- Virginia Mason Franciscan Health (Tacoma, WA)
- …standards for coding procedures. + Meets FMG Quality standards per the Coding Audit and Monitoring process. + Follows all Coding department policies and procedures. ... party reimbursement agencies, and stays current with coding updates ensuring clean claims are submitted for adjudication. + Performs a comprehensive review of the… more
- Elevance Health (Richmond, VA)
- …claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. + Prepares correspondence to providers ... Alternate locations may be considered. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… more
- City of College Station (College Station, TX)
- …dependent verifications, earnings and deductions administration; billing/invoicing; claims reviews; system administration, vendor audits and reconciliations, ... to ensure reasonable responses to employee concerns, resolution of issues related to claims or service disruptions, and to confirm accuracy in the application of… more
- Trinity Health (Columbus, OH)
- …We're dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety ... of professional roles including information technology, financial analysis, audit , provider relations and more. **Position Purpose** RN Utilization Review MCHP is… more
- BD (Becton, Dickinson and Company) (Covington, GA)
- …controls to ensure product integrity is safeguarded throughout the shipping process. Audit and Compliance Readiness + Prepare for, coordinate, and support both ... internal and external audits. + Address audit outcomes swiftly and effectively to maintain compliance. Quality Incident Investigation + Spearhead investigations into… more
- Robert Half Office Team (Hood River, OR)
- …and Allscripts. * Strong knowledge of diagnosis codes and billing procedures within healthcare settings. * Ability to audit charts and documentation for accuracy ... This position offers an opportunity to work within the healthcare industry, ensuring accurate coding and billing processes to...systems such as 3M and CPC-AS. * Review and audit medical charts and documentation to ensure compliance with… more
- The County of Los Angeles (Los Angeles, CA)
- …developing and implementing the Quality Improvement program for these sections. + Reviews audit and monitoring tools on an on-going basis to ensure applicability and ... revises these tools and/or develops new audit tools. + Performs administrative work related to role...work related to role as Emerging Infectious Disease and Healthcare Recovery and Business Continuity Program Manager. + Participates… more
- Mohawk Valley Health System (Utica, NY)
- …Days Department: MEDICAL GROUP ADMINISTRATION Job Summary The Supervisor Coding Audit and Education is responsible for overseeing medical coding accuracy, ... audits, ensuring adherence to national standards, and educating both coders and healthcare providers or staff on best practices. Applies experience in medical… more
- CACI International (San Antonio, TX)
- …verify payment histories and invoice statuses. + Collaborate with the Defense Contract Audit Agency (DCAA) and Defense Contract Management Agency (DCMA) to confirm ... audit status and final project acceptance. + Request and...CO approval, including draft DD Form 1594s, release of claims , and other necessary paperwork. + Input contract obligations… more
- University of Utah (Salt Lake City, UT)
- …interprets state and federal regulations regarding payments in health care to audit claims correctly. **Minimum Qualifications** Bachelor's degree in Health Care ... documentation. The position will utilize coding knowledge to abstract, record and audit data from medical records. Provides support to areas related to… more