- Blanchard Valley Hospital (Findlay, OH)
- …processes; collaborate with CDI Specialist, Claims Resolution Specialist, Revenue Integrity Auditor , Revenue Integrity Educator, clinical area, and other areas to ... and compliant charging. Understand changes to applicable coding and billing regulations, including annual IPPS/OPPS revisions, by resourcing credible references… more
- Highmark Health (Harrisburg, PA)
- …Description :** **GENERAL OVERVIEW:** Plans and conducts institutional medical record, billing , research, and non-coding compliance audits for documentation, ... plans and educates management, physicians, utilization review/case management staff and/or hospital personnel on documentation, billing , and coding requirements.… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …Capture Auditor works closely with clinical departments to ensure compliance with government, payer, and internal charge capture policies; provides education to ... education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our… more
- Nuvance Health (Danbury, CT)
- …the Special Associate Compliance Officer (SACO) Physician Audit & Billing , the Senior Inpatient Professional Auditor providesHospital Inpatient and ... improvement of coding compliance and coding denial management, while ensuring compliance with NUVANCE HEALTH Hospital policies as well as all coding… more
- LifePoint Health (Marquette, MI)
- …**UP Health System - Marquette Physician Practices* **Title:** *Physician Compliance Auditor PRN* **Location:** *Michigan-Marquette* **Requisition ID:** ... can do. UPHS - Marquette is a 222 bed hospital and houses the region's only Level II Trauma...revenue producing areas or departments to assure accuracy and compliance to acceptable billing /coding guidelines and regulations… more
- Houston Methodist (Cypress, TX)
- …for reasons of treatment, payment or operations to ensure accuracy and in compliance with regulatory requirements, hospital and system policies and procedures. ... and corrects errors or discrepancies to accurately support reasons for treatment, billing , payment or operations. The Nurse Auditor position ensures clinical… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …conjunction with other third party vendors to detect and trend potential claims and billing compliance issues relative to revenue cycle risk areas + Assists in ... Secours Mercy Health's overall compliance audit and compliance responsibilities relative to hospital revenue cycle...in the review of Bon Secours Mercy Health coding, billing and claims processing policies and procedures for the… more
- Covenant Health Inc. (Knoxville, TN)
- …for Covenant Health entities as they relate to coding, documentation , and billing compliance . Also provides consulting services to the organization's management ... Overview Inpatient Auditor and Educator Full Time, 80 Hours Per...OIG advisory opinions, and other publications relative to coding, billing and reimbursement compliance in order to… more
- Cedars-Sinai (Los Angeles, CA)
- …completed documentation and the daily census. Your responsibilities will include handling hospital billing primarily, while assisting in the corrections of ... therapeutic procedures) + Daily follow-up with providers, clinical staff, the Coding department, Billing Compliance , and Revenue Integrity. + Review and create a… more
- UCLA Health (Los Angeles, CA)
- …a safe and fair learning and work environment. As a Senior Hospital Auditor and Trainer within the Office of Compliance Services (OCS), you will play ... include: * Developing audit tools for various hospital compliance audits. * Conducting coding, billing , and other hospital compliance audits. *… more
- Robert Half Management Resources (Los Angeles, CA)
- …The role involves auditing various aspects of our healthcare operations, including hospital departments, billing issues, and charge audits. You are expected ... hospital departments to address audits, disputed charges, and billing and charging problems. * Communicate effectively with ...Assist with training for new team members. * Ensure compliance with hospital guidelines. * Interact with… more
- AdventHealth (Tampa, FL)
- …a Primary Stroke Center. **The role you'll contribute:** The Revenue Integrity Radiology Auditor will ensure that the charges that are generated in the Epic system ... physician orders, clinical documentation, and reports. Using clinical knowledge and billing experience to compare the medical records documentation to patient… more
- Atlantic Health System (Morristown, NJ)
- …providers, and billing department 14. Provides clarification on coding and compliance policies Required: 1. CPC Certification 2. Minimum 6 months experience in ... for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal Accountabilities: 1. Coordinates, schedules, performs the… more
- Hackensack Meridian Health (Hackensack, NJ)
- …** is responsible for auditing clinical documentation that supports code assignment for compliance with billing regulations, this includes compliance with ... the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and efficiency in filing of inpatient… more
- Hackensack Meridian Health (Hackensack, NJ)
- …a leader of positive change. The **Ambulatory Payment Classification (APC) Auditor ** performs all related internal, concurrent, prospective and retrospective coding ... Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to APC's, ICD 10 (International Classification of… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and serve as a leader of positive change. The **Coding Quality Auditor ** is responsible for monitoring compliance with applicable clinical documentation ... to support coding and billing regulations to insure appropriate reimbursement and to support...A day in the life of an **Coding Quality Auditor ** at **Hackensack Meridian** **_Health_** includes: + Reviews Diagnosis… more
- UTMB Health (Galveston, TX)
- …CMS Preferred **JOB SUMMARY:** To provide internal coding quality reviews to ensure compliance with official coding guidelines for hospital and physician coding. ... Auditor , Coding and QA - Revenue Cycle Coding...school diploma or equivalent and four years of medical billing or related experience, or related training from an… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …regulations and policies pertaining to physician documentation, professional coding and billing . Ability to code all types of records, professional and facility. ... Demonstrates ability to prioritize and work independently. + Physical + Normal hospital environment. Close eye work and hearing within normal range. Oral… more
- Dayton Children's Hospital (Dayton, OH)
- …related healthcare or business preferred Certification Certified Professional Medical Auditor (CPMA), in current standing or Registered Health Information Technician ... in Microsoft office applications. Knowledge and experience with medical billing / collections. Epic experience Education Requirements: GED (Required), High… more
- UNC Health Care (Chapel Hill, NC)
- …Medical Necessity requirements and resolves edits during code assignments. 7. Ensures compliance with all appropriate coding, billing and data collection ... HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized… more
