: Performs complex level professional internal auditing work. Work involves compliance audit projects for Covenant Health... entities as they relate to charging, coding, documentation and billing compliance. This would include E/M, procedure, and ICD...
of Sharp HealthCare. Required Qualifications 2 years' experience with hospital and ambulatory care charging and coding... practices, contractual payment schemes. 1 year auditing and/or training experience. Driver's License - CA Department of Motor...
of five years’ experience in utilization review and/or auditing in an acute-care hospital setting. Medicare audit and appeal... applying Milliman and/or Interqual guidelines required. Familiarity with medical coding, reimbursement, and insurance practices...
. Assist in project compliance and auditing payroll. Perform general administrative duties, including organization, jobsite... support, coding invoices for the office, event planning and fleet coordination. Communicating with and support craft...
. Implement project control systems including Work Breakdown Structure, coding structures, metrics, data collection, earned value... management, preferably in EPC 3-5 years of Project Controls experience, cost, schedule, and/or risk. Skills Project Auditing...
. Primary responsibilities include processing and auditing vendor invoices. Responsibilities Ensure proper coding and entry... of vendor invoices into a large ERP system. Coordinate with other departments regarding invoice coding and processing. Help...
implementation and coordination of compliance monitoring and auditing processes, including but not limited to, conducting/managing..., etc.). Duty 4: Monitor and audit compliance functions related to billing, coding and medical documentation to ensure...
Do: ✔Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement. ✔Apply expert... knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. ✔Craft clear...
. Primary responsibilities include processing and auditing vendor invoices. Responsibilities Ensure proper coding and entry... of vendor invoices into a large ERP system. Coordinate with other departments regarding invoice coding and processing. Help...
responsibilities include processing and auditing vendor invoices. Responsibilities Ensure proper coding and entry of vendor... invoices into a large ERP system. Coordinate with other departments regarding invoice coding and processing. Help maintain...
clinicians: · Encounter form. · Coding. · Medical record notes. · Internal auditing of productivity measures...
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...
Groups (DRG) QC Clinical Auditor will be responsible for performing quality control DRG validation (clinical/coding) reviews... of internal audit team reviews of medical records and/or other documentation to determine correct DRG/coding that is clinically...
(clinical/coding) reviews of medical records and/or other documentation. This role will determine correct DRG/coding as defined... their experience with ICD-10-CM & PCS coding guidelines, the ability to understand modern pharmacology, disease management and clinical...
and audits. Assists with monitoring and auditing activities, reviews outcomes and communicates findings as appropriate... and coding guidelines with timely and successful submissions. Assists in identifying denial trends and selecting the...
in compliance, clinical, coding, auditing, legal, or related fields; OR Associate’s degree in a health or business-related field... and four (4) years of experience in compliance, clinical, coding, auditing, legal, or related fields; OR Relevant...
be considered. Minimum 5+ years of medical coding experience. At least 3+ years of auditing experience, with a strong background... is responsible for designing, managing, and evaluating comprehensive billing, coding, clinical documentation, and all other related...
preferred. 6+ years of experience in physician and/or hospital coding and auditing, medical necessity reviews, or related work... to determine accuracy and adequacy of documentation and coding related to physician or hospital (inpatient and outpatient) billing...
analyze data for operations, budgeting, auditing, forecasting; basic accounting knowledge; AR and reserve analysis, staffing... and financial reporting skills. Knowledge of billing and payment schedule procedures, diagnosis coding, and credit and collections...
iMedX is looking for an Inpatient Facility Coding Auditor. This position requires proficiency in DRG-based auditing... and a minimum of 5 years experience; at least 3 years inpatient production coding and 2 years inpatient auditing experience...