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...
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...
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...
security, auditing processes 4 years of experience working with software engineering best practices across the development... lifecycle, including agile methodologies, coding standards, code reviews, source management, build processes and testing AWS...
Minimum 3 years experience required Must understand the full Automotive warranty process, including booking, coding, policy... best in warranty processing services, warranty training and warranty auditing for over 1300 very satisfied clients and have for over 35...
, 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...
data entry, invoice verification and auditing, payment approvals in a variety of financial systems, and specialized payment... could include the following: Data enter requests for payment in a timely manner. Auditing invoices, travel vouchers, advances...
, including data sample validation, medical record retrieval, coding abstraction, quality assurance auditing and submission to CMS... and opera-tional aspects of the RADV audit process, including medical record retrieval, coding validation, and audit logistics...
degree preferred. 3-5 years professional coding experience required. Evaluation and management auditing experience... direction of the Coding Manager, works directly with employed and contracted Providers in providing coding and documentation...
. Responsible for training new employees and assisting management with auditing queues during the probation period. Must be willing... and Correct Coding Initiative a must. Exp in other related Business Office functions incl Government Funded programs...
Job Category: Healthcare Auditing Job Description: As a Remote Certified Outpatient Auditor, you'll bring... your expert knowledge of outpatient coding, CPT coding guidelines, and reimbursement methodologies to audit outpatient...
of outstanding payables Ensure the accuracy of an organization's financial documents for payment, auditing and tax purposes Protect... voucher numbers Prepare vouchers listing invoice number, date, vendor address, item description, amounts and coding...
and performing engagements, including conducting interviews, with a complex set of corporate stakeholders Experience in IT auditing... and coding experience ideally in IoT, AI, automotive OS Experience with compliance especially security and privacy regulations...
healthcare company or academic medical center. Experience with compliance auditing procedures across the spectrum of compliance... Compliance (CHRC) Certified Professional Coder (CPC) Certified Coding Specialist (CCS *Renewals must be submitted no later...
of health benefit plans and related UM requirements preferred. Experience with CPT/ICD coding, medical record or chart auditing...
compliance and auditing payroll. Perform general administrative duties, including organization, jobsite support, coding...
Job Category: Healthcare Auditing Job Description: Why EXL? At EXL, we believe in fostering an environment..., and a competitive benefits package to ensure you can focus on what you do best-delivering excellence in DRG auditing. If you're...
needed, abstracts data from patients’ medical records to maintain full diagnosis coding and charges capture. 5. Interact... of diagnostic procedural information and questions regarding coding assignments. 6. Track patient data over multiple visits. 7...
(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...
for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services. Provides... professional expertise and education in CPT, ICD and HCC coding. The Compliance Auditor/Educator is responsible for professional...