- Stanford Health Care (Palo Alto, CA)
- …and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and ... accuracy prior to submission to ensure high-quality presentation. + Audit Response : Ensuring the medical record documentation...required within 180 Days or + CCS - Certified Coding Specialist required within 180 Days or… more
- Independent Health (Buffalo, NY)
- …and share knowledge and audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in Hospital Audit in ... fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing...a coding system (ICD-10 or PCS) required. Coding audit experience in an inpatient setting… more
- UCLA Health (Los Angeles, CA)
- … requests into relevant systems, distributing requests to necessary teams + Monitor audit response and appeal statuses, tracking cases and maintaining updated ... to accuracy and quality in claim processing. As an Audit and Appeals Specialist , you will: +...+ Facilitate responses to regulatory audits related to billing, coding , and collection practices in compliance with federal and… more
- McLaren Health Care (Mount Pleasant, 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
- Ventura County (Ventura, CA)
- …a Bachelor's Degree in Health Information Management, strong Inpatient and Outpatient coding experience and Certified Coding Specialist certification ... of coders that are not meeting quality standards; prepare audit reports, audit summary analysis of accuracy...skill with Excel + Must have a current Certified Coding Specialist (CCS) certification + Possession and… more
- Highmark Health (Harrisburg, PA)
- …**GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data ... (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified… more
- University of Southern California (Los Angeles, CA)
- …The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding ... release for billing in a timely manner. Participate in response to inquiries regarding coding and documentation...(AAPC) AAPC Certified Professional Coder (CPC), OR AHIMA Certified Coding Specialist - Physician (CCS-P) + Req… more
- The Cigna Group (Bloomfield, CT)
- …one or more of the following:** **▪ Certified Professional Coder (CPC)** **▪ Certified Coding Specialist for Providers (CCS-P)** **▪ Certified Coding ... The Quality Review & Audit Senior Analyst exhibits expertise in evaluating complex...assigning accurate ICD-10 diagnosis codes in accordance with Official Coding Guidelines and Conventions, Cigna IFP Coding … more
- The Cigna Group (Bloomfield, CT)
- …medical coding specialty: + **Certified Professional Coder (CPC)** + **Certified Coding Specialist for Providers (CCS-P)** + **Certified Coding ... Analysts specializing in HHS Risk Adjustment medical record diagnostic coding and quality audit review for the...provide your resume as you will not receive a response ._ _The Cigna Group has a tobacco-free policy and… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing ... Specialist III/IV - Behavioral Health Salary $52,216.65 - $73,565.49...in mental health billing, including CPT, ICD-10, and HCPCS coding for Medicare and Medi-Cal. Skilled in the Medi-Cal… more
- Metropolitan Council (St. Paul, MN)
- …your work would contribute to our organization and the Twin Cities Region: As anAccount Specialist ( audit accounts) you will be responsible to audit and ... What you would do in this job Accounts Payable Specialist + Audit bills, claims and related... will also have the following duties: Senior Account Specialist + Use substantial knowledge of accounting procedures/ coding… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Administrative Program Specialist A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5138231) Apply Administrative Program Specialist A ... in some instances represents Operations when delegated to do so. In response to correspondence and other requests, composes replies requiring independent research… more
- Northwell Health (Lake Success, NY)
- …in the medical record. 2.Facilitates appropriate clinical documentation to support diagnosis coding and ensure the appropriate level of service is recorded. 3.Works ... provides timely and accurate responses to clinical documentation and coding questions. 8.Demonstrates knowledge of ICD-10 CM and ICD-10...in the CDI software to be able to track response to queries. Responsible for file maintenance including entry… more
- AdventHealth (Orlando, FL)
- …of proficiency. Demonstrates competence by achieving an annual average of 90% on compliance audit scores . Maintains a 97% physician response rate to all valid ... with physicians, nursing and HIM coders, the Clinical Documentation Specialist (CDS) strategically facilitates and obtains appropriate and quality physician… 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
- Lilly (Indianapolis, IN)
- …of ICSRs; + Accountable for the review and accuracy of narratives, coding , and assessments of seriousness, expectedness, and company causality; + Complete medical ... effectively with cross-functional teams on topics including case management, audit and inspection readiness, regulatory responses, and causality assessments. +… more
