Medical Coding Auditor, SIU

About the RoleOscar Health is seeking a highly skilled Medical Coding Auditor, SIU to join our team. As a key member of our Special Investigations Unit (SIU), you will play a critical role in identifying and preventing healthcare fraud, waste, and abuse.Key ResponsibilitiesDevelop and maintain expertise on CPT, HCPCS, and ICD-10 coding guidelines and other...

Job SummaryThe Special Investigations Unit (SIU) Investigator plays a critical role in supporting the prevention, detection, investigation, and reporting of healthcare fraud, waste, and abuse. This position is responsible for conducting thorough medical review audits, coding and billing reviews, and analyzing information to draw conclusions on allegations of...

About the RoleThe SIU Investigator, Senior Analyst will be responsible for investigating changes in aberrant behavior observed in claims and enrollment data. This individual will work independently to analyze data, manage investigative caseload, and resolve cases through overpayment recovery, measuring behavior change, and completing necessary reporting to...

Job OverviewDelta System and Software Inc. is seeking a highly skilled Tech Auditor to join our Internal Audit Engineering team. As a Tech Auditor, you will play a critical role in helping us execute our audits and identify potential risks and controls within our environment.Key ResponsibilitiesAs a Tech Auditor, your primary responsibilities will...

Job OverviewPosition: Lead Compliance AuditorWe are seeking a highly skilled Lead Compliance Auditor to join our esteemed healthcare organization.Key Responsibilities:Engage in external regulatory audits, collaborating with agencies such as OMIG, OIG, AG, and OSC.Facilitate communication with external bodies concerning audit processes.Assist in the...

Job Title: Medical Coding SpecialistJob Summary:Quartet Health is seeking a highly skilled Medical Coding Specialist to join our team. As a Medical Coding Specialist, you will be responsible for assigning accurate and compliant ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and services rendered by healthcare providers.Key Responsibilities:Assign...

Job Type: Support Staff - Non-Union Bargaining Unit: Regular/Temporary: Regular Hours Per Week: 35 Salary Range: $62,000.00 - $75,000.00 The compensation for the selected candidate will be determined based on various factors, including departmental budgets, qualifications, experience, education, licenses, specialty, and training. The salary range...

SpineSearch LLC is in search of a skilled Medical Billing and Coding Supervisor to oversee a prominent surgical division.Key Qualifications for the Medical Billing and Coding Supervisor:Bachelor's Degree in a relevant fieldA minimum of 3 years in medical billingPossession of a recognized coding certificationAt least 2 years of experience in a supervisory...

SpineSearch LLC is actively seeking a qualified Medical Billing and Coding Supervisor to oversee a significant surgical department.Key Qualifications for the Medical Billing and Coding Supervisor:Bachelor's Degree in a relevant fieldA minimum of 3 years in medical billingPossession of a recognized coding certificationAt least 2 years of experience in a...

Hours Full-Time: 80 Hours/Biweekly General Overview Responsible for the collection, examination, retrieval, and coding of Evaluation & Management codes, as well as significant procedures including surgical interventions, anesthesia documentation, and radiological reports. This role is essential for Medicine/Surgical practices, utilizing data from...

Hours Full-Time: 80 Hours/Biweekly Overview The role involves the collection, examination, retrieval, and coding of Evaluation & Management codes, along with significant procedures such as surgical interventions, anesthesia documentation, and radiological reports. This is essential for the Medicine/Surgical practices, ensuring compliance with...

Job SummaryLicking Memorial Health Systems (LMHS) is a leading healthcare organization dedicated to improving the health and well-being of our community. As a Compliance Auditor, you will play a vital role in ensuring the organization's compliance with state and federal regulations.Key ResponsibilitiesConduct internal audits to ensure consistency with...

Company Overview:SQA Services is a prominent consultancy specializing in Quality Assurance and Supply Chain management. We offer comprehensive Supplier Audit and Development programs across various sectors, including Pharmaceuticals, Medical Devices, Automotive, Aerospace, and Electronics manufacturing.Our clients benefit from SQA's extensive network of...

Company Overview:SQA Services is a prominent consultancy specializing in Quality Assurance and Supply Chain management. We provide comprehensive Supplier Audit and Development programs across various sectors, including Pharmaceuticals, Medical Devices, Automotive, Aerospace, and Electronics manufacturing.Our clients benefit from SQA's extensive network of...

Job Description:Job Description The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep...

Job SummaryWe are seeking a highly skilled Senior IT Auditor to join our team at IDB Bank. As a Senior IT Auditor, you will be responsible for executing information technology audits that encompass various areas, including IT general controls, application controls, IT processes, project management, and data integrity audit projects/initiatives.Key...

**Job Summary**IDB Bank is seeking a highly skilled Senior IT Auditor to join our team. As a Senior IT Auditor, you will be responsible for executing information technology audits encompassing the areas of IT general controls, application controls, IT processes, project management, and data integrity audit projects/initiatives.**Key Responsibilities**Help...

340B Regulatory Compliance AuditorCorporate Compliance OverviewLicking Memorial Health Systems (LMHS) stands as a prominent, non-profit healthcare provider, committed to enhancing the health and wellness of our community. With a legacy that began in 1898, LMHS continues to be a pillar of healthcare excellence, addressing the dynamic needs of Licking County....

Company Overview:SQA Services is a prominent consultancy specializing in Quality Assurance and Supply Chain management. We provide comprehensive Supplier Audit and Development programs across various sectors, including Pharmaceuticals, Medical Devices, Automotive, Aerospace, and Electronics manufacturing.Our clients benefit from SQA's extensive network of...

Job Title: Compliance Auditor Job Overview: The Compliance Auditor plays a crucial role in ensuring adherence to healthcare regulations. This position involves conducting independent audits and monitoring activities to guarantee compliance with Medicare (Part C and D), New York State Medicaid, and Managed Long-Term Care (MLTC) regulations. Key...