review. Analyze moderately complex health care information; reviews medical records; integrate medical coding... and reimbursement rules; provide pricing guidance. Ensure medical coding rules and regulations including compliance requirements...
) Certification: Current Certified Coding Specialist (CCS) or Certified Professional Coder certification required. Experience...Description Overview: Reporting to the Director, the Sr. Compliance Auditor, develops and executes audit...
Specialist (CCS) or Certified Professional Coder certification required. Experience: Minimum of five years of experience... And more Description: Overview: Reporting to the Director, the Sr. Compliance Auditor, develops and executes audit, monitoring, and education...
provide written documentation under tight deadlines. As a Sr Clinical Appeals RN, you will derive key insights from the... Clinical Appeals RN utilizes subject matter expertise in MS-DRG and APR-DRG auditing to review and provide response to appeals...