Brown University Health

Summary The Revenue Compliance Auditor reports to the Manager, Revenue Compliance and Provider Education. Under general supervision, assists in executing various portions of the Brown University Health Corporate Compliance Plan. Develops and provides compliance training to employees’ and physician staff. Conducts retrospective audits of LifeChart/EPIC documentation to assess billing, coding, patient care and compliance with Brown University Health general and specific policies and federal and state regulations. Auditors may participate in compliance investigations in those areas of risk identified by federal and state regulators. Provides a written summary of work, where problems are found and makes recommendations to correct. Provides functional guidance and direction to less experienced revenue compliance audit staff. Consistently applies the corporate values of respect, honesty and fairness and the constant pursuit of excellence in improving the health status of the people of...

Brown University Health seeks a Professional Coding Specialist to review and assign ICD-10-CM, CPT, and HCPCS Level II codes for physician services. You will ensure compliance with CMS/NCCI edits, payer policies, and organizational guidelines to support accurate reimbursement. The role involves collaboration with providers and revenue cycle teams, requires 1–3+ years of coding experience, and emphasizes documentation accuracy and audit readiness. #J-18808-Ljbffr

Claims Follow-Up SpecialistUnder general supervision of the Follow-up Supervisor, performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician multi-specialty practice. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate.Responsibilities:Review all denied claims, correct them in the system and send corrected appealed claims as written correspondence, fax or via electronic submission.Identify and analyze denials and enact corrective measures as needed to effectively communicate...

SUMMARY: Under general supervision of the Follow-up Supervisor, performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician multi-specialty practice. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Review all denied claims, correct them in the system and send correctedppealed claims asbr / written correspondence, fax or via electronic submission. Identify and analyze denials and enact corrective measures as needed to effectivelybr / communicate and...

SUMMARY: Under general supervision of the Follow-up Supervisor, performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician multi-specialty practice. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Review all denied claims, correct them in the system and send correctedppealed claims asbr / written correspondence, fax or via electronic submission. Identify and analyze denials and enact corrective measures as needed to effectivelybr /...