coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care... quality assurance auditing (i.e. ensure appropriateness and accuracy of ICD-9/ICD-10 coding) for WellCare’s Medical Coding...
Responsibilities Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines... and objectivity in performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines...
process ensuring the highest quality standards. Key Responsibilities: Coordinate, attend and audit counts during physical... reconciliation. Knowledge of bar-coding and real-time Inventory movement. Solid verbal and written communication skills...
for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health... with hospital coding and billing processes (preferred). Knowledge of Interqual/Milliman guidelines (preferred). EPIC EMR experience...
vulnerabilities, ensure compliance with coding standards, and enhance the overall security posture of our applications. You will work... for improving code quality and security. Key Responsibilities: Conduct thorough audits of source code to identify...
Anticipated End Date: 2024-10-28 Position Title: Quality Configuration Audit Senior Job Description: Quality... within 50 miles of one of our Elevance Health PulsePoint locations. Preferred Location: Mason, OH. The Quality Configuration...
Practitioner and Physician Assistants. The focus of this role is on the day to day delivery of excellence in the quality of care... of medical records performed by the Clinical Auditor; Review clinical monitoring reports for trends or individual issues...
coding billed in relation to the medical documentation. The coding auditor determines if a discrepancy exists in the coding... and documents the findings. The quality analyst undertakes a quality review of random and targeted coding audits to check the...
coding billed in relation to the medical documentation. The coding auditor determines if a discrepancy exists in the coding... and documents the findings. The quality analyst undertakes a quality review of random and targeted coding audits to check the...
coding billed in relation to the medical documentation. The coding auditor determines if a discrepancy exists in the coding... and documents the findings. The quality analyst undertakes a quality review of random and targeted coding audits to check the...
Quality Inspector is responsible for the thorough and accurate review of adjudicated claims and Enrollment entry...: Conduct accurate and timely quality reviews of claim adjudication activities including appropriate adjudication decisions...
Compliance (CHC), Certified Internal Auditor (CIA), Certified Professional Coder (AAPC) or Certified Coding Specialist (AHIMA... NAH Compliance Program (which includes compliance, audit, privacy, interoperability, information blocking, and quality payment...
quality decisions by being dynamic, science-informed, efficient, ethical, collaborative and committed to the vitality of the... Works One or more years of experience with the Florida Accounting Information Resource (FLAIR) and state account coding...
departments such as the Auditor-Controller, Human Resources, and Risk Management You like to work independently and being... and Accountability: Holding self and others accountable for measurable high-quality, timely, and cost-effective results Handling Stress...
quality decisions by being dynamic, science-informed, efficient, ethical, collaborative and committed to the vitality of the... Works One or more years of experience with the Florida Accounting Information Resource (FLAIR) and state account coding...
review, software development, and quality assurance of airline operations Ensures digital aircraft systems and endpoints...' experience in NIST 800 series frameworks Application coding and scripting via Python, SQL, BASH, or PowerShell Skills...
that must conform to CMS coding rules and guidelines. Meets and maintains department standards 95% for productivity and quality - Coding..., productivity, and quality The department will furnish the final candidate with a coding skill test. The candidate must pass...
and agency management informed and maintain communications. Assist with coding of expense and revenue as needed. Assist..., and other requests from the auditor. Support team members with agency and program audits as needed. Maintain data collection...
as needed. Independently analyze and assess fiscal data to assure the accuracy of expenditures, revenue, and account coding using accounting..., and where the A19 includes a Toolbox worksheet, making sure the data on the A19 form link correctly to the account coding Toolbox...
coding assigned charts. Maintain accuracy and quality in coding to facilitate clean billing. Communicate appropriately...Phys Financial LLC is a leading Medical Coding and Billing organization located in Lexington, KY, dedicated...