. Summary As a COB Claims Auditor, Associate at Gainwell, you will apply strong analytical skills and attention to detail... Looking For Experience reviewing and verifying healthcare insurance claims for accuracy and compliance Experience reviewing and interpreting...
. Summary As a COB Claims Auditor, Associate at Gainwell, you will apply strong analytical skills and attention to detail... Looking For Experience reviewing and verifying healthcare insurance claims for accuracy and compliance Experience reviewing and interpreting...
Kforce has a client in San Antonio, TX that is seeking a Compliance Manager - Coding & Documentation Auditor.... Job Summary: A leading healthcare organization in San Antonio is seeking an experienced Compliance Manager specializing in medical...
It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges... Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records...
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges... Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records...
Control Clinical Auditor will review previously audited claims for any missed opportunities or errors. The Quality Control...Description : CERiS in Fort Worth, Texas is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related...
, Coordination of Benefits Strong understanding of healthcare revenue cycle and claims reimbursement Proficient in Microsoft Office... and commercial payer policy in written and verbal format Strong understanding of claims processing, ICD-10 Coding, DRG Validation...
, OCR, Cognos, Facets and/or working with medical terminology of coding Healthcare claims experience Investigational... identification of suspected waste & abuse of health insurance claims and ensures claims are accurately handled by the team...
, claims, and workflow processes to ensure accuracy, completeness, and compliance with regulatory requirements..., and reimbursement processes. Reviews, assesses and analyzes medical records, coding, billing, claims, reimbursements and workflow...
management/limit liability claims and lawsuits. • Optimize handling of bank and deposit relationships while initiating policies... and leases with external parties. • Maintain relations with external auditor and financial consultants. • Communicate hospital...