. Summary The Medical Claims Auditor is responsible for reviewing and analyzing medical claims to ensure accuracy, compliance..., and adherence to company and regulatory standards. This role involves auditing provider-submitted claims, validating coding accuracy...
. Summary The Medical Claims Auditor is responsible for reviewing and analyzing medical claims to ensure accuracy, compliance..., and adherence to company and regulatory standards. This role involves auditing provider-submitted claims, validating coding accuracy...
van. Job Description Position Summary The Billing Auditor plays a critical role in ensuring the accuracy, completeness, and compliance.... The Billing Auditor ensures each record meets payer, regulatory, and internal standards before submission to CareFlite...
van. Job Description Position Summary The Billing Auditor plays a critical role in ensuring the accuracy, completeness, and compliance.... The Billing Auditor ensures each record meets payer, regulatory, and internal standards before submission to CareFlite...
to accurately document determinations and continue to next step in the claims lifecycle. Researches new healthcare related...Anticipated End Date: 2026-02-27 Position Title: Clinical Provider Auditor II Job Description: Clinical Provider...
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...
, 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...
, with flexibility for occasional overtime or weekend needs Preferred Qualifications: Healthcare claims experience Investigational... research on claims and complex coding cases that require research Provide feedback/support for client and/or senior leadership...
, 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...