from you. Position Description: Under minimal supervision, the Radiation Oncology Auditor - to conduct internal coding and billing... for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health...
do: This Fraud Auditor will conduct audits and reviews of various Medicaid programs to ensure compliance with federal and state... letters. Works under general supervision and as a member of a team to deliver high quality work. Ensures that projects...
Compliance Coding Auditor/Educator serves as the subject matter expert and as a point of contact for IHA offices and Revenue... in CPT, ICD and HCC coding. The Compliance Coding Auditor/Educator is responsible for professional development of educational...
Compliance Coding Auditor/Educator serves as the subject matter expert and as a point of contact for IHA offices and Revenue... in CPT, ICD and HCC coding. The Compliance Coding Auditor/Educator is responsible for professional development of educational...
Auditor II performs detailed medical record and chart audit review of the health plan’s inpatient, outpatient, professional... and ancillary claims to ensure that all reimbursement to the provider is paid accurately. The Clinical Auditor II is a liaison...
, visit EXL USA Healthcare is looking for an Auditor III - DRG Coding. This position is a full-time, work from home... opportunity. In this fully remote position as a DRG Auditor you will apply your expert knowledge of DRG coding and reimbursement...
Anticipated End Date: 2025-02-10 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN... Job Description: Diagnosis Related Group Clinical Validation Auditor-RN Location: This position will work a hybrid model (remote and office...
Job Title - Position Description: Compliance Specialist/Auditor - (CHC or AHIMA or AAPC certification... MISSION Through a collaborative and positive approach, the Compliance Specialist/Auditor will promote ongoing organizational...
Overview: Claims and Call Auditor (Call Center QC) - Clearwater, FL Summary The Claims & Call Auditor audits... and claims processing. Reviews Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS...
Compliance Nurse Auditor provides support to the Corporate Compliance Office in areas of compliance audit and clinical expertise... when performing audits. Works with various staff and departments such as Health Information Management, coding and billing...
Position Title Clinical Nurse Auditor - Rev Cycle Days - Full Time Southlake Campus Position Summary / Career... activities to assure medical record compliance with regulatory and accreditation bodies. Collaborates with HIM coding staff...
is working to provide our differentiated, quality outcomes to as many patients that would benefit through our out-patient clinic... partnerships. The Compliance Nurse Auditor helps to promote and administer Healogics’ Compliance program, and ensure delivery...
Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide and department.../quality monitoring performed by PHS/PMG departments while serving as a resource on documentation, coding, billing, and coding...
, and coding departments, the Charge Review Auditor helps enhance revenue integrity and optimize the revenue cycle. This position...Your job is more than a job The Charge Review Auditor plays a key role in ensuring the accuracy and completeness...
of clinical criteria to determine medical necessity, appropriateness of setting, potential billing/coding issues, and quality... and mentoring the auditor and providing documented and validated findings. Encourage critical thinking and discussion among team...
Affairs Associate (Compliance Medical Auditor) supports the functions of the Compliance Program for ENT and Allergy Associates... Medical Auditor will participate and provide duties such as, but not limited to conducting auditing and monitoring; providing...
GENERAL SUMMARY The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions..., defense, LifeNet and special focus audits and reports findings. Serves as a clinical resource for coding / denial management...
Must live in Northern California Job Summary: The EIO Medical Documentation Auditor ensures accurate and complete... staff. Researches correct coding practices in relationship to applicable rules, regulations and coding conventions...
Must live in Northern California Job Summary: The EIO Medical Documentation Auditor ensures accurate and complete... staff. Researches correct coding practices in relationship to applicable rules, regulations and coding conventions...
MAHEC's is seeking an Auditor / Provider Educator. This role is responsible for internal quality assessment reviews... RESPONSIBILITIES: Auditing - Medical Coding Conducts quality assessment reviews as pre-billing audits and include outpatient...