& RESPONSIBILITIES: The Clinical Auditor will review medical records to determine accuracy of billing through verification of coding...Description : The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation...
. Summary The Medical Claims Auditor is responsible for reviewing and analyzing medical claims to ensure accuracy, compliance..., and adherence to company and regulatory standards. This role involves auditing provider-submitted claims, validating coding accuracy...
. Summary The Medical Claims Auditor is responsible for reviewing and analyzing medical claims to ensure accuracy, compliance..., and adherence to company and regulatory standards. This role involves auditing provider-submitted claims, validating coding accuracy...
Responsibilities: Responsible for performing internal coding audits and billing compliance reviews of various elements of physician... billing for the organization. Works within specified third party payer and federal (CMS) coding/billing regulations...
Responsibilities: Responsible for performing internal coding audits and billing compliance reviews of various elements of physician... billing for the organization. Works within specified third party payer and federal (CMS) coding/billing regulations...
and commercial payer policy in written and verbal format Strong understanding of claims processing, ICD-10 Coding, DRG Validation...
, including patient billing, coding, and reimbursement processes. Certified Internal Auditor (CIA); Certified Information Systems... Schedule: Monday - Friday, 8 a.m. - 5 p.m. Summary The Lead Auditor will be responsible for planning, supervising...
Summary The Lead Auditor will be responsible for planning, supervising and conducting complex audits and special..., revenue cycle, research, grants and contracts, and education processes. The Lead Auditor will have the opportunity to lead...
on the county financial system software and coding the appropriate General Ledger account as needed. Balances source data... and mails delinquent account notices. Enters data requiring proper calculation and line item coding into the county computer...
companies and healthcare professionals to resolve issues resulting from denied claims Adhere to coding policies and procedures... consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10. Answer coding questions Review clinical...
plus $5.09 for Health and Wellness Role Summary Responsible for accurate, timely facility inpatient coding and data validation... Perform facility inpatient coding including ICD-10-CM, ICD-10-PCS, DRGs, and HCPCS as assigned. Review full medical record...
information from within internal · or other departments Responsible to send AEOS RQs to Coding as needed for clarification... for adjustment Notify management team of accounts that denied due to lack of medical necessity, etc, to be assigned nurse auditor...
including evolving guidelines, government policy, and College policy. Responsible for performing daily documentation and coding... and individual faculty members. Analyzes chart documentation to perform compliance, billing and coding audits to ensure compliance...
policy. Responsible for performing daily documentation and coding audits to ensure correct compliance billing requirements... to perform compliance, billing and coding audits to ensure compliance and accuracy standards are being met. Performs record...
of the organization. Collaborate with internal teams to ensure proper coding and approvals, directly impacting budget... documentation and responding to auditor requests. POSITION REQUIREMENTS Associate's or Bachelor's degree in Accounting, Finance...
. Support annual audits by providing required documentation and responding to auditor inquiries. Maintain organized electronic... to ensure correct expense coding and accurate financial reporting. Identify opportunities to improve processes and workflows...
with Coding Auditor sampling requirements. Maintain proficiency in VA systems and references: Veterans Health Information...: process record coding within seven (7) calendar days and sustain ≥95% accuracy for Current Procedural Terminology (CPT...
proper coding of revenues/expenses across programs, grants, and cost centers Partner with internal bookkeeping/AP/AR staff..., and proper coding of costs Provide financial guidance to program leaders (non-finance staff) on budgets, spending, and billing...
with the Coding Supervisor/auditor during audit process. Ensures all required component parts of the medical record... and supports coding assignments. Educates MTF staff through individual or group in-services and training sessions. Maintains...
must illustrate the amount of actual medical coding work performed. Additionally, resume must indicate the minimum amount of education... Quality, Group Practice Managers, or other MTF business functions in compiling, analyzing, and reporting MTF coding data...