Nuvance Health

  • Poughkeepsie, NY, United States
Nuvance Health
Nuvance Health Danbury, CT, USA
Description Fully remote opportunity within approved working states Summary: Reporting to the Special Associate Compliance Officer (SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor providesHospital Inpatient and Outpatient coding, billing, and documentation auditing and education to the NUVANCE HEALTH network. Working knowledge required for this position is advanced expertise in regards to medical terminology, anatomy, physiology, documentation, coding guidelines, state and federal regulations. Works closely with all business units and provides recommendations toward continuing improvement of coding compliance and coding denial management, while ensuring compliance with NUVANCE HEALTH Hospital policies as well as all coding Federal, State, and third party payer guidelines. Conducts inpatient and/or outpatient coding audits and provides educational programs based on auditing results. Effectively uses abstracting databases, internal and...