accurate coding, helping to support the submission of clean claims in an effort to increase reimbursement and decrease DSO... resolution. 1-2 years of experience in coder auditing experience. Multi-specialty and/or Radiology experience. Physical...
state filings, commercial plan materials. Write coding specifications, and map new, changing, or custom products... and maintain language and coding specifications for fully insured standard and custom handbooks, summaries, contracts, and SBCs...
Joint Committee on Cancer (AJCC) TNM, Extent of Disease (EOD), ICD-O-3 coding, Solid Tumor Rules, and the Hematopoietic... to include data collection, visual editing, case consolidation, casefinding, follow-up and follow-back procedures and auditing...
required 3+ years of MS DRG/APR DRG coding or auditing experience with expert knowledge of ICD-10 Official Coding Guidelines... Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records...
. Software Architect Makes high-level design choices and dictates technical standards, including software coding standards... health exchange, or other State/Federal- based health exchanges supporting State or Federal Auditing and transfers to CMS...
required 3+ years of MS DRG/APR DRG coding or auditing experience with expert knowledge of ICD-10 Official Coding Guidelines... Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records...
Practice Administrators and Intermountain Health (Coding and Payer Relations, Managed Care Contracting, Finance and Accounting... with monitoring and auditing when necessary. Responsible to provider engagement and performance to clinical quality metrics...
/professional billing and coding, including periodic reviews of the individual department auditing and monitoring functions... for both facility and professional billing, coding and documentation programs that ensure compliance with regulatory standards...
tools including root cause and corrective action, PFMEAs, QMS and process auditing and statistical analysis of quality... with CAD and geometric dimensioning and tolerancing (GD&T) experience Working knowledge of Python or other coding language...
members. This position carries out responsibilities in the following functional areas: accounting, budgeting, auditing... substantiation. Ensure accuracy of general ledger coding and allocation activity while considering grant, contract, and budget...
. Implement and manage security tools and processes for vulnerability scanning, penetration testing, and security auditing... lifecycle (SDLC), including secure coding guidelines and static/dynamic application security testing (SAST/DAST). Monitor...
compliance auditing and monitoring activities for facility/professional billing and coding, including periodic reviews of the... and execute audit, monitoring, and education for both facility and professional billing, coding and documentation programs...
Description : Responsible for review, auditing and data-entry of medical bills for multiple states and lines... of business. This is a hybrid position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for auditing medical bills...
, coding, Stark laws, fraud & abuse laws, false claims, patient privacy, or other identified risk areas. Develop and deploy... business office, coding, physician contracting, fraud & abuse laws, Medicare/Medicaid regulatory requirements, privacy...
, including # visits, RAF score, complete and accurate diagnosis coding to the highest degree of specificity, thorough... stratification and data privacy. Oversee auditors and auditing practices such as implementing an internal QA process for diagnosis...
Description : Responsible for review, auditing and data-entry of medical bills for multiple states and lines... of business. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for auditing medical bills...
: Minimum of 2 years of work experience in a coding-related function and/or Auditing experience; Epic experience... system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential...
and improvement. Required qualifications, skills and capabilities 7+ years of internal or external auditing experience Bachelor... threats. Strong experience in managing and evaluating security controls, with proficiency in the Information Systems Auditing...
, coding, categorizing, calculating, tabulating, auditing, or verifying information or data. Making Decisions and Solving...
Information Administrator) AND Seven (7) years’ experience in inpatient acute care hospital coding OR; Current West Virginia... AND CCS (Certified Coding Specialist) AND Seven (7) years of experience in inpatient acute care hospital coding...