possible in healthcare. The Nurse Auditor I performs charge audits and other assessments as assigned by management. This role... delivering outstanding results. The Nurse Auditor I performs charge audits and potential client assessments as assigned...
other specific regulation requirements. Works closely with patients, insurance companies, hospital departments, physician practices..., and outside agency auditors to support hospital protocol, resolve/negotiate questioned charges, work with Revenue Integrity...
for the auditing of patient bills and medical record documentation to ensure accurate charging based on billing and coding... of one of the following licenses or certifications required: RHIT, LPN, CCS, CPC, CPC-H, or COC. Minimum of two years acute hospital...
auditing...ideally in a DRG / Clinical Validation Audit setting or a hospital environment. Coding/CDI Certification...Responsibilities Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines...
and commercial payer policy in written and verbal format Strong understanding of claims processing, ICD-10 Coding, DRG Validation... hospital bill audit PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending...
Code of Ethics “Standards of Ethical Coding”, AHA Coding Clinic and technical rules outlined by hospital guidelines... Quality (DQ) Senior Coder performs medical record coding and abstracting reviews with expert knowledge of ICD-10-CM, ICD-10...
Specialist (Hospital Billing Auditor) will support the Manager of Hospital Billing Compliance and the Director of Billing... comprehensive Hospital Billing Compliance workplan to ensure that billing and coding of hospital services are in accordance...
. Minimum of one of one year experience required in an acute care hospital outpatient coding. Minimum of 1 year experience... assessment. Able to evaluate and monitor coded diagnosis, coded procedures, and charges following National Correct Coding...
. Required Certifications CCS - Certified Coding Specialist or CPC with Certified Professional Medical Auditor Monday - Friday 7:30-4:00... direction of the Professional Coding Manager, this individual will serve as the subject matter expert and the key point...
will Code for Multispecialty Surgery physicians primarily Single Path Coding. Multi-specialty surgical coding experience... and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal...
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...
of understanding of DRGs and MS/DRGs. ICD-9-CM Official Guidelines for Coding and Reporting, American Hospital Association Coding... for Coding and Reporting, American Hospital Association Coding Clinic guidelines, federal guidelines for coding Medicare...
in your state of residence 3+ years of MS DRG/APR DRG coding experience in a hospital environment with knowledge of ICD-10 Official.... By partnering with the original auditor, review medical records, and other information to author a rebuttal or agreement with the...
department budget for Facilities Division including monthly department financial review, coding of purchase activities for the... Auditor Responsibilities – prepare documentation for auditors, track audits, perform audit activities in conjunction...
department budget for Facilities Division including monthly department financial review, coding of purchase activities for the... Auditor Responsibilities - prepare documentation for auditors, track audits, perform audit activities in conjunction...
), procedural and modifier code assignments. For hospital coding, reviews medical record documentation (i.e., provider orders); may... hospital-based outpatient coding experience. For Physician Billing Coder, one (1) year diagnostic/procedural office coding...
Administration, Finance, or related field. Minimum of 10 years of experience in professional services and hospital coding, billing... of all RCM processes related to specialty service lines, including but not limited to change capture, coding, billing...
required. Certified Professional Medical Auditor (CPMA) preferred. Experience Minimum 5 years of experience in coding... in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the...
documentation is compliant with federal and state regulations, coding guidelines and hospital policies. Remains up... individual education needs of Clinical Documentation Specialists and collaborates with CDI Manager, IP Coding Manager, and IP...
.) is required, hospital experience preferred. JOB KNOWLEDGE/EXPERIENCE: Minimum of 1-2 yrs. experience with medical collections, managed... information from within internal · or other departments Responsible to send AEOS RQs to Coding as needed for clarification...