resolution process when needed. Works closely with RSO coding auditor and reviews reoccurring audits to provide education...POSITION DESCRIPTION: The Certified Coding Supervisor II is responsible for providing direct oversight of Certified...
and Clinical Guidelines. Claims Auditor Senior - all the above, plus : Service as a subject matter expert for Policy and Clinical...Anticipated End Date: 2025-11-15 Position Title: Claims Auditor I, II & Senior Job Description: Claims Auditor...
; and conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI... regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement. The Senior RI...
. Connecting. Growing together. The Senior Clinical Appeals RN utilizes subject matter expertise in MS-DRG and APR-DRG auditing... and education to our remote DRG Validation Specialists utilizing core coding and clinical information. We are seeking self-motivated...
. Connecting. Growing together. The Senior Clinical Appeals RN utilizes subject matter expertise in MS-DRG and APR-DRG auditing... and education to our remote DRG Validation Specialists utilizing core coding and clinical information. We are seeking self-motivated...
; and conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI... regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement. The Senior RI...
knowledge of clinical criteria to determine medical necessity, appropriateness of setting, potential billing/coding issues... auditing). Clinical /Nursing experience in an SNF, IRF, and HH setting is required. Coding certification...
). Strong background in assessments, clinical documentation, and coding. ICD-10coding experience is a plus Additional Requirements...Job Description: Home Health Quality Review Specialist - OASIS Auditor Locations: Columbus or Chillicothe, Ohio...
Management Support: Research coding, documentation and reimbursement inquiries submitted by physicians, clinical departments...! JOB SUMMARY This position works under minimal supervision to develop and conduct individual or group presentations on coding...
, and other coding standards. Prepare and present compliance reports to senior leadership. Support responses to external audits... policies related to billing, coding, and documentation. Job Responsibilities Lead and manage the hospital billing...
individual education needs of Clinical Documentation Specialists and collaborates with CDI Manager, IP Coding Manager, and IP...-to-date in clinical and coding/documentation-related materials, including CDS best practices as defined by ACDIS as well as ICD-10-CM/PCS...
. Certification as an Internal Auditor or Healthcare Compliance certification upon hire. Clinical background. Salary Range... Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance...
compliance & ethics reporting. Work with Senior Compliance and Privacy Office leadership as well as other key clinical...) services, procedural coding, and clinical documentation improvement. Participate in provider orientation to ensure coding...
, with an emphasis on Evaluation and Management (E/M) services, procedural coding, and clinical documentation improvement. Participate... compliance role is preferred. A minimum of five years of experience working as a medical coder, coding, auditor, and/or coding...