payments (donations, grants, checks, EFTs). Ensure proper coding and allocation of revenue, including restricted funds..., including data gathering and entry. Compile and maintain audit documentation; prepare schedules and respond to auditor requests...
Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), Auditing Outpatient Coding... our billing team. We are seeking a certified Coder with FQHC, multi-speciality or PCP office coding background. The Coder...
of healthcare experience -Required Preferred Experience: Prior experience of working as a CDI/Coding auditor is preferred... and understanding of coding/DRG requirements to improve overall quality and completeness of clinical documentation in the patient...
as necessary. Reviews/approves cash posting by Accounting Clerk. Prepares and/or reviews general ledger coding for cash entries... of appropriate internal controls. Prepares monthly bank account reconciliations, as necessary. Responds to independent auditor...
administrative appeal of reimbursement claims denied by Medicare or Medicaid on the grounds that the medical coding was incorrect.... These duties involve coordination of activities with the managers of coding at each of the Piedmont affiliated hospitals...
controls and best practices into CI/CD pipelines and DevSecOps workflows, driving adoption of secure coding standards... Auditor (CISA). Certified Information Security Manager (CISM). C. Other Knowledge, Skills or Abilities...
. Operations Oversight: Manage all risk adjustment activities, including provider coding initiatives, chart reviews, in-home... expertise in Medicare Advantage and Value-Based Care frameworks. Technical Knowledge: Deep understanding of ICD-10 coding...
. You've conducted company and market diligences end-to-end. Strong nice-to-have's: Python and experience using AI-coding and analytics... auditor. Results of the audit may be viewed here: Compensation The successful candidate's starting pay will fall...
Workspace, Google Cloud, etc.) Proficiency in SQL data analysis, Python coding, and other automation tooling. Project planning... using again on June 29, 2024. The Covey tool has been reviewed by an independent auditor. Results of the audit may...
: Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist – Physician... always. Find your next career opportunity and make a difference doing what you love at Children’s. Job Description The Physician Coding Educator...
reviews to include audits of financial and business controls; documentation, coding and billing; and other audits to enhance... experience. Certified Public Accountant (CPA); OR Certified Internal Auditor (CIA); OR Certified Fraud Examiner (CFA...
of coverages and program structures, as well as internal policy coding systems to ensure account completeness. Designated as the... control of premium audit statements prior to underwriting review; documents discrepancies and work with the premium auditor...
, coding standards, and regulatory requirements. The Manager oversees operational QA testing, examiner-level audit programs... across the entire operational claims lifecycle including claim intake, data entry, adjudication, pricing, coding accuracy...
development lifecycle (SDLC), including design, coding, testing, and deployment. Conduct security reviews of application... assessments, penetration tests, and SOC 2 / ISO 27001 reports. Define and enforce secure coding standards and practices...
and professional services Key Responsibilities Process high-volume accounts payable transactions, including invoice review, coding... audits by providing documentation and responding to auditor requests. Collaborate with internal departments...
Auditor (CPMA) required 5+ years clinical experience or 5+ years medical record coding experience preferred Working... in our mission Reviews provider appeals and redeterminations using approved clinical and coding guidelines and documents appeal...
Auditor (CPMA) required 5+ years clinical experience or 5+ years medical record coding experience preferred Working... in our mission Reviews provider appeals and redeterminations using approved clinical and coding guidelines and documents appeal...
), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, or Certified Coding Specialist... to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas...
of all RCM processes related to specialty service lines, including but not limited to change capture, coding, billing..., and reimbursement outcomes. Oversee coding auditing and education related to specialty-specific documentation, coding accuracy...
with conducting software certification (SOI) reviews from the certification authority/auditor perspective. · Proficiency...’ experience in a software engineering role, including requirements, design, coding, and testing per RTCA DO-178B/C...