and documentation questions. Works in conjunction with health information management, Revenue Integrity, patient accounting...Overview: Coding Educator, Clinical Document Integrity Full Time, 80 Hours Per Pay Period, Day Shift Covenant...
of Conduct and Privacy and Corporate Compliance Program. Assists the Manager, NEMG Revenue Integrity in assessing risk... Manager, NEMG Revenue Integrity, assists in the performance of risk analysis to identify areas with greatest potential for non...
Program. Assists the Manager, NEMG Revenue Integrity in assessing risk and developing an audit and education plan to support... Responsibilities: 1. Essential Functions: 1.1 Under the direction of the Manager, NEMG Revenue Integrity, assists in the...
compliance audits, including but not limited to regulatory agencies, Quality metrics, and coding compliance. The Auditor... and implement standard policies, procedures, and best practice across Optum Middle Revenue Cycle. This role is responsible...
, and risk assessments to identify billing and coding discrepancies. Collaborate with Revenue Cycle, Revenue Integrity, Health...) processes, payer guidelines, and the regulatory frameworks governing healthcare reimbursement. This role plays a critical part...
denied claims. Essential Job Functions: Medical Necessity Reviews Ensure documentation integrity Construct warranted... and Mid-Revenue Cycle Research and application of regulatory policies to support clinical appeal Telephonic communication...
for improvements. Prepare and record various journal entries, including revenue, expense, prepaid, accrual, payroll, and intercompany... with GAAP. Assist in audit preparation by compiling schedules, providing documentation, and responding to auditor inquiries...
audit process. Review and approve all reconciliations and audit work papers. Coordinate external auditor's visits, respond... to auditor requests, approve any and all adjustments, reconcile the audit numbers to the property numbers and approve the final...
denied claims. Essential Job Functions: Medical Necessity Reviews Ensure documentation integrity Construct warranted... and Mid-Revenue Cycle Research and application of regulatory policies to support clinical appeal Telephonic communication...
). This position combines technical expertise with quality assurance to ensure optimal reimbursement and data integrity. Key... Work, Quality Assurance, Auditing, Clinical Documentation, Compliance, Revenue Integrity, Hospital Coding, Inpatient Coding...
’s Accounting, Accounts Payable, Treasury, Payroll, and Decision Support functions, ensuring financial integrity, compliance..., or Business Experience in a hospital or healthcare system with $100M+ in annual revenue Knowledge of 340B program financial...
coding and billing, revenue cycle, payment integrity, the False Claims Act, the Stark Law, the Anti-Kickback Statute...: Three (3) years of experience in healthcare consulting, revenue cycle, claims auditing, or payment integrity...
coding and billing, revenue cycle, payment integrity, the False Claims Act, the Stark Law, the Anti-Kickback Statute...: Three (3) years of experience in healthcare consulting, revenue cycle, claims auditing, or payment integrity...
for external auditor relationship for all areas other than Revenue Partner closely with the Finance senior leadership team.... Job Description Job Description Reporting to the Chief Accounting Officer, the Corporate Controller will be responsible for ensuring the integrity of global...
and Development Tuition Reimbursement Team Member Discounts Much More! Responsibilities Responsibilities: Lead and manage... flow projections. Coordinate external audit processes and ensure timely compliance with auditor requirements. Maintain...
Plans Training and Development Tuition Reimbursement Team Member Discounts Much More! Responsibilities... with auditor requirements. Maintain detailed cost tracking for strategic initiatives, including archive digitization, licensing...
Plans Training and Development Tuition Reimbursement Team Member Discounts Much More! Responsibilities... with auditor requirements. Maintain detailed cost tracking for strategic initiatives, including archive digitization, licensing...
confidentiality and integrity. Accreditations (Education, Certifications and/or Experience) Bachelor's degree in Business...), Certified Information Systems Auditor (CISA), or Certified Risk and Information Systems Control (CRISC) are preferred...
to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication. Assists management... only). · Strong working knowledge of medical terminology and coding related to hospital billing and/or professional billing such as revenue...
: Retrieve and properly identify any document received from Revenue Cycle Management (RCM) system Update tracking and billing... and new trends immediately to Supervisor for additional input. Reimbursement Specialist: Prepare complex claims...