- Children's Hospital Boston (Boston, MA)
- 77470BRJob Posting Title: Billing Compliance Auditor IDepartment:NeurologyAutoReqId:77470BRStatus:Full-TimeStandard Hours per Week:40 Job Posting ... Category:Legal ServicesJob Posting Description:The Billing Compliance Auditor I is...of federal and state agencies and third-party payors and hospital policy. + Maintaining review data and providing feedback… more
- Columbus Regional Hospital (Columbus, IN)
- …+ Responsible for evaluating and auditing provider coding and documentation compliance to determine appropriate code assignments for diagnoses and services performed ... audiences preferred. + Previous experience in management, quality improvement, compliance , auditing and revenue cycle related activities preferred. + Bachelor's… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and executes audit, monitoring, and education for inpatient hospital billing , coding and documentation programs that ensure compliance with regulatory ... standards. Continuously evaluates inpatient hospital /clinical billing compliance activities to assess compliance with the Compliance Audit and… more
- Omaha Children's Hospital (Omaha, NE)
- …and provides education/training regarding proper billing requirements. The Nurse Auditor will work collaboratively within Revenue Cycle, Compliance and ... 3 days post discharge to ensure accuracy and in compliance with regulatory requirements, hospital and system...in a pediatric setting Required and + Experience in Hospital Billing Audits Required and + Knowledge… more
- UPMC (Pittsburgh, PA)
- …update or discuss unique audit findings and recommendations as requested by the Compliance Manager. It is the Auditor 's responsibility to seek out meetings ... to review staff to ensure that all physicians, clinical, billing and coding staff are adhering to all guidelines... Auditor , Junior Medical Auditor and Auditor Analyst as required or as requested Compliance… 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
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …Review and Analysis, and outside consultants to analyze, review and assess identified billing , coding, charging and compliance issues + Understands and reviews ... coordination of Chargemaster and Charge Capture process in researching coding and billing guidelines, researching insurance contracts, and updating hospital and… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …for compliance audits and charge processes. + Serves as a resource to hospital departments regarding compliance with billing regulations and trends in ... Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete reimbursement...to five years of case management utilization review, or compliance related work experience in a hospital … 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
- Catholic Health Initiatives (Chattanooga, TN)
- …connect with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding ... are met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to...Follows department policies and guidelines on appropriate documentation to billing codes, abstracting information from chart notes based on… more
- HCA Healthcare (Nashville, TN)
- …services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... colleagues invested over 156,000 hours volunteering in our communities. As a Revenue Integrity Auditor RN with Parallon you can be a part of an organization that is… more
- Mohawk Valley Health System (New Hartford, NY)
- Internal Auditor (Hybrid) Department: LEGAL AND COMPLIANCE Job Summary The Internal Auditor - Compliance will oversee the internal and external ... will play a key role in assessing and improving the effectiveness of the compliance program across the organization. The Internal Auditor - Compliance … 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
- Trinity Health (Boise, ID)
- …PURPOSE:** Conducts detailed audits of charges to ensure that documentation supports billing and is in compliance with documentation, and applicable policies, ... care. We are looking for a new **Revenue Integrity Auditor ** to join our team, working in coordination with...monitoring and analyzing charging policies and practices for all hospital departments and applying and communicating that knowledge to… more
- Covenant Health Inc. (Knoxville, TN)
- …Register, fraud alerts, OIG advisory opinions, and other publications relative to coding, billing and reimbursement compliance in order to ensure compliance . ... third party payers relative to claims charging, coding, and billing in order to ensure compliance . +...annual coding updates. + Serves as a resource to hospital departments and physician practices to assist with coding… 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
- 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
- Catholic Health (Kenmore, NY)
- Salary: 60,021.00-90,012.00 USD Facility: Kenmore Mercy Hospital Shift: Shift 1 Status: Full Time FTE: 1.000000 Bargaining Unit: ACE Associates Exempt from Overtime: ... flex Summary: The Catholic Health (CH) Health Information Management (HIM) Educator/ Auditor is responsible for providing Provider Coding education, including but not… more
- Highmark Health (Columbus, OH)
- …Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding ... activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code… more
- Rising Medical Solutions (Chicago, IL)
- …savings by reviewing medical bills from a nurse perspective, including appropriate billing , coding and treatment, fee schedule compliance , over-utilization, and ... thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the...value based on evaluation of medical records and medical billing statements, and will: + Audit medical and … more
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