Virtual Vocations Inc

A company is looking for a Medical Billing, Coding and Denial Specialist. Key Responsibilities Assign and validate accurate ICD-10-CM, ICD-10-PCS, CPT/HCPCS codes for inpatient and outpatient services Prepare and submit medical billing claims, ensuring compliance with payer-specific rules and regulations Review and analyze claim denials, correct errors, and prepare appeals as necessary Required Qualifications Minimum 7 years of hospital medical billing and coding experience 5+ years of supervisory experience in a hospital setting preferred Extensive experience with Emergency Room medical billing and coding Active certification as CPC or CCS preferred Proficiency in ICD-10-CM, CPT/HCPCS coding, and familiarity with hospital billing systems

Payroll Compliance Auditor, a contract position working remotely, responsible for ensuring compliance with prevailing wage and apprenticeship requirements for renewable energy projects through data auditing, reporting, and communication with upper management. Key Responsibilities Audit data inputs from contractors related to prevailing wage and apprenticeship compliance Create reports for deficiencies and present findings to upper management Review payroll to ensure correct wages and benefits are paid according to client requirements Required Qualifications Bachelor's degree or higher At least 3 years of experience in payroll administration Experience with prevailing wage and apprenticeship compliance Familiarity with certified payroll and LPC Tracker software Self-starter with high competence in technical databases

A company is looking for a Diligence Auditor to perform quality control reviews on loan production. Key Responsibilities Audit loan files for compliance with agency and investor guidelines Perform data integrity checks and collateral assessments on appraisals Review loan files for fraud indicators and ensure federal compliance Required Qualifications Minimum of 5 years of underwriting or post-close/prefund audit experience in the mortgage industry Experience with government loans is essential Ability to research agency and product-specific guidelines High school diploma or GED is required Basic/advanced knowledge of mortgage documents and procedures

A company is looking for an AR & Billing Specialist. Key Responsibilities Manage claims from submission through final payment or resolution, ensuring compliance and timely correction of issues Verify claims for accuracy and payer compliance, including coding and patient demographics Communicate with patients regarding their financial responsibilities and assist with billing inquiries Required Qualifications High School Diploma or GED required Two or more years of experience in medical billing and claims follow-up Knowledge of insurance claim adjudication and EOB interpretation Familiarity with CPT, ICD 10 coding, and payer billing requirements Efficient keyboarding and data entry skills

A company is looking for a Senior Compliance Auditor in Healthcare Legal and Regulatory. Key Responsibilities Conducts scheduled and unplanned audits on medical record documentation, coding, and billing Mentors compliance staff and provides education on billing compliance Develops and implements corrective action plans and prepares responses to governmental audits Required Qualifications Associate's Degree in a related field Minimum of 7 years of related work experience One of the following certifications: CCS, CPC, RHIA, RHIT, or CPMA Experience in medical billing and coding Knowledge of compliance risk areas and federal payor billing compliance

A company is looking for a Sr. Underwriting Compliance Auditor. Key Responsibilities Conduct audits of underwriting files and tax documentation to ensure compliance and accuracy Review tax forms to validate group eligibility and enrollment criteria Communicate audit results and maintain documentation of findings and processes Required Qualifications High School Diploma or equivalent 3 years of experience in underwriting, underwriting audit, compliance, or related fields Ability to interpret and apply underwriting guidelines and policies Proficiency in Microsoft Office (Outlook, Word, Excel) Strong attention to detail and accuracy

A company is looking for an Inpatient Coding Compliance Auditor. Key Responsibilities Audit coded inpatient or outpatient medical records for compliance with coding guidelines Provide training and education based on audit results and regulatory changes Collaborate with coding managers to resolve claim denials and improve coding accuracy Required Qualifications, Training, and Education Accredited program in Health Information Management Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) certification Three years of inpatient coding experience Proficiency in ICD-10-CM/PCS and CPT coding principles Experience with electronic medical record systems and coding audits

A company is looking for a Compliance Auditor to join their risk team. Key Responsibilities Conduct detailed audits of compliance concerns, including medical records and billing practices Analyze trends in coding and billing practices, providing actionable insights and recommendations Collaborate with internal teams to improve documentation standards and assist in the development of the annual audit program Required Qualifications 2+ years of relevant compliance auditing experience Bachelor's degree in Health Information Management or related field Professional Designation: CHC or willingness to obtain certification Proficiency in medical coding, billing practices, and CMS requirements Deep understanding of HIPAA regulations and compliance requirements

A company is looking for a Physician Compliance Auditor II. Key Responsibilities Conducts audits and evaluates compliance activities to ensure documentation meets standards Implements coding reviews and develops educational curriculum for providers and staff Prepares compliance reports and assists in developing coding compliance policies and procedures Required Qualifications Bachelor's degree or 4 years of relevant work experience 4 years of auditing experience focused on Pro-Fee services, CPT, and ICD-10-CM Active coding certification: CPC or CCS-P Experience in coding across multiple service lines including E/M, surgical, and diagnostic procedures Knowledge of Federal, State, and private payer compliance regulations

A company is looking for a Certified Medical Coding Auditor. Key Responsibilities Review medical bills to identify appropriate billing, coding, and savings opportunities Analyze and resolve claim discrepancies requiring deeper expertise Collaborate with the Negotiation team to address complex claim issues and secure savings Required Qualifications and Education 3+ years of auditing, claims review, and/or billing experience within a healthcare organization CPC and/or CIC certification Working knowledge of industry coding, including ICD-10, CPT, and HCPCS Revenue codes Knowledge of CMS guidelines

A company is looking for a Registered Nurse Coding Auditor - HCS-D, COS-C - Full Time. Key Responsibilities Validates Acute Inpatient coded charts for accurate diagnostic information and compliance Conducts coding audits and reviews Medicare/non-Medicare charts to ensure adherence to coding guidelines Communicates coding changes and rationale to coding and CDI staff, ensuring proper documentation Required Qualifications Graduate from an accredited School of Nursing Bachelor's Degree in Nursing or equivalent combination of education and experience Current License to practice as a Registered Professional Nurse in New York State Specialized certifications such as HCS-D and COS-C are required Prior CHHA Nursing experience is strongly preferred