patient status placement, accurate coding, and defensible payer billing. Focuses on clinical denials, observation services..., Coding, Medical Officer, and Physician Advisors to reduce clinical denials, improve documentation quality, and ensure...
Familiar with Medi0Cal and/or managed care claims processing. Knowledge of CPT, HCPC procedure coding, and ICD -9/ICD10... diagnostic coding. Typing speed 30 wpm and proficient use of 10-key calculator. Familiar with AMISYS or similar claims systems...
. What You Will Do To identify and report coding and documentation practices and make recommendations which assure the accurate reporting... and documentation of services provided by entity clinical providers. To support and facilitate the implementation of correct coding...
, coding, and unit testing following established processes, standards and procedures Develop prototype configuration... medical claims knowledge and provider contracts Certified auditor in auditing BSC provider contracts or claims audit...
also involves preparing physical inventories and year-end schedules in accordance with procedures established by the Auditor... volume of invoices to verify accurate coding for two cost centers. The incumbent will also prepare infrastructure-related...
-paced setting, we invite you to apply. Under direction, assists in the processing of the County payroll in the Auditor.... Advises employees and payroll coordinators on Leave of Absence timecard coding. Liaises between employees, HR personnel...
. Operations Oversight: Manage all risk adjustment activities, including provider coding initiatives, chart reviews, in-home... expertise in Medicare Advantage and Value-Based Care frameworks. Technical Knowledge: Deep understanding of ICD-10 coding...
, coding standards, and regulatory requirements. The Manager oversees operational QA testing, examiner-level audit programs... across the entire operational claims lifecycle including claim intake, data entry, adjudication, pricing, coding accuracy...
payable and accounts receivable transactions with proper coding and documentation. Assist in preparing and reporting monthly... records and responding to auditor inquiries. Assist with budget development and entry. Assist with investment accounting...
staff, IT staff, and PR Lead Project Specialist/Auditor. Leads or participates in special projects as needed. Other duties... and Certifications Familiarity with Medi-Cal and/or managed care claims processing. Knowledge of CPT, HCPC procedure coding, and ICD-9...