- Health Care Service Corporation (Richardson, TX)
- …development. **Job Summary** This position is responsible for performing clinical, billing, coding and lowest cost setting reviews for services pre and post payment ... regulatory agency experience may substitute for each year of college.** **Certified Coding Certification, or acquire within 24 months of hire** **3 years experience… more
- Mount Sinai Health System (New York, NY)
- …and related professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist ... **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the Mount… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new clinical staff, as needed. +...meet the NYS DFS's and the NYS OMIG's minimum investigator requirements as follows: Persons employed by the SIU… more
- Providence (Oakland, CA)
- **Description** ** Investigator External Audit Special Investigations Unit \*Remote The SIU Audit Investigator supports the compliance related activities of the ... investigation and correction of fraudulent and/or abusive billing and coding practices; coordination of recovery of overpayments related to fraudulent… more