- Blanchard Valley Hospital (Findlay, OH)
- …to ensure optimal, accurate and compliant charging. Understand changes to applicable coding and billing regulations, including annual IPPS/OPPS revisions, by ... PURPOSE OF THIS POSITION The primary purpose of the Professional Coding Integrity Specialist (PCIS) is to review, enter and/or modify charges as appropriate,… more
- Rush University Medical Center (Chicago, IL)
- …**Shift:** **Shift 1** **Work Schedule:** 8 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** The Billing Coding Auditor uses advanced knowledge of billing , ... to ensure accurate and timely capture of all chargeable procedures. The Billing Coding Auditor also monitors interfaces and ancillary software related to… more
- Covenant Health Inc. (Knoxville, TN)
- …and compliance audit projects for Covenant Health entities as they relate to coding , documentation , and billing compliance. Also provides consulting services to ... Register, fraud alerts, OIG advisory opinions, and other publications relative to coding , billing and reimbursement compliance in order to ensure compliance.… more
- R1 RCM (Salt Lake City, UT)
- …AI, intelligent automation, and workflow orchestration. As our Revenue Integrity Facility Coding Auditor , you will review hospital charges against medical record ... you will experience working as a** **Revenue Integrity Facility Coding Auditor ** **:** + Review hospital charges...code assignments on services provided (CPT/HCPCS codes) + Understand billing and coding requirements for government and… more
- Nuvance Health (Danbury, CT)
- …Officer (SACO) Physician Audit & Billing , the Senior Inpatient Professional Auditor providesHospital Inpatient and Outpatient coding , billing , and ... Compliance education programs as needed. 5. Communicates and reinforces proper documentation, coding and billing rules and regulations consistent with Nuvance… more
- UTMB Health (Galveston, TX)
- Auditor , Coding and QA - Revenue Cycle ...with coding production, as needed, reviews and resolves coding issues related to billing , research complex ... Department and other clinical departments to research and resolve coding issues related to billing . Reviews medical...research and resolve coding issues related to billing . Reviews medical records to ascertain all appropriate diagnoses… more
- Hackensack Meridian Health (Hackensack, NJ)
- …to transform healthcare 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...weekend.** **Responsibilities** A day in the life of an ** Coding Quality Auditor ** at **Hackensack Meridian** **_Health_**… more
- Sharp HealthCare (San Diego, CA)
- …coder. + 2 Years experience working as a HCC risk adjustment coding auditor . + Experience with medical billing and with medical terminology. + Certified ... program participation. + Coding and complianceIdentifies areas of potential coding , billing and documentation deficiencies. Provide suggestions to resolve… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …The Manager will oversee the Provider Educator and PB Physician and Coding Auditor /Educators. The Manager will integrate training and development strategies ... training and development and support staff. Provides guidance and leadership to coding audit and education management in the implementation and administration of… more
- UNC Health Care (Chapel Hill, NC)
- …including coding denial resolution. Ensures compliance with all appropriate coding , billing and data collection regulations and procedures. Uses appropriate ... to physicians and other health care staff regarding current coding practices and changes in 3rd party, state and...of the UNC HCS SS Rev Cycle Physician Coder Auditor Proficiency Test. **Licensure/Certification Requirements:** * Must have one… more
- ProMedica Health System (Toledo, OH)
- …1. Develop and coordinate an educational plan that encompasses accurate documentation, coding and billing procedures based on specialty. 2. Provide regular ... physicians and staff to correct. 4. Provides scheduled educational seminars regarding coding / billing updates and changes. 5. Works with providers one-on-one to… more
- Insight Global (Charlottesville, VA)
- …will provide consulting services to physicians, residents, allied health professionals and billing staff to support patient care documentation, coding and ... training and education sessions for physicians, allied health professionals, residents, and coding and billing staff to support compliance with third party… more
- Atlantic Health System (Morristown, NJ)
- …education needs for the providers and staff; also responsible for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal ... as a resource to the office staff, providers, and billing department 14. Provides clarification on coding ...and billing department 14. Provides clarification on coding and compliance policies Required: 1. CPC Certification 2.… more
- Northwell Health (Lake Success, NY)
- …appropriate coding and documentation requirements. + Drafts reports detailing coding audit findings. + Assists with billing /documentation and regulatory risk ... education and support to audit and facility staff involved in coding and billing ; focused training based on results of compliance audits and self-assessments.… more
- Trinity Health (Fresno, CA)
- …procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services ... (CMS). Monitor's accuracy of centralized coder's charge capture and coding with proper International Classification of Diseases 10th Revision (ICD-10), Current… more
- UNC Health Care (Chapel Hill, NC)
- …. **Knowledge/Skills/and Abilities Requirements:** * Strong knowledge of ICD-10/PCS/CPT/HCPCS coding and billing compliance (MS-DRGs/IPPS, APC/OPPS) with ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position provides...Training. This position provides mentoring and training of new coding staff and ongoing training for existing staff. The… more
- Medical Mutual of Ohio (OH)
- …and provider appeals from a clinical coding perspective, applying coding guidelines. Analyzes provider billing for abnormalities, questionable billing ... professional claims from a clinical and coding perspective applying coding guidelines and edits. Assesses for inappropriate billing combinations, inherent… more
- Johns Hopkins University (Baltimore, MD)
- …preferred. + Additional coding certifications preferred. Classified Title: Billing Compliance Auditor Job Posting Title (Working Title): Compliance ... auditing and research techniques, determines the adequacy of medical records documentation, coding and billing for all providers across all clinical specialties.… more
- Johns Hopkins University (Baltimore, MD)
- …auditing and analysis techniques, determines the adequacy of medical records documentation, coding and billing for all providers across all clinical specialties. ... Medicare billing , teaching physician regulations, Current Procedural Terminology, ICD-9-CM Coding , and professional fee billing . + Performs other compliance… more
- Elevance Health (Columbus, OH)
- …Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for ... guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred.… more
