- US Tech Solutions (Whittier, CA)
- …date: Immediately** **Contract length: 3 months** **POSITION SUMMARY** The Claims Auditor assists in the Claims Department by analyzing procedures, policies and ... Knowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key skills by… more
- Datavant (Dover, DE)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... teamwork, and leadership skills **What You Need to Succeed:** + 5 + years of facility inpatient coding experience and/or auditing. + CCS (preferred), RHIA or RHIT… more
- St. Luke's University Health Network (Allentown, PA)
- …clinical documentation improvement issues and through excellent communication with physicians, coding and CDMP leadership, Quality Dept. coordinators, and other ... + Participate in Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding appeals, as needed.… more
- Rush University Medical Center (Chicago, IL)
- …special projects individually or in collaboration with other departments. 13. Track coding quality and documentation improvements to measure ROI, organizational ... and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * Experience… more
- St. Luke's University Health Network (Allentown, PA)
- …The incumbent will also review and validate coded medical records of the Professional Coding (PC) staff to determine data quality and accuracy of coding ... Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD PCS and… more
- NCH (Naples, FL)
- …query process and/or provider education. The QI-CDIS will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, ... Integrity Specialist for educational opportunities/outcomes. * Collaborates with CDI liaison/ quality auditor when educational needs are identified from… more
- Datavant (Washington, DC)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** +...in multiple settings **What You Need to Succeed:** + 5 + years of Professional Fee coding and/or… more
- Capital One (Plano, TX)
- …function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit professionals are ... work activities managing multiple priorities and tasks across the team to deliver quality results. + Coordinate with others and proactively take on additional work.… more
- Capital One (Riverwoods, IL)
- …function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit professionals are ... work activities managing multiple priorities and tasks across the team to deliver quality results. + Coordinate with others and proactively take on additional work.… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... Conduct/NYS Education Department, Office of Professional Discipline and/or internal referral for quality review by the applicable business area. + Acts as primary… more
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