and non-surgical procedures for facility and medical services for coding and payment integrity. Analyze and audit claims... Committee (MPC) and Medical Policy Committee Workgroup (MPCW) as added Coding Integrity representation at meetings; ensure...
PURPOSE OF THIS POSITION The primary purpose of the Professional Coding Integrity Specialist (PCIS) is to review...; collaborate with CDI Specialist, Claims Resolution Specialist, Revenue Integrity Auditor, Revenue Integrity Educator, clinical...
PURPOSE OF THIS POSITION The primary purpose of the Professional Coding Integrity Specialist (PCIS) is to review...; collaborate with CDI Specialist, Claims Resolution Specialist, Revenue Integrity Auditor, Revenue Integrity Educator, clinical...
. Coordinate with the Professional Coding Integrity Auditor/Educator to research coding questions from offices, departments... recruiting and hiring process, training and education of associates in conjunction with the professional coding integrity auditor...
Position Title Revenue Integrity Clinical Nurse Auditor Days - Full Time Remote Position Summary / Career... Interest: The Revenue Integrity Clinical Nurse Auditor leverages clinical knowledge and documentation review to ensure...
Anticipated End Date: 2026-01-12 Position Title: Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit... Job Description: Nurse Auditor Senior – Payment Integrity Complex and Clinical Audit Location: This role enables associates to work...
and communities we serve. We are looking for a meticulous and analytical Payment Integrity Auditor to ensure accurate claims payment..., and reconcile claim adjustments. Maintain audit documentation. 8. Perform other duties of the Payment Integrity Auditor...
! JOB SUMMARY The Revenue Integrity Educator II AKA Revenue Integrity Auditor & Educator position works under minimal supervision... Integrity Educator or Supervisor, to develop and conduct individual or group presentations on coding, billing and compliance...
, learning-oriented people to join our team. If this describes you, we want to speak with you. The Payment Integrity Auditor... with established billing and coding parameters. This role applies advanced audit methodologies to identify claim overpayments, validate...
and communities we serve. We are seeking a Senior Payment Integrity Auditor to lead the most complex and high-risk audit assignments..., ensuring claim payment accuracy and compliance with established billing and coding parameters. This role serves as a subject...
Overview: Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview... of Revenue Integrity Manager works with the Chief Compliance Office relative to coding, billing and reimbursement compliance...
to make life better here for our community. The Clinical Nurse Auditor Reviews and evaluates medical records, clinical... documentation, charge coding, and healthcare billing for accuracy, compliance and quality. Responsible for the identification...
Description : The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits... and commercial payer policy in written and verbal format Strong understanding of claims processing, ICD-10 Coding, DRG Validation...
compliance policies, procedures, for the audit program. Conduct regular audits and reviews of medical records, billing, coding... compliance, auditing, or clinical management. Strong knowledge of medical terminology, anatomy, coding guidelines (CPT, ICD-10...
Anticipated End Date: 2026-01-10 Position Title: DRG Coding Auditor Job Description: DRG CODING AUDITOR Virtual.... The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable...
Health Ministries Clinic (HMC) is seeking a Coding Auditor (with PCP auditing experience) as a trusted expert... of services including behavioral health, lab, diagnostic, pharmaceutical and dental. We are seeking an experienced Coding Auditor...
a dynamic, inclusive environment that fuels innovation. Req ID : 13920 Working Title : Physician Coding Compliance Auditor... us one of America's Best Hospitals. What you be doing in this role: The Physician Compliance Auditor is responsible for reviewing...
The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing... integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing...
Virginia The Coding Auditor & Provider Educator is a critical role responsible for ensuring the accuracy, completeness... integrity, mitigate compliance risks, and foster a culture of accurate and compliant documentation and coding...
our Healthsource blog: . The Medical Coding Auditor plays a crucial role in ensuring the accuracy and compliance of diagnostic coding... within medical records. This position is essential for maintaining the integrity of Risk Adjustment and HCC coding. By leveraging...