, and potential overpaid or inappropriate claims Apply deep knowledge of BH billing rules, coding, reimbursement, and workflows... experience across Medicare, Medicaid or commercial platforms Demonstrated expertise in 360-degree claims review, auditing...
improvement. Responsibilities include auditing quality processes, maintaining documentation and calibrations, and communicating... and rework handling. Sampling plans and proper sample preparation. Inspection techniques and processes. Auditing. Core...
knowledge of Prime and Fixed Income Financing businesses Previous auditing or financial services experience Experience... skills may include: Relevant professional qualifications such as CPA, CFA, or CISA Experience with data analytics, coding...
. Activities and programs may include but are not limited to claim auditing, overpayment recovery activities, data mining.... We are also looking for: Facility coding experience Ability to read medical records and coding Strong creative and analytical thinking Strong problem...
arise Own the local travel and entertainment accounting workflow including auditing local employee expense reports... and actively participate in month-end close process Educate non-finance teams on best practices related to G/L coding and A/P...
correct physician(s), admit source and admit priority, as well as HIPAA specific information as evaluated through the auditing... to Hartford HealthCare by the coding vendor and closes out month without delay. Reports discrepancies and/or issues immediately...
platform combines Logging, Monitoring, Auditing, SIEM, Events, Inventory, and other services. We continuously innovate... process on a continuous basis. Must-have Skills: BS/MS degree or equivalent in related technical field involving coding...
in a leadership role within auditing and compliance, with a focus on clinical and coding DRG guidelines Proficiency in ICD-10 coding... a highly skilled and experienced Manager to serve as a DRG Auditing leader. As the Manager, you will be responsible for leading...
. Must have Oasis auditing experience with Oasis Certification being preferred. Qualifications: Unencumbered current Registered..., processes, and outcomes. BSN preferred. Coding certification preferred. 1 year experience in home health care. Knowledge...
, coding, and unit testing following established processes, standards and procedures Develop prototype configuration... medical claims knowledge and provider contracts Certified auditor in auditing BSC provider contracts or claims audit...
. Implement quality assurance measures, including auditing accounts and evaluating employee productivity. Abide by established... is required Preferred Work Experience 3-5 years' experience of medical coding, medical billing, eligibility (hospital or government...
. Previous experience and knowledge of handling appeals, complex case or claim reviews and or quality auditing... adjustments Command of medical coding, such as ICD-10 and CPT Knowledge of regulatory requirements related to complaints...
of purchasing procedures Knowledge of auditing and accounting principles Effective communication and interpersonal skills... of information, calculations, coding, etc. Administer assigned purchase cards and credit cards and handle adjustments...
with all data collections and auditing activities. Accountable for completion of the Annual Standing Order Review and Internal... Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment...
submission. Full understanding of ICD-9 and CPT-4/HCPCS coding. Minimum 1 year of lead or supervisory experience preferred... coding. Must demonstrate excellent communication skills. Ability to Identify, trend & analyze data for resolution of issues...
auditing...ideally in a DRG / Clinical Validation Audit setting or a hospital environment. Coding Certification... an inpatient coding certification within 1 year of their hire date with the company. 3-5 years of healthcare auditing or related...
, and develop a team of coding professionals and contractors performing risk adjustment-related coding, auditing, and review... Associate Director of Business Process - CQDI provides strategic and operational leadership for a coding team supporting risk...
Description : Perform payroll and timekeeping data entry, auditing, analysis, corrections, and compliance reviews... for calculation, coding, and policy compliance errors. Accurately enter payroll information not captured within Kronos. Maintain...
throughout the organization. We not only provide training, oversight and auditing functions, but we also serve as partners... Language Pathologist Therapy License A minimum of five years' SNF experience Expertise in MDS/PDPM coding rules...
, responsibilities include accounting, consulting, reporting, planning, auditing, and analytical support. Core functions involve data... teams to enhance real estate business reporting. Validate invoice coding to ensure cost allocation on the Shopping Center...