SUMMARY Resolves complex coding scenarios. Provides feedback and documentation advice to the physician and practice... management. Works with AR to resolve coding related denials. Serves as liaison between the practice and Physician Network...
spreadsheet format and through an auditing software program. Is a resource to the coding department, SLPG practices, providers.... The Network Provider Services Auditor performs audits as part of the Documentation and Coding Compliance Program...
in all other areas within the coding/auditing department as directed by Director/Audit Manager. Duty 8: Adhere to patient and office... or Certified Coding Specialist – Physician-based (CCS-P) certification from AHIMA with the appropriate level of experience...
and have the Accounting/ Auditing as a job function.This is a Computer Software industry and the compensation... between different claim formats (e.g., X12 4010 to 5010) and coding systems (e.g., ICD-9 to ICD-10). Review and assess the impact...
teams to prevent repeat errors and ensure accurate coding and documentation. Manages end-to-end processes for self... documentation auditing, or regulatory oversight required Demonstrated mastery of Medicare and New York Medicaid billing, audit...
coding required, teaching hospital setting preferred. Past auditing experience or strong training background in coding.... Assist the coding manager with all activities related to hospital coding including but not limited to the coding...
Classification of Diseases) coding systems required, with auditing experience preferred Knowledge of Federal billing regulations... with clinical staff, service line leadership, and coding teams, I.T. and other revenue cycle departments to proactively resolve...
requirements development. Software design and coding (C/C++, Ada, or other embedded programming languages) Embedded software... in the software change control process boards Moderate travel may be required to support program activities and auditing...
Classification of Diseases) coding systems required, with auditing experience preferred Knowledge of Federal billing regulations... with clinical staff, service line leadership, and coding teams, I.T. and other revenue cycle departments to proactively resolve...
& Training (RCST), Information Technology (IT) departments to optimize the patient experience, coding, and billing outcomes... auditing processes are in place and maintained to identify registration quality improvements. Develops new processes...
scanning tools, identifying vulnerabilities, and collaborating with development teams to drive secure coding practices. Work... to reporting. Ensure timely and effective patching of critical vulnerabilities across systems and platforms. Compliance & Auditing...
MS-DRG and APR-DRG coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding Clinic... Guidelines in the auditing of inpatient claims. Employing both industry and Optum proprietary tools, you will validate ICD-10...
& Training (RCST), Information Technology (IT) departments to optimize the patient experience, coding, and billing outcomes... auditing processes are in place and maintained to identify registration quality improvements. Develops new processes...
MS-DRG and APR-DRG coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding Clinic... Guidelines in the auditing of inpatient claims. Employing both industry and Optum proprietary tools, you will validate ICD-10...
Data Warehouse environments. Must have CI/CD experience Must have experience coding in Python Must possess excellent... with development and execution of database security policies, procedures and auditing-experience with database authentication methods...