. Monitors all high dollar discharges to ensure high levels of coding quality . Presents recommendations for review and consideration by the ... , billing and reimbursement. * Maintains or exceeds 95% coding accuracy based on audit findings. *...assisting with problem resolution. Assists management team in maintaining high- quality coding functions by application and adherence… more
- Beth Israel Lahey Health (Charlestown, MA)
- …The OP Coder Project Specialist is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support ... and billing. **Job Description:** **Essential Duties & Responsibilities:** **Professional Coding Responsibilities:** **Provides review and/or coding of… more
- UPMC (Pittsburgh, PA)
- …in professional services, including practice management, nursing, clinical documentation improvement or quality audit . + 2-3 years of teaching experience in a ... and documentation guidelines. + Analyze medical record documentation and coding through a chart review process that...assist them with identifying strategies that will improve their quality of patient care and maximize risk adjustment revenue.… more
- Amergis (Cleveland, OH)
- …Ensures client's production and quality expectations are met . Responsible for timely review and response to Amergis internal QA or client audit results as ... all cases in compliance with CMS policies and procedures and official coding guidelines . Implements medical center's physician query process when code assignments… more
- Antech Diagnostics (Fountain Valley, CA)
- …Our culture is centered on our guiding philosophy, The Five Principles: Quality , Responsibility, Mutuality, Efficiency and Freedom. Today Antech is driving the ... Engineer will be responsible for defining, implementing and enforcing secure coding practices to ensure that software security is embedded early-on (shifting… more
- Mount Sinai Health System (New York, NY)
- …serving as a mentor, monitoring work product, delivering feedback, and overseeing a quality review process. *Relevant AAPC, AHIMA or ACDIS certification required ... documented and coded to the highest specificity. This includes planning, monitoring, review and evaluation of the department policies and procedures. The Manager… more
- Centene Corporation (Tallahassee, FL)
- …and respond to inquiries from state and federal regulatory agencies timely. + Quality Review all external audit deliverables for completeness and ... + Serves as a subject matter expert on external audit processes, policies, and quality improvement initiatives....Intake. + Supports the Corrective Action Plan development and review prior to submission to the external auditors. +… more
- Corewell Health (Grand Rapids, MI)
- …program tactics. Manage the vendors that are hired to perform Universal program review and audit functions for Priority Health. Oversee all activities associated ... with delivering an audit service from Statement of Work (SOW) creation to...containment activities. + Establishes process for case assignment to review and respond to Provider appeals. + Knowledge and… more
- Lockheed Martin (Owego, NY)
- …Participate in Peer Reviews for selected systems and software work products \(code review \) to ensure quality and compliance with standards Participate in ... including software development, testing, and customer support\. **THE WORK** Review Request for Proposals \(RFPs\) as needed to ensure...Quality Assurance risk areas to be considered for audit , and analyze systems and software quality … more