- 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...patterns and trends. + Ability to mediate and solve complex work problems and issues. + Ability to effectively… more
- 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 (Lincoln, NE)
- …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
- Veterans Affairs, Veterans Health Administration (Memphis, TN)
- Summary Inpatient/ Outpatient (Coder) chooses codes from current versions of ICD CM, PCS classification systems for inpatient facility and/or professional services. ... the Health Information Management Section, coding/analysis unit, VAMC Memphis, TN. Inpatient/ Outpatient MRT Coders select and assign codes from current versions of… more
- Veterans Affairs, Veterans Health Administration (Tacoma, WA)
- …GS-6, and GS-7 duties will differ in complexity and level of supervision. Outpatient Medical Coders analyze and abstract medical record data and assign codes using ... and skill. Some of the functions and responsibilities of outpatient MRTs (Coder) include: Perform the full scope of...to support the assigned codes. Code all complicated and complex disease processes, patient injuries, and all procedures in… more
- The Cigna Group (Bloomfield, CT)
- …and Hierarchical Condition Category expertise to the role, evaluates complex medical conditions, determines compliance of medical documentation, identifies trends, ... Adjustment (RA) programs, including the Risk Adjustment Data Validation (RADV) audit and the Supplement Diagnosis submission program. Inclusive of Quality Audits… more
- Insight Global (Tukwila, WA)
- …* The Pharmacy Billing Specialist is responsible to proactively audit , monitor, and analyze complex dispensing and charging information, including ... Infusion or Specialty Pharmacy) or three years pharmacy technician experience in an outpatient pharmacy setting * 2 years' Experience with computers in data entry more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …and HCPCS codes, including appropriate E/M assignment and modifier usage for outpatient health records. Audit function includes evaluation of clinical ... and HCPCS codes, including. appropriate E/M assignment and modifier usage for outpatient health records. Audit function includes evaluation of clinical… 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
- Veterans Affairs, Veterans Health Administration (North Charleston, SC)
- …and HCPCS codes, including appropriate E/M assignment and modifier usage for outpatient health records. Audit function includes evaluation of clinical ... product suite. Reviews, analyzes and reports performance monitors for inpatient, outpatient , VERA and Non-VA Medical Care (purchased care) coding. Audits accuracy… more
- Veterans Affairs, Veterans Health Administration (Memphis, TN)
- …to support the assigned codes. They code all complicated and complex medical/specialty diseases processes, patient injuries, and all medical procedures in ... necessary. They correct any identified data errors or inconsistencies. They ensure audit findings have been corrected and refiled. They use various computer… 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
- 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
- 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
- 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
- Veterans Affairs, Veterans Health Administration (Jamaica Plain, MA)
- …medical support assistants including the Lead MSA assigned to the Mental Health outpatient service at VA Boston Healthcare system the Jamaica Plain Campus. Patient ... works under the general supervision of the Supervisory Health System Specialist , exercising independent judgment and decision-making authority within the framework… more
