- Johns Hopkins University (Baltimore, MD)
- …information systems. + Seven years of experience. + Additional coding certifications. Classified Title: Sr . Billing Compliance Auditor Job Posting Title ... We are seeking a ** Sr . Compliance Auditor ** **Trainer**...health care-related or business-related field. + Four years of auditing/ billing compliance . + One professional coding certification… more
- Catholic Health Initiatives (Chattanooga, TN)
- …recognized hospital, connect with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing ... medical needs are met at the highest level. The Sr Coding Compliance Auditor 's primary...Follows department policies and guidelines on appropriate documentation to billing codes, abstracting information from chart notes based on… more
- UPMC (Pittsburgh, PA)
- **UPMC is hiring a full-time Senior Medical Auditor to join their Department of Pediatrics team! This position will join our Pediatrics administrative team, ... help defend external coding audits when requested.** As the Senior Medical Auditor , you will provides technical...unique audit findings and recommendations as requested by the Compliance Manager. It is the Auditor 's responsibility… more
- Nuvance Health (Danbury, CT)
- …to the Special Associate Compliance Officer (SACO) Physician Audit & Billing , the Senior Inpatient Professional Auditor providesHospital Inpatient and ... all business units and provides recommendations toward continuing improvement of coding compliance and coding denial management, while ensuring compliance with… more
- MEAG Power (Atlanta, GA)
- Position Title: Senior Internal Auditor Dept., BU / Section: Internal Audit Reports to: Manager, Internal Audit Location: Atlanta, GA (*On-site) * Incumbent must ... after 90 days MEAG Power is looking for a Senior Internal Auditor as we continue to...accuracy of amounts billed through MEAG's joint owner relationships, compliance with the organization's policies and procedures, review of… more
- Elevance Health (Columbus, OH)
- **Clinical Provider Auditor Senior ** **Supports the Payment Integrity line of business** _Location:_ Alternate locations may be considered. This position will ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor Senior ** is responsible for identifying issues and/or… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …This paragraph summarizes the general nature, level and purpose of the job. The Senior Charge Capture Auditor works closely with clinical departments to ensure ... they pertain to coding, charge items, charge capture, and billing operations and communicates regulatory changes in a timely... issues for further analysis and follow-up to the Compliance Department. + Assists Senior Financial Manager… 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 ... Summary With direction from the Patient Financial Services Director, the Nurse Auditor / Revenue Integrity/ CDM Analyst is responsible for performing audits of… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …hospital/clinical billing and coding compliance . + Works with the compliance operations, billing team, senior leaders, and key department ... ensure compliance with regulatory standards. Continuously evaluates inpatient hospital/clinical billing compliance activities to assess compliance with… more
- Mohawk Valley Health System (New Hartford, NY)
- Internal Auditor (Remote) - Full Time - Days Department: LEGAL AND COMPLIANCE Job Summary The Internal Auditor - Compliance will oversee the internal and ... will play a key role in assessing and improving the effectiveness of the compliance program across the organization. The Internal Auditor - Compliance … more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA-Claims **Position Summary:** Working under the direction of the Sr . Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding ... claims data sets to provide analysis and reports on existing provider billing patterns as compared to industry standard coding regulations, and make recommendations… more
- Ascension Health (Indianapolis, IN)
- …periodic and ongoing audits of claims to ensure accuracy of coding and billing , and sufficiency of supporting documentation. + Audit specified number of records per ... + Develop corrective action plans to address opportunities for coding, billing and documentation improvement. + Identify trends and educational opportunities.… more
- Ascension Health (Halethorpe, MD)
- …periodic and ongoing audits of claims to ensure accuracy of coding and billing , and sufficiency of supporting documentation. + Audit specified number of records per ... + Develop corrective action plans to address opportunities for coding, billing and documentation improvement. + Identify trends and educational opportunities. +… more
- Ascension Health (Kalamazoo, MI)
- …periodic and ongoing audits of claims to ensure accuracy of coding and billing , and sufficiency of supporting documentation. + Audit specified number of records per ... + Develop corrective action plans to address opportunities for coding, billing and documentation improvement. + Identify trends and educational opportunities.… more
- Capital One (Richmond, VA)
- West Creek 1 (12071), United States of America, Richmond, Virginia Senior Risk Manager (Card) (Hybrid) Do you like working in the spotlight? Are you ready to work on ... management solutions at the forefront of Technology? As a Senior Risk Manager at Capital One you'll be responsible...and mitigate potential risks to Capital One within Core Billing capabilities and business processes. Risk Managers at Capital… more
- TLC-The Treatment and Learning Centers (Rockville, MD)
- …as needed and production of 990 and other tax forms in conjunction with the auditor . + Oversee adherence to billing & collection and manage organizational cash ... years. We have an immediate opening for a full-time Senior Accountant position. WHAT YOU'LL DO: + The ...Senior Accountant position. WHAT YOU'LL DO: + The Senior Accountant is responsible for day-to-day financial management and… more
- Johns Hopkins University (Middle River, MD)
- …the Sr . PUM. + Perform refund/rebill logs at the direction of the Sr . Administrative Manager for compliance . + Assigns and performs Incentive Audits for the ... reviewing Epic work queues daily as identified by the Sr . PUM. + Work with Sr . PUM...Professional Coding (CPC) certification required, with additional certification as Auditor (CPMA), Approved Instructor or other specialty (CANPC, CEMC,… more
- HCA Healthcare (Nashville, TN)
- …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- HCA Healthcare (San Antonio, TX)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to review.… more
- Duquesne Light Company (Pittsburgh, PA)
- …presence by EHS team members. _Other_ + Prepare and present reports to senior management detailing EHS performance, compliance status, and recommendations for ... and playing a crucial role in promoting a culture of safety, compliance , and environmental stewardship throughout the organization. The Director will manage the… more
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