program, including: infrastructure development; policy management; training; monitoring/auditing; conducting and documenting... regarding healthcare operations, revenue cycle, billing, coding and federal and state reimbursement program requirements (e.g...
of Internal Auditing (IIA Standards) and the Internal Audit Department’s policies and standards. Lead and mentor teams: Provide... assessment and other skills tests (such as simulation, coding, MS Office). Our goal for the application process is to get to know...
and complies 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...
compliance, clinical, coding, auditing, legal, or related work experience; OR Associate's degree in a health or business-related... field and 4 years compliance, clinical, coding, auditing, legal, or related work experience; OR certifications in Compliance...
the Revenue Cycle Manager with routine auditing of billing processes and denial practices and reasons Researches... considered) Understanding of healthcare methodologies (coding, coverage, criteria, payments) Able to work collaboratively...
Nurse Coder RN III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement... medical records reviews to include quality audits as well as validation of accuracy and completeness of all coding elements...
coding, auditing, billing and compliance. Knowledge of CMS and third-party payer coding, billing, and documentation... to join our team. This role is crucial in maintaining the integrity of our coding and billing processes, ensuring they meet state...
standards. This role involves close collaboration with clinical, finance, billing, and coding departments to ensure charges...-related issues. Work closely with clinical, finance, billing, and coding departments to verify that charges align...
Overview: The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital... outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software...
Overview: The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital... outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software...
or comparable technical school diploma is preferred. 3 or more years of experience in medical coding, billing, auditing... to work from home. Key Responsibilities: · Comprehensive Auditing: Conduct UPMC-wide audits to ensure medical record...
. Participates in training and auditing of Patient Account Specialists & Representatives. Works special projects as assigned... in health care denials Experience with the Revenue Cycle – registration, medical records, billing, coding, etc. Experience...
, complications, and comorbidities in the proper sequence in accordance with official coding resources, resulting in an accurate DRG... period. Data Analysis- Hospital Inpatient Coding Accurately reviews and codes patient records in the following clinical...
and denial work. Participates in training and auditing of Patient Account Specialists & Representatives. Works special projects... in health care denials Experience with the Revenue Cycle – registration, medical records, billing, coding, etc. Experience...
Medical Auditor will participate and provide duties such as, but not limited to conducting auditing and monitoring; providing... strategies for process improvements. The Compliance Medical Auditor performs auditing and monitoring of clinical documentation...
technical school diploma is required. 4 or more years of experience in medical coding, billing, auditing and compliance... to work from home. Key Responsibilities: · Comprehensive Auditing: Conduct UPMC-wide audits to ensure medical record...
experience and three (3) years auditing experience Must have advanced coding education and training with strong foundation... for conducting coding and billing education on new coding policies, regulations, and procedures, along with appropriate coding...
Engineer with expertise in Python and C++ for embedded software systems. This role involves overseeing the management, auditing..., and validation of embedded software rather than hands-on coding. Experience with Department of Defense (DoD) or military projects...
for resolution of denial or system edits according to department guidelines. Auditing of Patient Accounts Understand accounting... and business principles to accurately determine the remaining balance on a given encounter. Upon accurately auditing encounter...
, or related field. - Able to commit to working for 12 weeks during Summer 2025. - Knowledge of a coding language such as C*, Go... in privacy, compliance, cybersecurity, auditing, consulting, technical program management or industry equivalent work experience...