- Datavant (Olympia, WA)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... and Orthopedics. **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers… more
- Elevance Health (Richmond, VA)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Nurse Audit Senior** will be responsible ... and a working knowledge of CPT/HCPCS and ICD 9 coding and medical policy guidelines strongly preferred...Medical claims review with prior health care fraud audit /investigation experience preferred + Knowledge of Provider Manuals and… more
- Wolters Kluwer (Coppell, TX)
- …in designing and guiding the implementation of applications across the Global Audit portfolio. In this position, you'll develop detailed product blueprints, data ... 3 days remote). **Responsibilities:** + Own product-level architecture for audit applications, including diagrams, runtime flows, data models, and integration… more
- Weill Cornell Medical College (New York, NY)
- …combination of education and experience may be considered. + Minimum 5+ years of medical coding experience. + At least 3+ years of auditing experience, with ... Title: Compliance Education Manager Location: Midtown Org Unit: The Office of...into targeted education, addressing root causes of documentation and coding deficiencies. + Manage and track Compliance Audit… more
- Cardinal Health (Jackson, MS)
- …orthotics, and supplies("DMEPOS"), including detection and correction of documentation, coding , identifying potential errors and/or medical necessity of ... compliance department audits to determine accuracy and adequacy of documentation and coding related to DMEPOS supplies billing and/or medical necessity reviews… more
- Robert Half Accountemps (Scranton, PA)
- Description We are looking for an experienced Business Manager specializing in medical operations to oversee revenue cycle processes and coding compliance. ... critical part in ensuring the quality and integrity of medical billing and coding practices while maintaining...denials, and resolutions effectively. * Develop and implement an audit process to validate clinical documentation and coded data… more
- Northwest Florida Community Hospital (Chipley, FL)
- …(NFCH), in Chipley, FL, is seeking a FT experienced, energetic and dedicated Medical Business Office Manager to provide exceptional care for our patients ... Business Office Manager - Patient Financial Services Northwest Florida Community...in support with medical Providers and staff, in our Patient Financial Services… more
- Northwell Health (Lake Success, NY)
- …standards, and regulatory approvals. + Reviews data, such as claims detail, coding and medical record documentation to determine compliance with appropriate ... coding and documentation requirements. + Drafts reports detailing audit findings and communicates with research stakeholders. + Promotes overall compliance with… more
- State of Minnesota (Vadnais Heights, MN)
- **Working Title: Revenue Integrity Manager ** **Job Class: State Program Administrator, Manager Senior** **Agency: Direct Care and Treatment** + **Job ID** : ... Agency/Seniority Unit** : Direct Care and Treatment / DCT Manager + **Division/Unit** : DCT Support Services / DCT...other Third-Party Payer rules and regulations related to billing, coding , and documentation standards as well as managing the… more
- CHS (Clearwater, FL)
- …including plan building and identification of new and updated benefit categories based on new medical coding and medical services. * Act as a liaison with ... **Overview** **Claims Manager ** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party… more