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...
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...
with vendors and AP to validate accuracy, resolve discrepancies, and maintain proper G/L mapping and invoice coding logic... auditing and financial reporting. Evaluate and streamline the freight payment cycle, recommending and implementing automation...
auditing to verify refund amount is accurate. d. Process patient payments when called in by phone or received in the mail... coverage, coding and fees. a. Manage and maintain department voicemail and emails. Respond to those inquiries in a timely...
auditing staff and for coordinating education across clinical documentation, coding accuracy, and EMR readiness. This role... requirements. The supervisor works closely with coding teams, CDI specialists, physicians, and ancillary staff to implement...
) and orchestration (Kubernetes, AKS). Familiarity with secure coding principles and compliance standards. Strong scripting skills... and observability tools. Experience in multi-cloud or hybrid-cloud DevSecOps pipelines. Familiarity with data masking, auditing...
lifecycle. Review program/development documents to ensure adherence to secure coding standards, guidelines and security... controls relating to access control, authentication, and auditing. Demonstrated knowledge and understanding of information...
Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional... appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand...
or other relevant clinical/coding certifications required, Multiple would be preferred A minimum of 5 years of experience in healthcare... payment integrity, clinical auditing or claims management Experience in commercial payer environments Strong critical...
that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided...; and conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI...
. Experience Four years of administrative experience to acquire competence in applying compliance, coding and auditing principles... to acquire competence in applying compliance, coding and auditing principles as they relate to insurance billing, collections...
Nurse Coder RN III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement... medical records reviews to include quality audits as well as validation of accuracy and completeness of all coding elements...
risk management, information systems auditing, or a combination within the banking or financial services industry... extracts to identify trends, patterns, and anomalies, including 1 year of experience in test scripting or coding (writing...
requirements, perform data validation, and conduct quality control checks. Provide oversight and track all billing and coding... Previous experience with medical coding Highly detail-oriented and organized Knowledge of healthcare billing, payer...
and providing outside resources as needed. Participates in Agency Chart auditing as directed. Improves staff competence... and Coding guidelines. Performs any other duties as deemed necessary by the Home Health Director. Qualifications & Skills...
reviews and medical necessity. Possess the ability to perform a number of functions including those of internal auditing... Auditing experience preferred. Education RN Bachelor Level Degree 2 yr RN Associate Degree RN Diploma Certification...
Auditing Team. This position requires an indiividual with EMS Billing experience, who can multitask and meet deadlines. 100... Duties and Responsibilities: As part of our Compliance Auditing team, you will perform internal reviews daily...
billing and auditing for accuracy Posting insurance payments including electronic and paper Resolve claim edits/exclusions... and coding experience Competencies · Team oriented/collaborative · Must have strong follow through · Exceptional...
to: Communication with various stakeholder groups such as Revenue Cycle Leaders, CDM Coordinators, Coding, Contracting, Reimbursement... profitability. Coordinate with coding and charge capture teams to ensure that pricing reflects accurate service delivery and coding...
. About the Role We are seeking a board-certified physician with strong inpatient coding and DRG audit expertise... responsibilities with the opportunity to directly shape the future of AI-powered clinical auditing. Your primary responsibility...