with all regulatory standards. Leads key operational initiatives across nurse auditing, coding, Charge Description Master (CDM... revenue performance. Monitor and evaluate billing and coding updates impacting CDM and Charge capture processes to ensure...
compliance with all regulatory standards. Leads key operational initiatives across nurse auditing, coding, Charge... and maximizing revenue performance. Monitor and evaluate billing and coding updates impacting CDM and Charge capture processes...
. Works with physicians and other staff to ensure all encounter forms are completed at time of service and coding is accurate... as required. Auditing payment variances ensuring appropriate reimbursement. Provide specific and in depth contract knowledge to ensure...
member of the Operational Risk Integrity team, you will: Claim Auditing: Conduct comprehensive prospective...: Proven experience and knowledge of reimbursement mechanisms and clinical/procedural coding (e.g., CPT, ICD-10, HCPCS...
and professional growth Define integration and reporting architecture standards, coding practices, documentation guidelines... management including monitoring, auditing, error handling, optimization, and performance tuning Translate complex business...
, or code auditing position providing quality feedback to staff. - required 2 or more years of experience coding ICD-10-CM/PCS...: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff...
coding. Maintain reconciliation files, schedules, and supporting documentation in accordance with internal control... processes. KNOWLEDGE, ABILITIES AND SKILLS Managerial/technical/professional: Knowledge of governmental auditing...
, patient flow, data collection, projects, and reporting • May work on auditing, correction, and resubmitting rejected charges... - Job Relevant Billing and Coding Certificate Required Licenses/Certifications: Req Fire Life Safety Training (LA City) If no...
from an accredited institution. 5+ years of inpatient/acute hospital coding, DRG auditing, or medical record review experience... policies. This position plays a critical role in validating medical necessity, principal diagnosis selection, and CC/MCC coding...
. 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...
. Engineer strong privacy, compliance, and anonymization mechanisms into all data pipelines (masking, thresholding, auditing...; guide design reviews, coding standards, and technical best practices. Troubleshoot complex issues involving distributed...
, and auditing to ensure that resources are allocated effectively and efficiently. Responsibilities System Enhancement - Leads... and determines scope, time estimates, and system impacts. Inspects business specifications, programming specifications, coding, test...
Health (CH) Health Information Management (HIM) Educator/Auditor is responsible for providing Provider Coding education... that are provided. The Educator/Auditor will introduce new providers to the coding program requirements across CHS/Trinity and provide...
(s)/Certification(s) Required: CPA preferred Experience: Requirements * At least Three (3) years of finance/accounting/auditing... auditing standards. Knowledge of and/or experience in the Not-for-Profit or Health Care industries (desirable). Strong (hands...
combination of experience and coding or auditing certifications may substitute with a preference for five years progressive... relevant work experience. Experience: Three years 'experience in a compliance, medical coding or auditing role...
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...
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...
Guard, Unified Auditing, RMAN, patching, hardening/STIG, ASM, troubleshooting Experience integrating Oracle with big data... platforms such as Hadoop, Spark, or cloud-based data lakes. Proficient in SQL/PLSQL coding, Oracle Audit configuration...
of three years’ compliance auditing or health records coding in a healthcare entity. Knowledge of Healthcare compliance... regulations and internal policies in regard to healthcare coding, documentation, and billing practices. Review health records...
coding ethics of American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA...) and/or National Alliance of Medical Auditing Specialists (NAMAS) and payer coverage guidelines. Furthermore, responsible for posting...