knowledge of clinical criteria to determine medical necessity, appropriateness of setting, potential billing/coding issues... but will need to obtain a coding certification within 6 months. 5 to 7+ years of working with a broad knowledge of medical claims...
A client of Innova Solutions is immediately hiring for a Physician Compliance Auditor Position type: Full-Time..., Contract Duration: 9 Month Location: Remote As a Physician Compliance Auditor, you will: * Perform annual chart audits...
specialty clinics to medical record documentation guidelines and standards and to diagnostic and procedural coding conventions...Title: Physician Compliance Auditor Length of Assignment:3 months Work Location: Dallas, TX - 75246 Work Schedule...
, CPC, CIC, etc.) The AAPC CRC (Certified Risk Adjustment Coder) coding certification is highly recommended. RADV... with at least 5 of those years in Risk Adjustment coding. Completion of an accredited medical coding program with current...
in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. Collaborates.... Minimum Requirements Requires a AA/AS and minimum of 4 years medical coding/auditing experience, including minimum of 1 year...
$68,000.00 - $120,500.00 Overview Coordinate and conduct medical billing audits for the Yale Medicine Administration. Evaluate medical billing, coding... and procedures. 12. Stay abreast of best practice coding and auditing practices and regulatory changes. Maintain CPC designation...
Auditor/Educator will be responsible for evaluating medical record documentation and trends to optimize reimbursement...Position: E & M Auditor Educator - Clinic Location: Munster, IN (travel required) Job Summary: Under the...
payers regarding clinical reviews and medical necessity. CPC or CCS required within 6 months of hire. Previous Healthcare...Recovery Audit Contractor (RAC) The Recovery Audit Contractor (RAC) Auditor is responsible for determining the...
Certified Professional Coder (CPC) credentialed with a minimum of three years of medical coding experience in the area... must maintain a valid and current coding certification. OB/GYN experience and the Certified Professional Medical Auditor (CPMA...
Integrity Certified Professional Coder (CPC) Certified Outpatient Coder (COC0 Certified Professional Medical Auditor...The Revenue Integrity Auditor will perform detailed audits of the medical record at Sentara facilities, by researching...
laws, regulations, payer rules, and internal policies. Reviews medical and billing records for coding accuracy and medical...Position Summary: The Compliance Auditor supports an effective compliance program by planning and executing risk...
: Must have any one of the following coding certifications at time of hire: CCS, CCS-P, CPC-H, or RHIT/RHIA with achievement of one of the coding... Conducts systematic focused internal audits via medical record and charge ticket review to insure correct coding, billing...
: Must have any one of the following coding certifications at time of hire: CCS, CCS-P, CPC-H, or RHIT/RHIA with achievement of one of the coding... Conducts systematic focused internal audits via medical record and charge ticket review to insure correct coding, billing...
: Must have any one of the following coding certifications at time of hire: CCS, CCS-P, CPC-H, or RHIT/RHIA with achievement of one of the coding... Conducts systematic focused internal audits via medical record and charge ticket review to insure correct coding, billing...
: Must have any one of the following coding certifications at time of hire: CCS, CCS-P, CPC-H, or RHIT/RHIA with achievement of one of the coding... Conducts systematic focused internal audits via medical record and charge ticket review to insure correct coding, billing...
and contribute to the annual Compliance risk assessment. The Compliance Auditor will also verify reimbursement and/or coding when... Compliance Auditor will assist in the overall compliance audit and investigative activities to ensure organizational compliance...
and experience. (1) year of related medical coding or auditing experience. Certified Professional Coder Designation (CPC-A, CPC... errors, coding discrepancies, and policy non-compliance. Audits include reviewing medical records, applying clinical...
. Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), OR Certified Coding Specialist- Physician... specific regulations for chart documentation, valid coding and billing, and medical necessity support to prevent fraud, waste...
. The Network Provider Services Auditor performs audits as part of the Documentation and Coding Compliance Program... service documentation and coding audits of both office and in-patient medical records. Maintain and record audits in Excel...
(CPC) Certification or Licensed Practical Nurse (LPN) preferred. 2. Obtain Certified Revenue Cycle Representative (CRCR.... Ability to work independently. 3. Knowledge of medical terminology. 4. Experience with Windows-based software. 5...