in forecasting to model impact of new contracts and / or new clinical practices to guide decision support. Builds tools to audit.... Serves as a liaison between Finance, Revenue Cycle, Compliance, Pharmacy and other departments to standardize and optimize...
), and other related transactional activity. Supports leadership and the investigations team in maintaining compliance with Golden 1 Credit... coding, and all steps are taken prior to closing account in DSUI. Assesses internal controls and procedures associated...
related to human resources, procurements, compliance, litigation and investigations. The Audit, Oversight and Investigation... Government, Legal & Compliance, and Operations, Training & Publications. Each bureau contains divisions that focus on specific...
Overview: Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out... in accordance with established standards and is in compliance with CMS, NCQA, third party payers and other regulatory agencies...
, adherence to financial compliance standards, and supporting the company's financial goals through strategic decision-making... review processes, ensuring alignment with company policies. Accounts Payable Oversee coding of AP invoices and place...
Overview: Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out... in accordance with established standards and is in compliance with CMS, NCQA, third party payers and other regulatory agencies...
payor compliance review on accounts to determine medical necessity of services, pre and post service as well as pre and post... and physician offices to request assistance (additional documentation, coding review, letter of medical necessity, etc.) when...
audits and ensure compliance Collaborate with other departments May be responsible for T& E reports, coding, account... financial statements Perform branch audit evaluations Assemble bank reconciliation and account schedule Prepare journal...
in a professional manner Ensure compliance with internal policy and control in administering customer invoices and remittance... Support (30 %) Prepare Accounts Payable checks and ACH batches Process invoices by receiving, processing, coding using...
clinical practices to guide decision support. Builds tools to audit and ensure the accuracy of data feeds from Epic to third... Cycle, Compliance, Pharmacy and other departments to standardize and optimize pharmacy charging workflows, pharmacy revenue...
audit readiness and robust system performance. HUGE PLUS - experience working in production ready coding environments... for mission-critical applications, emphasizing transactional resilience, data integrity, and compliance-readiness. Proficient...
audit readiness and robust system performance. HUGE PLUS - experience working in production ready coding environments... for mission-critical applications, emphasizing transactional resilience, data integrity, and compliance-readiness. Proficient...
's mission of advancing health and transforming lives. This position will be responsible for overseeing all HIM and Coding... DRG Coding Procedural/Surgical Coding Inpatient Professional Coding ED Coding Anesthesia Coding Clinical...
validation of coding documentation, evaluating outcomes, and utilization of Data Integrity Audit reports (Point Right... of all MDS assessments including PPS, Unscheduled, Admission, Quarterly, Annual, and Significant Change in compliance with RAI...
audit readiness and robust system performance. HUGE PLUS - experience working in production ready coding environments... for mission-critical applications, emphasizing transactional resilience, data integrity, and compliance-readiness. Proficient...
audit readiness and robust system performance. HUGE PLUS - experience working in production ready coding environments... for mission-critical applications, emphasizing transactional resilience, data integrity, and compliance-readiness. Proficient...
hospital resolute. Maintain appropriate audit activities to ensure compliance with established charging procedures... patient and financial data to maximize revenue while maintaining compliance with applicable billing guidelines. Moreover, the...
of Concept developments Drive process improvements across finance, accounting, revenue, operations, procurement, tax, audit... Ensure SOX compliance by properly documenting system changes and permission changes Oversee the development of custom...
audit readiness and robust system performance. HUGE PLUS - experience working in production ready coding environments... for mission-critical applications, emphasizing transactional resilience, data integrity, and compliance-readiness. Proficient...
validation of coding documentation, evaluating outcomes, and utilization of Data Integrity Audit reports (Point Right... of all MDS assessments including PPS, Unscheduled, Admission, Quarterly, Annual, and Significant Change in compliance with RAI...