- Novant Health (NC)
- **Overview** Novant Health is seeking a Coding Audit Response Specialist . The Coding Audit Response Specialist will support Coding ... corresponding communications and escalation paths) significant issues in coding . Coding Audit Response Specialist will work closely with other… more
- The Cigna Group (Nashville, TN)
- …research, analysis and response to inquiries from all internal and external audit departments regarding compliance, coding and inappropriate coding + ... Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) Certified ...real time data + Assists with research, analysis and response to inquiries regarding compliance, coding , and… more
- McLaren Health Care (Bay City, MI)
- …ACDIS memberships + Certified Medical Coder, Certified in Healthcare Compliance, Certified Coding Specialist , or Certified Clinical Documentation Specialist ... and selecting the most appropriate method for resolution. 6. Provides support in response , tracking and completion of all payer audit /denial/appeal activity to… more
- Northwell Health (Lake Success, NY)
- …one or more of the following is required, AHIMA Certification is preferred: + Certified Coding Specialist (CCS) + Certified Coding Specialist - Physician ... of the results of compliance audits and self-assessments. + Collaborates with Internal audit , coding compliance, and research compliance to minimize overlap in… more
- The Cigna Group (Bluffton, SC)
- …working with Medicare Advantage, Medicare-Medicaid. Plan (Dual-Eligible) and/or Medicaid. **Certified Coding Specialist required.** 5+ years of experience with ... Responsible for Part C audit activities for the Cigna Compliance Department, with...appropriate use of codes received;*Provides subject matter expertise in response to day-to-day business issues related to coding… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Preferred:** + Registered Health Information Administrator Certification or Certified Coding Specialist or Certified Professional Coder or Registered ... serve as a leader of positive change. The **Compliance Specialist ** assures on-going compliance and implements an effective compliance...corporate compliance implementation preferred. + Minimum of 3 years coding and 2 years audit experience in… more
- University of Michigan (Ann Arbor, MI)
- Clinical Documentation Integrity Specialist III Apply Now **Job Summary** This Clinical Documentation Integrity Specialist III (CDIS III) position is fully ... - Team Lead; serves as a key resource for CDI/ Coding /Quality, and works in collaboration with CDI & quality..., and/or quality discrepancies (ie, DRG mismatch, missing query response , code change, etc.). + Performs audits on CDIS… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4539404) Apply Medical Billing Specialist III/IV Salary ... and appropriate billing information while identifying and resolving compliance and audit issues in collaboration with the compliance office. Additionally, they… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4658466) Apply Medical Billing Specialist I/II Salary ... basis of level, scope and complexity of professional billing duties assigned. Medical Billing Specialist I ($19.98 - $25.34 per hour): is the entry level in this… more
- St. George's University (Great River, NY)
- Admissions Support Specialist The Admissions Support Specialist works within the Office of Marketing, Recruitment and Enrollment Operations (MREO) is responsible ... in all appropriate forms of the database systems. The primary responsibility of the Specialist is data entry, which requires a high level of speed, accuracy and… more
- CACI International (Arlington, VA)
- Technical Support Specialist Job Category: Information Technology Time Type: Full time Minimum Clearance Required to Start: Secret Employee Type: Regular Percentage ... you'll get to do:** The CACI ISS Team is looking for a Technical Support Specialist to fill a shift position (flexible) in Arlington, VA. You will provide incident… more
- Trinity Health (Chelsea, MI)
- …payment arrangements. Obtains medical authorization or referral forms, if appropriate. Audit authorizations for accuracy and determine if delay/deny policy needs to ... information, insurance eligibility, coordination of benefits, authorization requirements) in response to patient inquiries and issues. Works to resolves these… more
- SSM Health (MO)
- …interpretive guidance on billing or regulatory concerns. + Promotes consistency in coding audit and regulatory education process for employed physicians, ... **CCA** ) - American Health Information Management Assoc (AHIMA), Certified Coding Specialist ( **CCS** ) - American Health Information Management Assoc (AHIMA),… more
- The Cigna Group (Chattanooga, TN)
- …research, analysis, and response to inquiries from all internal and external audit departments regarding compliance, coding , and inappropriate coding . + ... and efficient. + Review and act on any assigned audit educational opportunities timely and provide primary care or...(CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered… more
- Penn Medicine (Bala Cynwyd, PA)
- …unit, department, entity, and health system organization. Credentials: + Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Certified ... coding and billing regulations. Incumbent will also participate in performing coding research and other hospital-based audit activity that may be necessary… more
- Dartmouth Health (Lebanon, NH)
- Overview At the direction of the Manager, assume responsibility for coding audit activities for provider groups assigned to the team. Responsibilities * ... coding trends through data analysis and assists in the evaluation of coding data with team. * Coordinates response to compliance concerns through management.… more
- Sharp HealthCare (San Diego, CA)
- …billing products are accurate and patient-friendly. Performs random review of charge audit findings to assure prompt response to repeat/recurring charge ... centralized dictionaries and chargemasters, assures timely input of all chargemaster coding to ensure compliance with State and Federal billing regulations.… more
- STG International (Milledgeville, GA)
- …facility surveys (inspections) made by authorized government agencies as requested. + Audit nursing documentation in the clinical record for appropriate and relevant ... + Attend and contribute in facility "triple check" process for reviewing coding for accuracy. + Perform administrative duties such as completing medical forms,… more
- Growth Ortho (Austin, TX)
- …needs to know when patient arrives. For all carriers that don't produce an eligibility response in the ZirMed batch report, run an individual query in ZirMed or call ... as needed) Use MedInformatix tools, such as blocking and color- coding , to keep the clinic schedule on the templates...staff members calls in sick or take vacation time Audit staff members' job performance and implement training, new… more