- Option Care Health (Bannockburn, IL)
- …and implementing auditing and/or monitoring programs. Intermediate proficiency in analysis and audit techniques and documentation review , with the ability to be ... with other functional areas and field teams to coordinate audit and monitoring activities from initiation through completion of...key risk areas such as regulatory changes, billing and coding , privacy and security, and fraud and abuse. +… more
- Community Health Systems (Franklin, TN)
- … coding experience required + 2-4 years Inpatient acute care hospital coding audit experience preferred + 1-2 years Clinical Documentation Improvement or ... provides audit feedback to relevant parties, including coders and coding managers, to improve coding practices and compliance. **Essential Functions**… more
- 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
- Robert Half Accountemps (Eden Prairie, MN)
- …in managed care or a healthcare-related field is highly preferred. * Demonstrated ability to review and audit coding results with attention to detail. * ... benefit plan language to ensure accuracy and compliance. * Review and validate coding decisions made by...coding results and implement necessary adjustments to maintain quality standards. * Actively participate in project meetings to… more
- University of Southern California (Alhambra, CA)
- …coding accuracy rate as determined by any internal or external review of coding and/or department quality review (s). + Ability to achieve a minimum of ... by any internal or external review of coding and/or department quality review (s)....Dept. coders who historically/previously met the ≥ 90% internal/external audit standards of the previously held USC Job Code.… more
- Veterans Affairs, Veterans Health Administration (Cheyenne, WY)
- …complex coding issues and participates in process improvements related to coding . Analyzes audit results and prepares summary feedback for individual coders ... and statistical analysis, financial and strategic planning, reimbursement, evaluation of quality of care, and communication to support the patient's treatment.… more
- BAE Systems (Hudson, NH)
- …mission: We Protect Those Who Protect Us. BAE Systems is seeking a Principal Design Quality Engineer to join our team working on state of the art missile sensors and ... validation. Typical responsibilities for planning, documenting, and implementing the Design Quality Assurance function include: + Participate in design & development… more
- FlexStaff (Chappaqua, NY)
- …records are complete, accurate, and support proper billing and coding - Audit anesthesia records focusing on quality , completeness, and correctness of claims ... experience-whether as a Certified Professional Coder or similar professional-to audit and monitor clinical records, ensuring accuracy, completeness, and compliance.… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Cross and Blue Shield of Minnesota Position Title: Director Risk Adjustment and Quality Analytics - Actuarial Location: Hybrid | Eagan, Minnesota Career Area: Data ... The Impact You Will Have We are looking for a Director of Risk Adjustment and Quality Analytics to lead a team that delivers insights and results in support of the… 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