- Datavant (Harrisburg, PA)
- …to realize our bold vision for healthcare. What We're Looking For: As an Outpatient Auditing Specialist , you will be instrumental in addressing consulting and ... rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional,… more
- Merck & Co. (SD)
- Job Description Oncology Sales Representative / Specialist Grow and accelerate your career with our Oncology Sales organization and join a team that's driven to make ... of those options on patients.- Analyze and identify trends in a complex buying environment, including multiple channels of drug distribution (Oncology group… more
- Datavant (St. Paul, MN)
- …and life experiences to realize our bold vision for healthcare. As an ProFee Audit Specialist you will be instrumental in addressing consulting and educational ... rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional,… more
- Trinity Health (Livonia, MI)
- …Five (5) or more years of experience in billing, charge documentation, charge audit or charge capture activities, or other functions related to revenue cycle ... billing is required. Knowledge of Ambulatory Payment Classification (APC) & Outpatient Prospective Payment System (OPPS) reimbursement structures & prebill edits… more
- Elevance Health (Mason, OH)
- …Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, ... acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG,...appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). How you will make an… more
- Merck (Fargo, ND)
- Job Description Oncology Sales Representative / Specialist Grow and accelerate your career with our Oncology Sales organization and join a team that's driven to make ... of those options on patients. Analyze and identify trends in a complex buying environment, including multiple channels of drug distribution (Oncology group… more
- Henry Ford Health System (Grand Blanc, MI)
- …retrospective evaluation and assimilation of the medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing ... Under the direction of the Outpatient Audit , Analytics & Technology Supervisor,...of services - from primary and preventative care to complex and specialty care, health insurance, a full suite… more
- Datavant (Jackson, MS)
- …realize our bold vision for healthcare. **What We're Looking For:** As an Outpatient Auditing Specialist , you will be instrumental in addressing consulting and ... rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional,… more
- Datavant (Boise, ID)
- …life experiences to realize our bold vision for healthcare. As an **ProFee Audit Specialist ** you will be instrumental in addressing consulting and educational ... to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity...manager. + Prepare the final reports for the coding audit and actively participates in the resolution of … more
- US Tech Solutions (Sutter, CA)
- …skills to engage directly with clinicians and support Sutter's revenue cycle, audit , and education functions. Candidates must live within the geographic footprint ... education for assigned groups, with emphasis on Pro Fee (ASC, surgery, outpatient ) environments. + Facilitate individual and group training sessions; must be… more
- Insight Global (Tukwila, WA)
- …* The Pharmacy Billing Specialist is responsible to proactively audit , monitor, and analyze complex dispensing and charging information, including ... Infusion or Specialty Pharmacy) or three years pharmacy technician experience in an outpatient pharmacy setting * 2 years' Experience with computers in data entry more
- Trinity Health (Livonia, MI)
- …Five (5) or more years of experience in billing, charge documentation, charge audit or charge capture activities, or other functions related to revenue cycle ... billing is required. Knowledge of Ambulatory Payment Classification (APC) & Outpatient Prospective Payment System (OPPS) reimbursement structures & prebill edits… more
- Texas Health Resources (Arlington, TX)
- …internal controls and compliance procedures. Coding & Documentation Review - Assist the audit team with inpatient, outpatient , and provider coding assessments to ... as well as THR policies. Key responsibilities include analyzing audit data to identify areas of concern, collaborating with...Administrator Upon Hire Required Or CCS - Certified Coding Specialist Upon Hire Required Or CPC - Certified Professional… more
- Veterans Affairs, Veterans Health Administration (Fort Meade, SD)
- …data collection Provide education to clinical and coding staff Assess current audit findings and evaluate impact to coding and documentation practices Oversee the ... reporting of coding and documentation audit results to leadership Collect and prepare data for studies involving inpatient stays or "on demand" reports, as requested… more
- Maryland Treatment Centers, Inc. (Baltimore, MD)
- …of levels of care for adults and young adults, including inpatient/residential, intensive outpatient (IOP), outpatient (OP), outpatient mental health clinic ... for a FT Regulatory/ Compliance Assistant to join our Baltimore Team. The Specialist works under the direction of the Corporate Compliance Officer to ensure that… more
- Mount Sinai Health System (New York, NY)
- …abilities, excellent communication skills, and proficiency with EHR systems and audit software. Attention to detail and ethical judgment are also important. ... Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Healthcare Auditor (CHA) can be beneficial.… more
- Stanford Health Care (Palo Alto, CA)
- …**A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require extensive research, interpretation and application of laws ... + Conducts defensive charge audits, self-pay/patient requests, or other special audit projects, as requested, comparing itemized bills to corresponding medical… more
- CenterWell (Tallahassee, FL)
- …the division and market level; Partners with Clinical Documentation Improvement, Audit , and Education to develop programs to improve clinical documentation (includes ... to lead clinical documentation improvement efforts; manages the divisional CDI specialist . + Facilitate meetings with key partners, including Clinical, Operations,… more
- Merck (Indianapolis, IN)
- **Job Description** **Oncology Sales Representative / Specialist ** Grow and accelerate your career with our Oncology Sales organization and join a team that's driven ... those options on patients. + Analyze and identify trends in a complex buying environment, including multiple channels of drug distribution (Oncology group purchasing… more
- University of Washington (Seattle, WA)
- …members, and 350 staff. Department faculty provide clinical services in 5 hospitals, outpatient mental health clinics, and 14 primary care locations, in addition to ... Resources Coordinators (Faculty/Academic and Staff focused), a Program Operations Specialist with a focus on payroll, and two Human...with other decision makers as needed. + Respond to audit requests from the School of Medicine in a… more
