be caring for: The role youll contribute: The Pre-Access Infusion Benefits and Authorization Specialist, under general.... Meets or exceeds department audit accuracy and productivity standard goal. Uses utmost caution that obtained benefits...
with our payers. The Revenue Integrity Auditor ensures adherence to regulatory requirements related to billing and supporting... compliance, revenue integrity, and operational assessments. This position is responsible for the coordination of external reviews...
status. Job Summary: Under the general direction of the Head of Procure to Pay, serves as a data specialist and system... departments. Assists the Head of Procure to Pay to develop training materials and implement staff training to ensure compliance...
with our payers. The Revenue Integrity Auditor ensures adherence to regulatory requirements related to billing and supporting... compliance, revenue integrity, and operational assessments. This position is responsible for the coordination of external reviews...
administration, analysis, and enhancement of benefits programs, ensuring compliance with regional, state, and federal regulations..., regulatory compliance, and data analysis, with the ability to recommend improvements for efficiency and cost-effectiveness...
reviews. 9. Designs and uses audit tools (i.e ROC) to monitor the accuracy of coding, documentation gaps, and billing... Specialist), or CPC (Certified Procedural Coder). PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1...
. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems... job-related duties as assigned. Reporting - Provides reports of audit findings to coding management, individual coders...
Act, Family Medical Leave Act, Paid Family Leave, Modified Duty, Shelter Duty exemptions, and other compliance...; and ensure accountability and compliance with all current and applicable local, state and federal laws related to Safety...
and efficiently assigning ICD-10 diagnosis codes, CPT and HCPCs procedure codes. Compliance with national coding standards... audit provider’s documentation and coding, document the results provide feedback and education to the providers/coding...
throughout the billing/coding process. Ensures compliance with Revenue Cycle targets for resolution of failed claims. 15% 3.... Position also responsible for supporting Central Billing Office as necessary regarding Claims Processing issues as it relates...
documents as needed. Additional standard duties may include preparing AR reports, ensuring regulatory compliance in billing.../Rebates Specialist to join our Accounting team. In this role, you will play a critical part in managing cash flow, processing...
throughout the billing/coding process. Ensures compliance with Revenue Cycle targets for resolution of failed claims. 15% 3... Central Billing Office as necessary regarding Claims Processing issues as it relates to coding. This position is responsible...
, compliance, and clinical teams, to ensure seamless coding and billing processes. Required Knowledge, Skills and Abilities..., CPT2 and HCPC codes. The Auditor will identify errors, discrepancies, and areas for improvement in coding, billing...
all duties correctly, cost-efficiently, in compliance with Company standards. This position is exempt and typically reports... as well as attend all (CBP) customs sponsored seminars in assigned area. Perform audit review on all assigned brokerage files...
Operations Support Specialist and/or work the intake queue for self-assignments. Verify the compliance to legal billing... Experience: 1-3 years of experience in a legal services or legal auditing environment, including: Experience with legal billing...
the required internal control standards, including adherence to audit, regulatory and compliance policies. Leads... to ensure client history is accurate and complete. Ensures accurate billing to clients. Operates at a group/enterprise-wide...
and billing guidelines. The responses generated by the Auditor may include system documentation of findings and / or a formal... Compliance as warranted. The Auditor will perform analysis on clinical documentation, evidenced based criteria application...
. Responsible for minimum 10% audit of Adult Development (AD) files monthly to ensure compliance with licensing agencies. Develops... service coordinators complete all necessary documentation and turn it into Administrative Assistant all for billing...
of all billing adjustments. Facilitates Prebill Audit Meetings to review and address outstanding billing, claim, and operational... matter expert on billing-related processes and procedures for care center staff. Promotes compliance with all fiscal...
to all applicable Billings Clinic and regulatory compliance policies/procedures governing medical record coding, insurance billing... and procedures governing medical records coding, billing and reimbursement. Maintains or exceeds 95% coding accuracy based on audit...