and maintain clear technical documentation for new code, system modifications, and issue resolutions. Adhere to company coding... standards and best practices, including the use of version control (GitLab). Actively integrates AI-assisted coding tools (e.g...
across multiple functional areas 2+ years of experience in Payment Integrity or with billing, coding, and auditing claims 1+ year... knowledge of CMS rules and regulations and knowledge of procedure and diagnosis codes (CPT, ICD-9/10 coding, HCPCS, and DRGs...
and/or auditing in a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding...Job Summary: The Coder is responsible for auditing medical records, including applicable diagnoses and operative...
and implement data security, auditing, and change management processes aligned with enterprise standards. Leadership & Delivery... solutions with business objectives. Drive adoption of Agile methodologies, coding standards, peer reviews, and continuous...
Comprehensive knowledge of healthcare billing, coding practices, and regulatory compliance standards This position contributes... department directors to monitor charge capture functions across all entities. Evaluates current charging and coding structures...
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...
) audits. The Senior Analyst is responsible for all aspects of auditing medical documentation for diagnostic code abstraction...: Proficient in assigning accurate ICD-10 diagnosis codes in accordance with Official Coding Guidelines and Conventions, Cigna IFP...
and drive continuous improvement. Responsibilities include auditing quality processes, maintaining documentation... sample preparation. Inspection techniques and processes. Auditing. Core Skills The individual in this role...
auditing. Maintain current knowledge of Partnership Claims Policy and Procedures for all lines of business, Medi-Cal Provider... Familiar with Medi0Cal and/or managed care claims processing. Knowledge of CPT, HCPC procedure coding, and ICD -9/ICD10...
5 years experience in Multispecialty coding 5 years experience in QA and auditing 3 years experience with Excel... analytics, AI, intelligent automation, and workflow orchestration. Our Multispecialty QA Education Coding Associate...
administration compliant with the applicable policies and pay program guidelines and conducts auditing as needed. Works... Science major or related fields with coding skills Skills – database management, statistical analysis and visualization...
and procedures. 12. Stay abreast of best practice coding and auditing practices and regulatory changes. Maintain CPC designation... $68,000.00 - $120,500.00 Overview Coordinate and conduct medical billing audits for the Yale Medicine Administration. Evaluate medical billing, coding...
Documentation Improvement Program. Provides Hospital Coding Specialists and CDI Specialists with clear guidance on coding and DRG... assignment. Oversees education to this group no less than twice a year on coding and DRG updates. Reviews CDI monthly statistics...
and procedures with respect to auditing, billing, coding, and documentation of compliant medical necessity. In depth knowledge... clinic operations in regards to the coding & therapy billing unit and will review, audit and recommend revisions...
requirements Auditing and inspecting raw materials, component parts, sub-assemblies, and finished goods to ensure conformance... to specifications Completing and maintaining all associated electronic processes and paperwork including bar-coding, checklists...
and drive continuous improvement. Responsibilities include auditing quality processes, maintaining documentation... sample preparation. Inspection techniques and processes. Auditing. Core Skills The individual in this role...
units. Conduct reporting and auditing of Identity and Access Management. Identify and analyze current and evolving threats... to developers on secure coding. Work with end users to address business functionality needs while ensuring secure methodologies...
. Ensure accurate daily claim billing and auditing, alongside efficient posting of insurance payments (electronic and paper... holding dermatology billing and coding experience or familiarity with EMA. Proven ability to manage and improve billing...
, coding, and processing payments Perform account receivable functions including invoicing, deposits, collections, and revenue... payable duties Ensuring a steady cash flow by generating, auditing, and sending invoices in a timely manner. Performing...
The Manager uses clinical, coding and CDI expertise to perform daily operational management. This position evaluates... to appropriate execution of regulatory requirements and guidelines related to facility coding and CDI practices, including federal...