Medical Coder/Auditing Specialist
Found in: Lensa US P 2 C2 - 2 weeks ago
The Auditing Specialist (Coding, CPC) is responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding accuracy and clinical appropriateness of documented diagnosis. The Auditing Specialist (Coding) conducts quality reviews on coding staff documentation; conducts on-going and retrospective chart audits for the purposes of identifying charges and billing weaknesses, possible coding, documentation or compliance issues and reports discrepancies to the appropriate departments and makes recommendations to minimize their reoccurrence. The position helps the company evaluate operating guidelines, controls, procedures and reports identified problems to management. The position ensures that internal procedures correspond with corporate policies, grantor standards, contract deliverables and regulatory requirements (federal, state and country).
Essential Duties and Responsibilities
Perform audits including operational, clinical, and compliance reviews across the organizational system. These audits will include but are not limited to: C
onducting audits for appropriate clinical documentation, Billing Audits - Remittance Denial reviews, Medicare/Medicaid Audit - ACHA request, Provider Encounter audits for behavioral health, Patient Service audits - registration, encounter, cash, insurance verification, etc.
Conducts audits based on an established schedule, which can be monthly, quarterly or a date determined by the funder or grantor.
Prepares internal audit reports detailing the results of the reviews and Provides reports to appropriate on-site staff and leadership.
Supports the mission of Huntingdon/MCR Health Services.
Adheres to the safety policy of Huntingdon/MCR Health Services.
Performs other duties and administrative tasks as assigned.
Requirements
CPC required in Behavioral Health, CPMA preferred in Behavioral Health
Must reside in State of Florida
Prior chart auditing and coding experience.
Well versed in outpatient and inpatient coding and reimbursement guidelines.
Experience in the Microsoft Office with specific emphasis on Excel spreadsheets.
Experience with internal auditing standards, techniques, and sampling procedures.
Able to work independently and as part of a team
#J-18808-Ljbffr
-
Remote Orthopedic Coder
1 week ago
Fort Myers, United States The Coding Network LLC Full timeJob DescriptionJob DescriptionThe Coding Network (TCN) is looking to contract with Orthopedic coders to perform the daily Orthopedic coding for a number of clients throughout the country. TCN works with over 150 Orthopedic groups throughout the country, our codes access the operation reports via a remote connection to the client's EMR.. Hours can range...
-
Medical Biller and Coder
3 days ago
Fort Myers, United States Advanced Orthopedics & Sports Medicine of SWFL Full timeJob Description: Medical Biller and Coder, Orthopedics Job Summary: This individual is responsible for all aspects of the revenue medical billing cycle including claim submission, appeals, collections, and analytics - Individual must: have strong attention to detail and problem solving skills; be organized, self-motivated, and able to multi-task; work...
-
HIM Coder Analyst II
1 week ago
Fort Worth, United States Disability Solutions Full timeLocation:Dodson Medical Office BuildingDepartment:Cardiology-AdministrationShift:First Shift (United States of America)Standard Weekly Hours:40Summary:The HIM Coder Analyst II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated...
-
Audit Specialist
Found in: beBee jobs US - 1 week ago
Fort Worth, Texas, United States Richemont Full timeAt Richemont of America, we are proud to employ talent from many different backgrounds, experiences, and identities. We believe that when diversity and inclusion are fully embraced and empowered, creativity and knowledge emerge to deliver excellence. We continue to work towards creating a workforce that represents the diversity of our clients and our...
-
CBO Coding Analyst Spec Abstractor
Found in: Lensa US P 2 C2 - 2 weeks ago
Fort Wayne, United States Lutheran Medical Group Full timeSummary:Under general supervision, trains and educates coding staff on all aspects of coding and documentation as it applies to our setting. Prepares training and presentations on applicable topics. Researches questions and issues using all available resources. Provides both oral and written direction to coders and providers. Interacts with providers and/or...
-
Audit Specialist
Found in: beBee S US - 1 week ago
Fort Worth, United States Richemont Full timeAt Richemont of America, we are proud to employ talent from many different backgrounds, experiences, and identities. We believe that when diversity and inclusion are fully embraced and empowered, creativity and knowledge emerge to deliver excellence. We continue to work towards creating a workforce that represents the diversity of our clients and our...
-
Medical Coder
2 weeks ago
Fort Myers, United States DNA Comprehensive Therapy Services Full timeJob DescriptionJob DescriptionDescription:This position reviews and analyzes documentation of outpatient services and coding of those services to ensure accurate, complete and effective billing for services. The position will train providers and billing staff in best practices for medical coding of services, and document processes for clarity and...
-
CBO Coding Analyst Spec Abstractor
Found in: beBee S US - 2 weeks ago
Fort Wayne, United States tapwage Full timeJob Description Summary: Under general supervision, trains and educates coding staff on all aspects of coding and documentation as it applies to our setting. Prepares training and presentations on applicable topics. Researches questions and issues using all available resources. Provides both oral and written direction to coders and providers. Interacts...
-
CBO Coding Analyst Spec Abstractor
Found in: beBee jobs US - 2 weeks ago
Fort Wayne, Indiana, United States tapwage Full timeJob DescriptionSummary:Under general supervision, trains and educates coding staff on all aspects of coding and documentation as it applies to our setting. Prepares training and presentations on applicable topics. Researches questions and issues using all available resources. Provides both oral and written direction to coders and providers. Interacts with...
-
Audit and Compliance Specialist #REF2096O
Found in: Resume Library US A2 - 1 week ago
Fort Worth, Texas, United States Elbit Systems of America Full timeJob Description The Audit and Compliance Specialist provides oversight on Corporate and Business Unit (BU) policies and procedures to assure that both external and internal regulatory and procedural compliance is followed throughout the Supply Chain Management (SCM) process based on the execution of Purchase Orders. The Specialist will address operational...
-
Medical Billing Specialist
1 week ago
Fort Myers, United States DNA Comprehensive Therapy Services Full timeJob DescriptionJob DescriptionDescription:Come grow with us! Elite DNA Behavioral Health is one of the largest providers of behavioral and mental health services in Florida – and we are expanding quickly! We believe in providing high-quality, accessible care to our patients and a supportive environment that allows our team to grow professionally.Our goal...
-
Medical Sales Specialist Care Coordinator
6 days ago
Fort Myers, United States Pinnacle Home Care Full timeMedical Sales Specialist/Care Coordinator - SWFLJoin Pinnacle Home Care, a leading home health agency celebrating 20 years of excellence, as our Medical Sales Specialist/Care Coordinator in and around Lee County, FL. Enjoy a competitive salary, bonuses, benefits, flexible PTO, and growth opportunities.Requirements:Must have a book of business and current...
-
Fiscal Specialist
1 week ago
Fort Myers, United States CareerBuilder Full timeStatus: FullTime/ Non-Exempt Opening Available for Fiscal Specialist Salary: $21.79 hourly Pay Grade: 5 Essential Functions Performs responsible, professional, and technical activities to support the administration and implementation of the organizations financial, auditing, and purchasing functions; ensures compliance with all financial policies,...
-
Heart Failure Specialist
Found in: beBee jobs US - 1 week ago
Fort Myers, Florida, United States Lee Health Full timeJOB SUMMARY: The Heart Failure Specialist will assist the Medical Director with the Heart Failure Program in the Lee Health System. The Heart Failure Specialist, in collaboration with the Heart Failure Medical Director, Lead Heart Failure Program Coordinator and the Medical Director of Heart and Vascular Institute, will provide leadership and strategic...
-
Medical Claims Specialist
2 weeks ago
Fort Worth, United States Serenity Healthcare Full timeJob DescriptionJob DescriptionMedical Claims Specialist - Full-time *Onsite - Fort Worth, TXSerenity Healthcare is seeking a Medical Claims Specialist to provide the billing team with additional support in order to obtain financial compensation for medical claims. The claims specialist reviews unpaid medical claims and makes requests to insurance companies...
-
Heart Failure Specialist
Found in: beBee S US - 2 weeks ago
Fort Myers, United States Lee Health Full timeJOB SUMMARY: The Heart Failure Specialist will assist the Medical Director with the Heart Failure Program in the Lee Health System. The Heart Failure Specialist, in collaboration with the Heart Failure Medical Director, Lead Heart Failure Program Coordinator and the Medical Director of Heart and Vascular Institute, will provide leadership and strategic...
-
Audit Senior
1 week ago
Fort Smith, United States Elite Sourcing LLC Full timeJob DescriptionJob DescriptionElite Sourcing LLC is partnering with a prominent accounting firm in the industry, who is seeking an experienced and dedicated Audit Senior to join their team. As an Audit Senior, you will play a critical role in performing and managing audit engagements, ensuring the accuracy and integrity of financial statements and compliance...
-
Audit Manager
2 weeks ago
Fort Lauderdale, United States Hire Resolve Full timeJob DescriptionJob DescriptionHire Resolve's prestigious accounting client is seeking an experienced and highly motivated Audit Manager to join their team. As an Audit Manager, you will be responsible for leading and managing audit engagements for our clients. You will work closely with their team of auditors to ensure the accuracy and integrity of...
-
Billing Specialist
3 days ago
Fort Myers, United States Family Health Centers of Southwest Florida Inc Full timeDescription: We are looking for a dependable, dedicated, and respectful person to join our team of Billing Specialists. Outstanding compensation including generous paid time off, 9 paid holidays, excellent health benefits, a company paid pension, multiple bonuses, and more! : The Billing Specialist is responsible for timely, accurate and comprehensive...
-
Licensing Specialist I
7 days ago
Fort Myers, United States CareerBuilder Full timeJob Description Job Description This Position is 100% Remote Licensing Specialist I Position Summary The Licensing Specialist is responsible for the completion of all state licensure applications for all employed TeleSpecialists physicians and submitting them to the state medical boards. The Licensing Specialists ensures all providers information is complete...