- UCLA Health (Los Angeles, CA)
- … requests into relevant systems, distributing requests to necessary teams + Monitor audit response and appeal statuses, tracking cases and maintaining updated ... to accuracy and quality in claim processing. As an Audit and Appeals Specialist , you will: +...+ Facilitate responses to regulatory audits related to billing, coding , and collection practices in compliance with federal and… more
- McLaren Health Care (Bay City, MI)
- …ACDIS memberships + Certified Medical Coder, Certified in Healthcare Compliance, Certified Coding Specialist , or Certified Clinical Documentation Specialist ... and selecting the most appropriate method for resolution. 6. Provides support in response , tracking and completion of all payer audit /denial/appeal activity to… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4539404) Apply Medical Billing Specialist III/IV Salary ... and appropriate billing information while identifying and resolving compliance and audit issues in collaboration with the compliance office. Additionally, they… more
- Trinity Health (Livonia, MI)
- …program. This role is primarily responsible for the functions of coding , auditing, monitoring, and education delivery efforts for professional services which ... Physician Fee Schedule, Medicare Claims Processing Manual, National Correct Coding Initiatives, current procedural terminology, and International Classification of… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4658466) Apply Medical Billing Specialist I/II Salary ... basis of level, scope and complexity of professional billing duties assigned. Medical Billing Specialist I ($19.98 - $25.34 per hour): is the entry level in this… more
- Softheon (New York, NY)
- …all cloud services, including IaaS, PaaS, and SaaS. The Cloud Security Specialist will also develop and enforce security policies, monitor cloud configurations, ... testing, to identify and mitigate risks. Threat Management: Incident detection and response : Act as the primary point of contact for cloud security incidents.… more
- St. George's University (Great River, NY)
- Admissions Support Specialist The Admissions Support Specialist works within the Office of Marketing, Recruitment and Enrollment Operations (MREO) is responsible ... in all appropriate forms of the database systems. The primary responsibility of the Specialist is data entry, which requires a high level of speed, accuracy and… more
- CACI International (Arlington, VA)
- Technical Support Specialist Job Category: Information Technology Time Type: Full time Minimum Clearance Required to Start: Secret Employee Type: Regular Percentage ... you'll get to do:** The CACI ISS Team is looking for a Technical Support Specialist to fill a shift position (flexible) in Arlington, VA. You will provide incident… more
- Northwell Health (Lake Success, NY)
- …in the medical record. 2.Facilitates appropriate clinical documentation to support diagnosis coding and ensure the appropriate level of service is recorded. 3.Works ... provides timely and accurate responses to clinical documentation and coding questions. 8.Demonstrates knowledge of ICD-10 CM and ICD-10...in the CDI software to be able to track response to queries. Responsible for file maintenance including entry… more
- Trinity Health (Chelsea, MI)
- …payment arrangements. Obtains medical authorization or referral forms, if appropriate. Audit authorizations for accuracy and determine if delay/deny policy needs to ... information, insurance eligibility, coordination of benefits, authorization requirements) in response to patient inquiries and issues. Works to resolves these… more
- Penn Medicine (Bala Cynwyd, PA)
- … audit plan. + Performs second level quality assurance APC audits of external coding audit vendors to ensure timely and accurate reporting of results. + ... unit, department, entity, and health system organization. Credentials: + Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Certified… more
- SSM Health (MO)
- …interpretive guidance on billing or regulatory concerns. + Promotes consistency in coding audit and regulatory education process for employed physicians, ... **CCA** ) - American Health Information Management Assoc (AHIMA), Certified Coding Specialist ( **CCS** ) - American Health Information Management Assoc (AHIMA),… more
- The Cigna Group (Houston, TX)
- …research, analysis, and response to inquiries from all internal and external audit departments regarding compliance, coding , and inappropriate coding . + ... accurate documentation. + Review and act on any assigned audit educational opportunities timely and provide primary care or...(CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered… more
- Penn Medicine (Bala Cynwyd, PA)
- …unit, department, entity, and health system organization. Credentials: + Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Certified ... coding and billing regulations. Incumbent will also participate in performing coding research and other hospital-based audit activity that may be necessary… more
- Dartmouth Health (Lebanon, NH)
- Overview At the direction of the Manager, assume responsibility for coding audit activities for provider groups assigned to the team. Responsibilities * ... coding trends through data analysis and assists in the evaluation of coding data with team. * Coordinates response to compliance concerns through management.… more
- Sharp HealthCare (San Diego, CA)
- …billing products are accurate and patient-friendly. Performs random review of charge audit findings to assure prompt response to repeat/recurring charge ... centralized dictionaries and chargemasters, assures timely input of all chargemaster coding to ensure compliance with State and Federal billing regulations.… more
- STG International (Macon, GA)
- …facility surveys (inspections) made by authorized government agencies as requested. + Audit nursing documentation in the clinical record for appropriate and relevant ... + Attend and contribute in facility "triple check" process for reviewing coding for accuracy. + Perform administrative duties such as completing medical forms,… more
- M&T Bank (Buffalo, NY)
- …seeking a highly skilled and experienced **Azure Cloud Cybersecurity Product Security Specialist ** to join our dynamic and fast-paced cybersecurity team. In this ... **Security Best Practices:** Lead the development and implementation of secure coding and development practices, including threat modeling, secure code reviews, and… more