professional expertise and education in CPT, ICD and HCC coding. The Compliance Auditor/Educator is responsible for professional... Auditor or HIM designation is preferred. MINIMUM EXPERIENCE: 2 years of experience coding, reimbursement analysis, insurance...
General Purpose The Clinical Compliance Auditor is responsible for performing clinical compliance audits on facility... Clinical Audit Team will be comprised of therapists, nurses, medical records specialists and billing and coding specialists...
Configuration Auditor contractor to join the Claims Quality Assurance team. In this role, you will be a vital safeguard, ensuring...Medical Plan Benefit Configuration Auditor Our client is looking for a meticulous and analytical Benefit...
to perform documentation and coding reviews that will support the development of our AI-driven auditing platform. The Auditor... will collaborate with clinicians, engineers, product managers, and domain experts to validate data quality and ensure accurate coding...
are also required at least quarterly. Job Summary The Clinical RN Auditor is responsible for ensuring clinical documentation meets regulatory standards... and procedures. This role involves reviewing potential quality of care issues, understanding workflows, and establishing patient care...
. Coder Auditor-Professional Job Description Coder Auditor-Professionals are responsible for auditing of coding assignment...., Refers trend patterns of coding and documentation to Coding Supervisor – Professional., Responsible for coding quality...
FACILITY INPATIENT MULTISPECIALTY AUDITOR Part-Time | Remote Job Overview/Purpose The primary responsibility... of the Facility Auditor is to audit ICD-10-PCS, present on admission indicators (POA), APR-DRG & MS-DRG, Possible CPT...
& RESPONSIBILITIES: The Clinical Auditor will review medical records to determine accuracy of billing through verification of coding...Description : The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation...
clinical coding audits as defined by client contracts for audit service and internal quality assessment according...Description : IKS Health is seeking to hire a Facility Outpatient Auditor. About IKS: Job Summary: Conducts...
General Purpose The Clinical Compliance Auditor is responsible for performing clinical compliance audits on facility... Clinical Audit Team will be comprised of therapists, nurses, medical records specialists and billing and coding specialists...
Position Summary: The Compliance Auditor supports an effective compliance program by planning and executing risk... role partners with departments across the organization to assess billing, coding, privacy/security, and operational...
coding trends or identify area's of provider documentation improvements. Maintain or exceed designated quality...UPMC Health Plan has an exciting opportunity for a Risk Adjustment Clinical Auditor/Analyst position in the Medicare...
supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation... care. Ensures that coding functions are performed in accordance with established quality and performance standards...
quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare... and HCPCS codes and modifiers are correct for the selected claims. The Auditor will follow Northside policy and procedure...
supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation... care. Ensures that coding functions are performed in accordance with established quality and performance standards...
the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation... care. Ensures that coding functions are performed in accordance with established quality and performance standards...
making sure that the CPT, ICD-10 and HCPCS codes and modifiers are correct for the selected claims. The Auditor will follow... Northside policy and procedure for annual audit schedules for both physicians and practices. The Auditor is responsible...
following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance... compliance/quality monitoring performed by PHS/PMG departments while serving as a resource on documentation, coding, billing...
, block coding, and inspection processes. In general, the LTL Auditor assures the quantity, quality, addressing and labeling.... A philanthropic endeavor that truly embodies our corporate mission. Summary: The LTL Auditor is responsible for all outbound...
. Connecting. Growing together. In this position as a DRG RN Auditor, you will apply your expert knowledge of the MS-DRG and APR...-DRG coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding Clinic Guidelines in the...