- HCA Healthcare (Falls Church, VA)
- **Description** **Introduction** Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. ... make a difference. We are looking for a dedicated Coding Quality Audit Reviewer...result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to… more
- Elevance Health (Hanover, MD)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims ... medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review...information to make audit determinations and generate audit findings letters. + Maintains accuracy and quality… more
- CenterWell (Washington, DC)
- …and internal business rules to respond to inquiries and issues. **Post-Visit/Offshore Coding Collaboration:** + Perform Quality Assurance on post-visit reviews. ... (Frequency and sampling methodology to be determined) + Review the encounter for potential missed opportunities. + Address...positive, collaborative mindset to foster partnership within and the Coding , Audit , and Education department, the PCO,… more
- Datavant (Washington, DC)
- …provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining to ... closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. **You will:** + Maintain a quality … more
- Coinbase (Washington, DC)
- …and fully supported. *_* *Team / Role Paragraph:* Coinbase is looking for an Internal Audit IT Senior to join the Internal Audit team focusing primarily on ... US (Remote) and will be reporting to an Internal Audit IT Senior Manager. The individual will be responsible...to maximize meetings utility, testing efficiencies and internal controls review coverage across the organization. * Serve as a… more
- Capital One (Mclean, VA)
- … Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... a collaborative, agile environment to deliver value-added opinions and recommendations. Audit 's vision to provide high value, independent, proactive insights, to… more
- Capital One (Mclean, VA)
- … Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... a collaborative, agile environment to deliver value-added opinions and recommendations. Audit 's vision to provide high value, independent, proactive insights, to… more
- Datavant (Washington, DC)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... ED, Observation and I&I** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and… more
- Datavant (Washington, DC)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Academic/Trauma Level 1 facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding,… more
- Datavant (Washington, DC)
- …and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review ). You will manage ... regulations and best practices related to prospective risk capture and concurrent review . **Compliance & Quality :** + Partner with Legal, Compliance, and… more
- Elevance Health (Washington, DC)
- …letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by recognizing ... the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How...clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding… more
- Datavant (Washington, DC)
- …preferably within an academic medical facility. + Experience with significant level of coding quality review feedback + Experience in computerized encoding ... codes from patient records, ensuring precision and adherence to documentation + Oversee and audit the work of Level 1 & 2 Coders, where applicable + Champion… more
- Ankura (Washington, DC)
- …investigation projects for clients. + Oversee and conduct data gathering activities, document review , and quality control of data assessment. + Work with Senior ... + Prepare client communications, both written and oral, for senior level review . + Perform client facing tasks including operational, compliance or regulatory… more
- Chenega Corporation (Washington, DC)
- …where there is a robust employee benefits program, management engagement, quality leadership, an atmosphere of teamwork, recognition for performance, and promotion ... the financial management system and reports, identify errors in coding structures, develop corrective recommendations, and provide OBFM management recommendations.… more
- Coinbase (Washington, DC)
- …monitoring or risk treatment. * Maintain source of truth risk register: Quality control of data, tooling support, and implementing automation/process improvements to ... for risks, assessments, and reporting to meet regulatory requirements. * Support audit and regulatory inspections: Support data compilation to respond to US and… more
- Veralto (Annapolis, MD)
- …leader in the product identification market, providing in-line printing, coding and marking products, consumables, and software solutions. Videojet's technologies ... guidance for daily management, visual project management, and Growth Rooms. + Audit existing processes and systems to determine actions required for improvements at… more
- Ankura (Washington, DC)
- …issues. + Ankura's payer team brings a combination of compliance, operations, audit , clinical coding , data analytics, financial, valuation, and systems ... and complex spreadsheet analyses + Assisting with data gathering activities including document review , research, and quality control of data entry activities and… more
- Amazon (Arlington, VA)
- …security controls * Understanding of threat modeling, manual source code review , security vulnerabilities, attacker exploit techniques, and methods for their ... Security and compliance teams (Kuiper Sec, Info Sec, Legal, Internal Audit , Physical Security, Developer Community, Networking, Systems, etc.) * Identify automation… more