operations, including patient access, registration, scheduling, coding, documentation integrity, charge capture, billing... programs, including auditing, monitoring, CDI partnerships, and clinical workflow integration. Partnership With Payer...
, and cost optimization. Mentor and guide junior engineers, ensuring adherence to coding standards and architectural principles... encryption, access controls, and auditing. Stay current with emerging technologies and recommend improvements to enhance...
revenue. Maintain thorough understanding of government rules and regulations, generally accepted auditing standards...) CCS (Certified Coding Specialist) RHIA (Registered Health Information Administrator) RHIT (Registered Health...
Principal Audit Managers. You will join the team responsible for auditing technology risk for the Corporate Bank (CB... Experience in auditing or practical working experience with Technology topics such as Cyber, cloud, operating systems, databases...
Job Category: Revenue_Cycle Job Description: The Oncology Claims Analyst 1 will coordinate coding audits..., managing and working the edit and denial coding work queues for inpatient, outpatient clinic, and hospital based infusion...
-per-query efficiency. II. Engineering Excellence & Team Leadership Hands-on Coding & Delivery: Serve as a hands-on technical..., architectural design patterns, and coding standards across the data team. Code Review / PR Process Ownership: Oversee the code...
and ensure the integrity by monitoring and auditing outputs. Analyze contract variance and expected payor specific reimbursement... of experience in a hospital or Physician Billing Office, Accounting, or Finance department Coding experience or some level...
Administrative Contractor) requirements. Required Qualifications 3 Years experience auditing coding and medical record.... What You Will Do To identify and report coding and documentation practices and make recommendations which assure the accurate reporting...
, patient flow, data collection, projects, and reporting • May work on auditing, correction, and resubmitting rejected charges... Billing and Coding Certificate The hourly rate range for this position is $25.00 – $39.69. When extending...
of Sharp HealthCare. Required Qualifications 2 years' experience with hospital and ambulatory care charging and coding... practices, contractual payment schemes. 1 year auditing and/or training experience. Driver's License - CA Department of Motor...
. 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...
. Assist in project compliance and auditing payroll. Perform general administrative duties, including organization, jobsite... support, coding invoices for the office, event planning and fleet coordination. Communicating with and support craft...
of five years’ experience in utilization review and/or auditing in an acute-care hospital setting. Medicare audit and appeal... applying Milliman and/or Interqual guidelines required. Familiarity with medical coding, reimbursement, and insurance practices...
Do: ✔Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement. ✔Apply expert... knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. ✔Craft clear...
clinicians: · Encounter form. · Coding. · Medical record notes. · Internal auditing of productivity measures...
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...
Groups (DRG) QC Clinical Auditor will be responsible for performing quality control DRG validation (clinical/coding) reviews... of internal audit team reviews of medical records and/or other documentation to determine correct DRG/coding that is clinically...
(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...