is responsible for accurately loading, maintaining, and auditing managed care contracts within the Contract Adjudication System... in hospital billing and coding Why Wheeler Staffing Partners? We proudly represent industry leaders across healthcare, finance...
with all data collections and auditing activities. Accountable for completion of the Annual Standing Order Review and Internal... Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment...
. Complies with all data collections and auditing activities. Maintains facility environmental integrity, including safety... Annual Standing Order Review and ICD coding. Checks correspondence whether electronic, paper or voice mail, and responds...
, and maintaining formulary coding files. As a key link in the formulary administration process, you must maintain a high degree... Responsibilities: Translate strategy and intent into technical coding documents Perform routine and moderately complex claim, plan...
tasks via secure coding standards and create automation tools using scripting languages including Java, Python, PHP... Integrity Monitoring, Security Auditing and Logging, Vulnerability Management, and Operating systems (Windows, MAC, or Linux...
and ensuring accurate entry and coding of guests, data integrity, premium management, site level accounting functions, payroll, HR... and reconciliation. Monitoring and Auditing Premiums for accurate retail prices and maintain master listing of all premiums...
, and balances of all grant awards, including but not limited to, financial management, establishing financial coding... with staff to manage and track the financial coding and financial transaction data in the processing of invoices, revenues...
on various problems arising in connection with financial administration; Classifying, coding, and distributing to proper... with a major in Accounting or a related field with at least 12 semester credits in accounting or auditing courses. Six of the 12...
and send invoices for billing amounts. Create Revenue Coding Forms for all billings to ensure that payments, when received..., Skills & Abilities Knowledge of accounting and auditing principles; methods of reviewing and analyzing financial data...
with all data collections and auditing activities. Accountable for completion of the Annual Standing Order Review and Internal... Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment...
required 3+ years of MS DRG/APR DRG coding or auditing experience with expert knowledge of ICD-10 Official Coding Guidelines... Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records...
billing to contract rate/balance/terms. Determine account coding and prepare payment document. Monitor and submit timely... quarter or 12 semester hours of accounting, auditing, or budgeting and one (1) to two (2) years of relevant professional...
/ rebuttals for external third party auditing sources. Duties and Responsibilities: Conduct individual and large group... initial CDI process and concept training and on-going education related to new topics in CDI, coding, and reimbursement...
, predictive maintenance data and KPIs. Key activities for this position include screening EAM work orders, auditing equipment... to roll out new functionality, standard object coding scheme, Preventive Maintenance (PM) procedures and scheduling, and EAM...
. Certifications: Registered Nurse (RN), Licensed Practical Nurse (LPN) or Certified Professional Coder (CPC). Coding credential... required - Certified Medical Audit Specialist (CMAS) ,Certified Professional Coder Hospital (CPCH), Certified Coding Specialist (CCS...
of regulatory requirements and industry standards related to IBR auditing. Ensure compliance with relevant laws, regulations... administration, health information management, or a related field. Nationally recognized coding certification in good standing...
, Revenue Cycle Management will review, design, and implement processes surrounding coding, billing, collections, financial... and/or effectively and creating action plans for improvement. Perform ongoing auditing and monitoring of Key Performance KPIs) to ensure...
auditing, or managed care is preferred. Conducts and oversees treatment record and case management record reviews. Trends... of ICD and DSM IV coding or most current edition. Ability to analyze specific utilization problems and creatively plan...
Information Technologist (RHIT) preferred Experience: Minimum of 5 years of experience in medical coding auditing and/or coding... educational sessions on new and revised coding rules, including but not limited to CPT, ICD-10, and HCPCS codes. Educate on code...
risk management, information systems auditing, or a combination At least 1 year of experience in cloud computing... and controls (design, operation, risk management, or auditing) At least 2 years of experience in managing audit engagements...