and contribute to the annual Compliance risk assessment. The Compliance Auditor will also verify reimbursement and/or coding when... Compliance Auditor will assist in the overall compliance audit and investigative activities to ensure organizational compliance...
chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws... guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding...
. Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), OR Certified Coding Specialist- Physician... specific regulations for chart documentation, valid coding and billing, and medical necessity support to prevent fraud, waste...
. The Network Provider Services Auditor performs audits as part of the Documentation and Coding Compliance Program... service documentation and coding audits of both office and in-patient medical records. Maintain and record audits in Excel...
Auditor I performs detailed medical record audit review and analysis of the health plan’s outpatient, professional... required Certification or Conditions of Employment: Valid Registered Nurse License required Coding Certification Preferred - CPC or CCS...
Adjustment Validation Auditor provides auditing services that measures the accuracy and completeness of medical records... Adjustment Validation Auditor serves as a subject matter expert in ICD-10-CM coding and documentation guidelines, V24 and V28...
Adjustment Validation Auditor provides auditing services that measures the accuracy and completeness of medical records... Adjustment Validation Auditor serves as a subject matter expert in ICD-10-CM coding and documentation guidelines, V24 and V28...
Here: Comprehensive Benefits: Medical, Dental, and Vision coverage 401(k) plan with employer match Long-term and short-term... disability Employee Assistance Programs (EAP) Paid Time Off (PTO) Extended Medical Benefits (EMB) Opportunities...
Responsibilities Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines... and objectivity in performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines...
contracts awarded, Cooper Thomas, LLC, a leading provider of medical coding, auditing, and training services to the Department... with 3M Encoder for ICD10 and CPT coding · Knowledge in anatomy and physiology, medical terminology, pathology and disease...
reviews of medical records and claims in a healthcare setting Bachelor’s degree in Medical Billing/Medical Coding, Nursing... minimum years listed in the Experience Requirements above Certified Professional Coder (CPC), Certified Professional Medical...
), or Certified Coding Specialist (CCS) Successful completion of a training course beyond apprentice level for medical technicians...), or National Alliance of Medical Auditing Specialists’ (NAMAS) Certified Evaluation and Management Auditor (CEMA) Must be able...
Medical coding certification (e.g., CPC, CCS, etc.) Previous experience in a medical office or billing department...AUDITOR/INSURANCE & MEDICAL BILLING SPECIALIST Location: Neuropathy Treatment Clinic of Oklahoma Schedule: Monday...
service standards. Requirements Education: Certificate or associate's degree in medical coding/CPC. These additional... Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA) Experience: A minimum of 1 year coding...
Professional Medical Auditor) Preferred Qualifications: Experience in Clinical Documentation Improvement (CDI) or related...Medical Records Technician – Clinical Documentation Integrity Specialist (CDIS) At Greenberg-Larraby, Inc...
certification through AHIMA or (COC) Certified Outpatient Coding professional certification through AAPC or (CPC) CERT... to determine accuracy of coding assignments, billing compliance, medical necessity and when appropriate collaborate with shared...
OR equivalent work experience; be a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Risk Coder (CRC...+ years of experience in medical billing, coding, or revenue cycle operations; have knowledge of federal, state, and payer...
compliance audits, including but not limited to regulatory agencies, Quality metrics, and coding compliance. The Auditor... AAPC or AHIMA (CCS, CPC, RHIT or RHIA) certification 5+ years of experience with IP and/or OP coding and/or in a coding...
years' experience with DRG, ICD 10, and CPT-4 medical record coding and UB04-92/CMS-1500 claim billing and relevant..., ICD-9 and CPT-4 medical record coding and UB04/HCFA 1500 claim billing This job requires the incumbents to operate...
certification (e.g. CPC) Preferred: Bachelors degree Extensive understanding of correct coding principles of CPT/HCSPCS... Healthcare professional required (e.g. LPN, Radiologic Technologist, Respiratory Therapist, etc.), OR Professional coding...