- 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
- Stanford Health Care (Palo Alto, CA)
- …of America) **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the ... as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will...Specialist required within 180 Days or + Certified Outpatient Coder - COC required within 180 Days or… more
- Houston Methodist (Houston, TX)
- …and above strongly encouraged to apply.** At Houston Methodist, the Internal Audit Specialist is responsible for independently planning, coordinating, and ... mitigates risks for presentation to department leadership. The Internal Audit Specialist is a role model to...audit procedures, reporting, and follow-up processes for highly complex healthcare audit projects + Ability to… more
- Datavant (Providence, RI)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and...manager. + Prepare the final reports for the coding audit and actively participates in the resolution of … more
- University of Colorado (Aurora, CO)
- **Billing and Coding Specialist ** **Description** **University of Colorado Anschutz Medical Campus** **Department: Neurosurgery** **Job Title** **Billing and Coding ... Specialist ** **Position** **- Requisition #: 37575** **Job Summary:** **Key...meetings with Office of Value Based Performance, Revenue Cycle, Audit /Compliance, and other related meetings as a representative for… more
- Penn Medicine (East Petersburg, PA)
- …Technician , RHIA Registered Health Information Administrator , CCS Certified Coding Specialist , COC-A Certified Outpatient Coder-Apprentice , COC Certified ... living your life's work? Summary: + Position Summary: + The Coding Specialist is responsible for supporting Penn Medicine Lancaster General Health Physicians LGHP… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Provider Data Management and Credentialing Specialist is responsible for ensuring the data integrity for contracted providers. This includes ... ongoing audit of the provider database, monitoring provider sanctions from...48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of… more
- Northwell Health (Lake Success, NY)
- …the education needs of the department; assists in the education of the outpatient revenue specialists as identified through the audit process. Conducts ... departments in the instruction of regulatory guidelines. Researches and resolves complex assignments. Job Responsibility + Monitors system files to ensure the… more
- Mount Sinai Health System (New York, NY)
- …procedures for matching checks to documentation in order to meet audit requirements. 6. Performs balancing procedures by verifying invoice batch information ... 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of...for all people, everywhere, by taking on the most complex health care challenges of our time - discovering… more
- AdventHealth (Altamonte Springs, FL)
- …and accurate quality assurance audits while adhering to inpatient and/or outpatient coding policies, procedures, and established audit schedule; translates ... Location** : Remote **The role you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator is responsible for supporting… 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
- Texas Health Resources (Arlington, TX)
- …Oversight and Leadership Provide direction and oversight to the compliance coding audit team, fostering collaboration and ensuring high-quality audit outcomes. ... actions, ensuring adherence to industry guidelines. Delivers clear and comprehensive audit results to auditees, providers and/or ancillary staff. Share actionable… more
- Veterans Affairs, Veterans Health Administration (IN)
- …and HCPCS codes, including appropriate E/M assignment and modifier usage for outpatient health records. Audit function includes evaluation of clinical ... monitors for PTF, PCE, VERA and Non-VA Medical Care (purchased care) coding. Audit accurate and complete assignment of ICD-10-CM and ICD-10-PCS codes, MSDRG, POA… more
- Veterans Affairs, Veterans Health Administration (Columbia, MO)
- …collection. Provide education to clinical and coding staff. They 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...and prepare data for studies involving inpatient stays and outpatient encounters for clinical evaluation purposes, prepare and maintain… 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
- Covenant Health Inc. (Knoxville, TN)
- Overview Health Information Privacy Specialist , Centralized Privacy Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... region's top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and specialty services (http://www.covenanthealth.com/services/) , and Covenant Medical… more
- Hartford HealthCare (Farmington, CT)
- …and compliance with state and federal laws, regulations and policy. * Presents audit reports, results and action plans to coding management for discussion and plan ... Management Exchange) and Premier system edits * Utilize Cobius Institutional Audit Manager (IAM) software to streamline audits, communicate findings, and simplify… 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
- Mohawk Valley Health System (Utica, NY)
- …) to ensure effective and efficient coding operations. Also, this role will audit the most complex service records to ensure coding and documentation ... of compliance, official coding guidelines and revenue cycle to solve complex problems, recommend resolution and implement solutions. Flexible work arrangements are… more
- Guidehouse (Denver, CO)
- …documentation management staff, and the Internal Revenue Integrity team with complex patient care cases by analyzing documentation and discussing correct code ... assignment. + Reviews medical records flagged through the SMART (Inpatient and Outpatient tools) software for patterns of coding errors and opportunities for coder… more