discrepancies within established turnaround times. Ensure claim data accuracy, compliant coding, and alignment with the member.../RCM systems. High accuracy in auditing and error resolution work. Experience resolving complex claim issues...
Services (AIS) for security and compliance auditing. Responsibilities include: Analysis of complex software issues... (on Development Support level) Provision and testing of coding corrections Continuous improvements in close collaboration...
. Works with physicians and other staff to ensure all encounter forms are completed at time of service and coding is accurate... as required. Auditing payment variances ensuring appropriate reimbursement. Provide specific and in depth contract knowledge to ensure...
guardrails to ensure safety and consistency for our internal support processes, and directly build auditing and alerting...), and more. Who You Are: You have at least 4 years of professional experience in a security-related role, with a focus on: Coding...
with all regulatory standards. Leads key operational initiatives across nurse auditing, coding, Charge Description Master (CDM... revenue performance. Monitor and evaluate billing and coding updates impacting CDM and Charge capture processes to ensure...
coding practices, and security architecture, with a specific focus on AI security, especially across Software as a Service...), application security (SAST, DAST, secure coding), and third-party risk management frameworks Familiarity with security tools...
compliance with all regulatory standards. Leads key operational initiatives across nurse auditing, coding, Charge... and maximizing revenue performance. Monitor and evaluate billing and coding updates impacting CDM and Charge capture processes...
member of the Operational Risk Integrity team, you will: Claim Auditing: Conduct comprehensive prospective...: Proven experience and knowledge of reimbursement mechanisms and clinical/procedural coding (e.g., CPT, ICD-10, HCPCS...
is responsible for reviewing, auditing, and negotiating medical bills in compliance with state fee schedules and customer guidelines... coding required. Experience with Conduent Strataware software, or other comparable platforms, preferred. Skills...
) Registered Nurse (RN) Experience: o Minimum 3 years of relevant experience in healthcare auditing, coding, or compliance... with established billing and coding parameters. This role applies advanced audit methodologies to identify claim overpayments, validate...
of relevant experience in healthcare auditing, coding, or compliance. Knowledge & Skills: Extensive knowledge of healthcare..., ensuring claim payment accuracy and compliance with established billing and coding parameters. This role serves as a subject...
standards, coding practices, documentation guidelines, and governance protocols Own the Workday technical roadmap... Transformation, and Orchestrate Oversee integration lifecycle management including monitoring, auditing, error handling...
, or code auditing position providing quality feedback to staff. - required 2 or more years of experience coding ICD-10-CM/PCS...: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff...
is responsible for reviewing, auditing, and negotiating medical bills in compliance with state fee schedules and customer guidelines... coding required. Experience with Conduent Strataware software, or other comparable platforms, preferred. Skills...
to Land Controller for land accounts payable Match receipts, coding invoices for P-Card and posting to General Ledger... Division payroll process and ensure the accuracy of payroll submissions and the proper record retention for auditing purposes...
, patient flow, data collection, projects, and reporting • May work on auditing, correction, and resubmitting rejected charges... - Job Relevant Billing and Coding Certificate Required Licenses/Certifications: Req Fire Life Safety Training (LA City) If no...
coding. Maintain reconciliation files, schedules, and supporting documentation in accordance with internal control... processes. KNOWLEDGE, ABILITIES AND SKILLS Managerial/technical/professional: Knowledge of governmental auditing...
from an accredited institution. 5+ years of inpatient/acute hospital coding, DRG auditing, or medical record review experience... policies. This position plays a critical role in validating medical necessity, principal diagnosis selection, and CC/MCC coding...
. Engineer strong privacy, compliance, and anonymization mechanisms into all data pipelines (masking, thresholding, auditing...; guide design reviews, coding standards, and technical best practices. Troubleshoot complex issues involving distributed...
to assist in performing/auditing parts and asset inventories. · Always maintain a safety-oriented mindset and follow... procedure documents preferred. · Familiarity with industry Vehicle Maintenace Reporting Standards (VMRS) coding...