- 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
- Datavant (Olympia, WA)
- …realize our bold vision for healthcare. **What We're Looking For:** As an Outpatient Auditing Specialist , you will be instrumental in addressing consulting and ... rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional,… more
- Datavant (Boise, ID)
- …life experiences to realize our bold vision for healthcare. As an **ProFee Audit Specialist ** you will be instrumental in addressing consulting and educational ... to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity...manager. + Prepare the final reports for the coding audit and actively participates in the resolution of … 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
- Elevance Health (Chicago, IL)
- …Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, ... acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG,...appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you will make an… more
- Hartford HealthCare (Newington, 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
- Maryland Treatment Centers, Inc. (Baltimore, MD)
- …of levels of care for adults and young adults, including inpatient/residential, intensive outpatient (IOP), outpatient (OP), outpatient mental health clinic ... for a FT Regulatory/ Compliance Assistant to join our Baltimore Team. The Specialist works under the direction of the Corporate Compliance Officer to ensure that… more
- Trinity Health (Livonia, MI)
- …Coder (CRC), Certified Clinical Documentation Integrity (CDI), Certified Clinical Documentation Specialist - Outpatient (CCDS-O), Certified Documentation Expert ... consistent operating performance & achieving financial goals. Identifies, defines & solves complex problems that impact the management & direction of the business.… 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
- Stanford Health Care (Palo Alto, CA)
- …**A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require extensive research, interpretation and application of laws ... + Conducts defensive charge audits, self-pay/patient requests, or other special audit projects, as requested, comparing itemized bills to corresponding medical… more
- CenterWell (Tallahassee, FL)
- …the division and market level; Partners with Clinical Documentation Improvement, Audit , and Education to develop programs to improve clinical documentation (includes ... to lead clinical documentation improvement efforts; manages the divisional CDI specialist . + Facilitate meetings with key partners, including Clinical, Operations,… more
- Merck (Knoxville, TN)
- …who thrive in a team environment and are driven to succeed. The Oncology Sales Specialist is a key member of our customer facing organization and is responsible for ... + Ability to analyze and identify trends in a complex buying environment. This includes the multiple channels of...Review and evaluate patterns for products purchased and prescribed, outpatient vs in-patient infusion, as part of hospital contract,… more
- University of Washington (Seattle, WA)
- …members, and 350 staff. Department faculty provide clinical services in 5 hospitals, outpatient mental health clinics, and 14 primary care locations, in addition to ... Resources Coordinators (Faculty/Academic and Staff focused), a Program Operations Specialist with a focus on payroll, and two Human...with other decision makers as needed. + Respond to audit requests from the School of Medicine in a… more