Position Description Performs medical billing coding and documentation quality audits; provides feedback to coding... auditor. Additional job-specific education may substitute for the experience. Active professional coding certification...
and exceptional care to their employees. The Auditor, Coding & Compliance - Occupational Medicine and Specialty will perform... detailed coding and documentation audits and reviews to ensure compliance with clinical and coding guidelines. This function...
as needed. Collaborates with the medical billing team to improve the quality of clinical documentation for compliance, billing, coding... documentation, coding, and billing systems. · Review, assess, study, and analyze the overall coding, billing, documentation...
, HIMS, the Central Billing Office, and other departments regarding coding compliance, documentation standards... and documentation procedures, addressing conflicting or vague documentation issues. Recommend coding education, training...
documentation and coding for accuracy, completeness, and compliance with CMS, CPT, ICD-10, and payer-specific guidelines... Professional Medical Auditor (CPMA) through AAPC Certified Physician Practice Manager (CPPM) through AAPC Certified Documentation...
Professional Medical Auditor (CPMA) Required Tests for Placement - Must score a minimum of 85% on a pre-employment coding test... record documentation to assure that coding and abstracting of data is in compliance with the ¿official coding guidelines...
Coverage Determinations to resolve billing edits. 2. Analyzes medical record documentation to assure that coding... and improve lives every day. PRIMARY PURPOSE Conducts audits of medical record coding to ensure compliance with established...
professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: The Clinical Quality Auditor... compliance with Medicare and Medicaid regulations. The Auditor’s areas of focus to ensure quality outcomes will include...
leadership. Revenue Cycle Management Support: Research coding, documentation and reimbursement inquiries submitted.... Perform pre-bill reviews of professional charges and follow up with new providers to ensure accurate coding and documentation...
Job Title: Quality Auditor – Multispecialty Medical Coding Department: Health Information Management / Revenue....com. Position Summary: The Quality Auditor – Multispecialty Medical Coding is responsible for ensuring the accuracy, integrity...
Auditor, Sr. Specialist who is responsible for performing on-going quality assurance audits of the accuracy and consistency... of work performed by clinical and coding staff. Responsibilities include performing DRG validation (clinical/coding) reviews...
Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records... and/or other documentation to validate the conditions that were documented in the medical record, the ICD-10-CM/PCS code assignments...
Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records... and/or other documentation to validate the conditions that were documented in the medical record, the ICD-10-CM/PCS code assignments...
Auditor, Sr. Specialist who is responsible for performing on-going quality assurance audits of the accuracy and consistency... of work performed by clinical and coding staff. Responsibilities include performing DRG validation (clinical/coding) reviews...
. Responsibilities: As a Premium Auditor, you’ll play a critical role in ensuring accurate premium calculations and compliance.... Conduct audits via mail or phone, reviewing financial records and requesting additional documentation as needed to complete...
Description The Assistant Auditor - Internal Audit II works under the general direction of the County Auditor... instructions, established procedures, and county policies. Provide backup support for other Auditor's Office positions...
will include but is not limited to the following: Revenue Cycle Management Support: Research coding, documentation... with new providers to ensure accurate coding and documentation practices. Performs post-onboarding pre-bill review...
(clinical/coding) reviews of medical records and/or other documentation. This role will determine correct DRG/coding as defined... & RESPONSIBILITIES: The Clinical Auditor will review medical records to determine accuracy of billing through verification of coding...
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...
to appropriately review documentation submitted for claim audits. Utilize clinical judgement to appropriately interpret... and commercial payer policy in written and verbal format Strong understanding of claims processing, ICD-10 Coding, DRG Validation...