- SSM Health (MO)
- …**Worker Type:** Regular **Job Highlights:** Exciting opportunity for an Corporate Responsibility Auditor Senior role SSM Health! Preferred RN background is a plus. ... customers, answering questions, researching topics and providing information regarding coding , documentation and compliance issues. + Partners with other… more
- SUNY Upstate Medical University (Syracuse, NY)
- …the Compliance Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or ... guidelines and professional coding and billing audits. Duties/Responsibilities: Analysis of coding and billing data, identification of trends and… more
- Dartmouth Health (Lebanon, NH)
- …evaluate systems and processes supporting operational and compliance objectives. Performs complex professional and facility (DRG or APC) coding and billing ... issues and/or professional or facility chart abstraction, CPT and ICD-9 coding and clinical documentation education required. * An understanding of health care… more
- Baystate Health (Springfield, MA)
- …of diversified duties in connection with reviews of medical record documentation for professional billing to ensure it meets the AMA and CMS (Medicare) guidelines ... billing. **2)** Validates and identifies appropriate ICD-9 (ICD-10) diagnosis coding as it pertains to specific risk adjustments and...service + Free money coach advice from a certified professional + Wellbeing programs that include but are not… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Job Functions** + Assists in the review of Bon Secours Mercy Health coding , billing and claims processing policies and procedures for the development of compliance ... Mercy Health's public status. + Develops educational content on documentation, coding , and trending of non-compliant activities to enhance compliance proficiency and… more
- Molina Healthcare (Iowa City, IA)
- …and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules ... principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… more
- JPMorgan Chase (Jersey City, NJ)
- …to verify control effectiveness to mitigate risk. + Demonstrate professional skepticism while conducting audits, independently raising findings within established ... + Solid understanding of technology risk concepts, artificial intelligence, coding , data analytics and/or distributed technologies and internal control concepts… more
- Paramount (New York, NY)
- …project assignments as needed. + This individual must be an action-oriented professional who needs minimal supervision to conduct risk-based operational audits. + ... with spreadsheets and analytics tools such as Excel, ACL, Tableau etc. Python or coding is preferred but not required. + Willingness to travel if needed. Paramount… more
- Houston Methodist (Houston, TX)
- … coding : RHIT, RHIA, or CCS certification from AHIMA is required + For professional fee coding : CCS-P from AHIMA or CPC from AAPC is required **LICENSES ... -- (CBO Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders...coding classification systems + ICD-10-CM and CPT (for professional fee coding ); and ICD-10-CM, ICD-10-PCS and… more
- St. Luke's University Health Network (Allentown, PA)
- …Administrator (RHIA); Certified Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth ... The incumbent will also review and validate coded medical records of the Professional Coding (PC) staff to determine data quality and accuracy of coding ,… more