. 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...
Workspace, Google Cloud, etc.) Proficiency in SQL data analysis, Python coding, and other automation tooling. Project planning... using again on June 29, 2024. The Covey tool has been reviewed by an independent auditor. Results of the audit may...
. You've conducted company and market diligences end-to-end. Strong nice-to-have's: Python and experience using AI-coding and analytics... auditor. Results of the audit may be viewed here: Compensation The successful candidate's starting pay will fall...
and projects budget performance including fund balances, cost and revenue trends, and cash flow. Ensures accurate budget coding... financials and contract invoices/drawdowns and submits to County Finance and Auditor. Troubleshoots grant and contract...
: Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist – Physician... always. Find your next career opportunity and make a difference doing what you love at Children’s. Job Description The Physician Coding Educator...
of coverages and program structures, as well as internal policy coding systems to ensure account completeness. Designated as the... control of premium audit statements prior to underwriting review; documents discrepancies and work with the premium auditor...
reviews to include audits of financial and business controls; documentation, coding and billing; and other audits to enhance... experience. Certified Public Accountant (CPA); OR Certified Internal Auditor (CIA); OR Certified Fraud Examiner (CFA...
, 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...
development lifecycle (SDLC), including design, coding, testing, and deployment. Conduct security reviews of application... assessments, penetration tests, and SOC 2 / ISO 27001 reports. Define and enforce secure coding standards and practices...
and professional services Key Responsibilities Process high-volume accounts payable transactions, including invoice review, coding... audits by providing documentation and responding to auditor requests. Collaborate with internal departments...
Auditor (CPMA) required 5+ years clinical experience or 5+ years medical record coding experience preferred Working... in our mission Reviews provider appeals and redeterminations using approved clinical and coding guidelines and documents appeal...
Auditor (CPMA) required 5+ years clinical experience or 5+ years medical record coding experience preferred Working... in our mission Reviews provider appeals and redeterminations using approved clinical and coding guidelines and documents appeal...
), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, or Certified Coding Specialist... to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas...
of all RCM processes related to specialty service lines, including but not limited to change capture, coding, billing..., and reimbursement outcomes. Oversee coding auditing and education related to specialty-specific documentation, coding accuracy...
with conducting software certification (SOI) reviews from the certification authority/auditor perspective. · Proficiency...’ experience in a software engineering role, including requirements, design, coding, and testing per RTCA DO-178B/C...
with conducting software certification (SOI) reviews from the certification authority/auditor perspective. · Proficiency...’ experience in a software engineering role, including requirements, design, coding, and testing per RTCA DO-178B/C...
, including patient billing, coding, and reimbursement processes. Certified Internal Auditor (CIA); Certified Information Systems... Schedule: Monday - Friday, 8 a.m. - 5 p.m. Summary The Lead Auditor will be responsible for planning, supervising...
Summary The Lead Auditor will be responsible for planning, supervising and conducting complex audits and special..., revenue cycle, research, grants and contracts, and education processes. The Lead Auditor will have the opportunity to lead...
individual education needs of Clinical Documentation Specialists and collaborates with CDI Manager, IP Coding Manager, and IP... Coding Validation Manager to develop appropriate training materials. The primary goal of ensuring the documentation in the...
required. Certified Professional Medical Auditor (CPMA) preferred. Experience Minimum 5 years of experience in coding... & Coder Education. This role ensures coding accuracy, compliance with regulatory guidelines, and optimal reimbursement through...