. Our small, flexible workplace offers an exceptional quality of life and promotes corporate-driven sustainability. We deliver... Medicaid Auditor must use a variety of tools to initiate and apply sound auditing principles to Medicaid managed care...
campus Responsibilities Under the supervision of the Business Office Leadership, the Revenue Cycle Auditor role... is responsible for monitoring the quality of work performed within the Business Office consistent with the mission and philosophy...
campus Responsibilities: Under the supervision of the Business Office Leadership, the Revenue Cycle Auditor role... is responsible for monitoring the quality of work performed within the Business Office consistent with the mission and philosophy...
quality reviews and prepares complex reports as required. Ensures all Revenue Cycle coding activities comply with clinical... assurance reviews to assess comprehension of training efforts and assure coding quality. 6. Research updated coding...
and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! As a Claims Compliance Auditor...-quality healthcare services to our members. Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality...
Under the direction of the management team, the HCC Auditor is responsible for performing concurrent, prospective... captured in the encounter data submission is supported by the provider documentation. The HCC auditor will also perform...
world’s most sophisticated clients using leading technology and exceptional service. Role/ Department: Sr Auditor, Model... in econometrics, statistics, mathematics, coding (e.g., Python, R, SAS), and model development and join a global team...
Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost containment. Join our team... and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding...
for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and efficiency in filing of inpatient... in the life of a Diagnosis Related Group (DRG) Auditor at Hackensack Meridian Health includes: Performs data quality...
) Auditor at Hackensack Meridian Health includes: Performs data quality reviews on Inpatient Clinical Documentation Improvement... for CDMP based upon the data quality reviews of CDMP DRG assignment and failures in the coding query process. Informs CDMP...
, appropriateness of setting, potential billing/coding issues, and quality concerns. Demonstrate an understanding of complex contract... and mentoring the auditor and providing documented and validated findings. Encourage critical thinking and discussion among team...
and workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational... Fee is responsible for completing quality assurance reviews on internal or external professional coding specialists...
Schedule: Monday - Friday 8:00am - 5:00pm, on site Key Functions Performs coding audits of the documentation... and billing for professional services. Evaluates the quality of clinical documentation to identify incomplete or inconsistent...
individual or multiple audit assignments and leading audits Document audit procedures in a quality manner and in compliance... management and draft comprehensive and clear issues Review audit work papers prepared by the audit staff to ensure quality...
and workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational... for completing quality assurance reviews on internal or external outpatient coding specialists or external providers. The facility...
CPPA coding manuals, independently. Performs analysis to components of care as described in complaint records. Determines..., editing and analysis of patient complaints and co-worker observations in according with prescribed CPPA coding manuals...
and workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational... for completing quality assurance reviews on internal or external inpatient coding specialists. This may also include onboarding...
a basic understanding of the MS-DRG system, CC/MCC's, impact on quality and - CMI as well as ICD-10 coding systems and how the... reports of findings to the Coding Quality Manager, HIM Education Manager, and the Clinical Documentation Integrity Manager...
audits of inpatient documentation. Understands and applies quality standards to all aspects of the documentation integrity... audits, coding education and improvement. Creates detailed reports based on audit findings and facilitates change processes...
and Revenue Cycle Services, including outsourced medical coding, quality and compliance auditing, CDI, consulting, contracted... expertise. Requirements: Minimum of 3 years recent OP coding experience with 2 years current production coding in multiple...