- R1 RCM (Chicago, IL)
- …operating costs and enhancing the patient experience. As our Manager of Physician/Professional Coding Compliance Audit , you will manage coding ... cycle teams spanning all organizational levels to effectively articulate coding quality and education needs. The manager ...+ You will help build a dedicated team of coding compliance audit professionals focusing… more
- Baylor Scott & White Health (Dallas, TX)
- …requirements.6. Knowledge of coding processes and coding compliance .7. Experience conducting healthcare compliance audit investigations and ... JOB SUMMARY Director Billing, Regulatory, and Provider Coding Compliance is responsible for planning,...and executive leadership. 8. Promotes consistency in the provider coding audit and education processes for all… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …will develop, monitor, evaluate, and implement methods to maximize efficiency and compliance related to coding , billing, accounts receivable, and reimbursement ... coding practices meet National practice guidelines and the compliance goals of the organization, managing State and Federal...for audit planning and execution. Develops comprehensive audit plans to review coding and billing… more
- University of Washington (Seattle, WA)
- …coding changes; make recommendations to the Director, as needed, to maintain coding compliance /quality and mitigate risk + Coordinate with and provide ... and Health Information has an outstanding opportunity for a ** CODING EDUCATION MANAGER ** . **WORK SCHEDULE** +...on the results of internal audits and partner with Compliance on external audit education + Review… more
- Trinity Health (Livonia, MI)
- …ensuring quality, accuracy, and compliance . Working with the Director of Coding , the manager provides direction, enforces standards, and audits practices to ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **Certified Medical Coding Manager - Remote** **Location:** Trinity Health PACE Corp… more
- Trinity Health (Columbus, OH)
- …review and claim edit WQs assigned to regional coding team to ensure coding compliance and minimize audit liability. Provides emphasis on adherence to ... In accordance with the Mission and Guiding Behaviors; the Manager of Coding Operations under the direction... Operations under the direction of the Director of Coding and Compliance , plans, organizes, staffs and… more
- Covenant Health Inc. (Knoxville, TN)
- … audit work for i npatient accounts. Work involves leading or conducting coding and compliance audit projects for Covenant Health entities as they ... If applicable, provides corporate oversight of any current departmental coding audit programs. + Works with coders...compliance stance. + Under the direction of Corporate Coding Manager , works with the Chief … more
- Columbus Regional Hospital (Columbus, IN)
- …to know about this position: + Responsible for evaluating and auditing provider coding and documentation compliance to determine appropriate code assignments for ... coding initiatives. + Proactively identifies areas of opportunity to improve coding quality based on audit feedback, coder questions, physician escalations,… more
- UNC Health Care (Chapel Hill, NC)
- …16. Utilizes a variety of software (eg Optum, Epic, PWC SMART, MS Office, Audit Manager etc.) to compile and validate medical information. **Other Information** ... appeals insurance coding denials. This position analyzes coded records for compliance with federal, state and third party insurer rules and regulations and note… more
- Conviva (Tallahassee, FL)
- … coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify coder errors and ... environment. + Has a positive, collaborative mindset to foster partnership within and the Coding , Audit , and Education department, the PCO, and Humana + Proven… more
- Tidelands Health (Murrells Inlet, SC)
- …and expands knowledge of coding and sequencing guidelines to ensure coding compliance and accuracy. Responses to audits, provides consultation on projects, ... and redetermination to support reimbursement of services rendered. + Collaborate with the Compliance /Quality Team when alerted to coding quality issues found via… more
- Hackensack Meridian Health (Hackensack, NJ)
- …system. + Assists and provides feedback to the Inpatient HIM Supervisor and Inpatient Coding Manager with education sessions for coding staff. + Assists ... and serve as a leader of positive change. The ** Coding Quality Auditor** is responsible for monitoring compliance...+ Brings identified concerns to the supervisor or department manager for resolution. + Enters data such as diagnosis… more
- ProMedica Health System (Toledo, OH)
- …and regulations. Responsible for handling high level assignments such as auditing of coding , compliance and provides education to physicians and other qualified ... POSITION SUMMARY Provides training, audit , and billing education services to providers. Ensures...health care providers regarding coding and documentation. ACCOUNTABILITIES 1. Develop and coordinate an… more
- The Cigna Group (Bluffton, SC)
- Responsible for Part C audit activities for the Cigna Compliance Department, with particular emphasis on Coding , Risk Adjustment and Coding Decisions. ... across the business units. + Reports to the Part C Legal Compliance Manager ;*Monitors transactions and business processes associated with reconciling… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …+ This role does not manage people + This role reports to this job: Manager , Medical Coding + Necessary Contacts: In order to effectively fulfill this position, ... is preferred for all positions. **Position Purpose:** This position serves as the medical coding system specialist on CPT, HCPCS, ICD-10-CM, and CDT coding for… more
- Henry Ford Health System (Detroit, MI)
- …to third-party and governmental regulations relating to coding , documentation, compliance , and reimbursement. 12.Assists Manager with Annual Budget creation ... adherence throughout the fiscal year. 13.Works collaboratively with other Coding Departments, PFS, Billing, Helios, Audit &...with other Coding Departments, PFS, Billing, Helios, Audit & Compliance , providers, and clinical staff… more
- UPMC (Harrisburg, PA)
- …Coordinates the retrospective coding audit process in conjunction with the Manager of Coding Compliance , Auditing and Education + Assists with daily ... **Purpose:** The Coding Staff Coordinator assists in the maintenance of...Coordinator assists in the maintenance of the Health Information Coding Department. This role assures there is an organized… more
- Trinity Health (Livonia, MI)
- …Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp Michigan **Status:** ... information as needed. + Conduct documentation spot checks and respond to audit feedback. + Ensure timely, accurate client care documentation for billing. +… more
- CenterWell (Carson City, NV)
- …information and medical records. May participate in provider education programs on coding compliance . Decisions are typically related to identifying and ... to other coding teams; helps answer questions and resolve inter-departmental coding discrepancies. + Provides audit oversight to newly acquired providers and… more
- Cedars-Sinai (CA)
- …us one of America's Best Hospitals. **What you be doing in this role:** The Manager , Compliance and Revenue Integrity (CRI) manages one or more functions within ... to provide opinion and guidance on issues related to coding , billing, and operational compliance . + Manages,...fuels innovation. **Req ID** : 5218 **Working Title** : Manager , Compliance & Revenue Integrity **Department** :… more