12 jobs found

Job Opportunity Job ID: 40845 Positions Location: Lansing, MI Job Description General Purpose of Job: Position Description: Positions Location: Lansing, MI Job Description General Purpose of Job : Position responsible for supporting the efforts of the PHP Compliance Department and executing the annual Compliance Plan which includes the following components: Education, Monitoring/Auditing and Processing Compliance related requests, Regulatory Compliance and Investigation/Enforcement. Support Senior Corporate Compliance Analyst in the identification, analysis, and performance of audits in all service settings, consistent with clinical criteria and documentation standards required by current coding procedures in order to, but not limited to, detect billing error, fraud, waste and abuse. Essential Duties : This job description is intended to cover the minimum essential duties assigned on a regular basis. Caregivers may be asked to perform additional duties as assigned by...

Hours of Work : 40 Days Of Week : 5 Work Shift : Job Description : Job Description Perform audits of documentation integrity and coding compliance by regulatory standard for professional evaluation and management & surgical services for the coding compliance department of Methodist Medical Group. Job Requirements Education High school education or equivalent; some college credit; Bachelor degree preferred. Certifications Certified Professional Medical Auditor ( CPMA ) certification from AAPC preferred. Certified Professional Coder ( CPC ) certification from AAPC or Certified Coding Specialist - Physician-based ( CCS-P ) certification from AHIMA with 2+ years of experience in auditing and abstracting. Experience/Knowledge 2+ years of multispecialty auditing medical documentation for appropriate E&M level and CPT assignment. Thorough knowledge of medical terminology. Proficient with Microsoft Word and Excel. Experience with Epic preferred. Ability to...

Job Description Job Description Medical Auditor/Quality Control Analyst Summary of Position: Ideal candidate will have several years’ experience auditing medical charts and records for compliance with CPT and ICD-10 code assigned, industry standard coding guidelines, federal regulations, and various third-party carrier guidelines. Uses knowledge and experience to quality check as a second level on other coding and auditing professionals, ensuring that all quality control is in place for our organization. Reviews, develops, and/or modifies our internal procedures, systems, and protocols to achieve and maintain quality and consistency throughout our auditing and coding engagements. This position will also provide guidance to other auditing contractors and will hold true our internal auditing and coding compliance standards. Duties and Responsibilities: Audits medical record documentation to identify deficiencies in documentation in direct relationship to codes billed...

Medical Auditor/Quality Control Analyst Summary of Position: Ideal candidate will have several years’ experience auditing medical charts and records for compliance with CPT and ICD-10 code assigned, industry standard coding guidelines, federal regulations, and various third-party carrier guidelines. Uses knowledge and experience to quality check as a second level on other coding and auditing professionals, ensuring that all quality control is in place for our organization. Reviews, develops, and/or modifies our internal procedures, systems, and protocols to achieve and maintain quality and consistency throughout our auditing and coding engagements. This position will also provide guidance to other auditing contractors and will hold true our internal auditing and coding compliance standards. Duties and Responsibilities: Audits medical record documentation to identify deficiencies in documentation in direct relationship to codes billed to carriers. Prepares reports...

The Clinical Research Quality Assurance Medical Auditor will work within the Office of Research Compliance and Integrity relying on their medical/clinical experience to conduct internal audits on clinical trials to ensure subject safety and to review research billing activity to ensure compliance with federal, state, and local regulations and internal policies and guidelines. Written reports and oral presentations of audit findings will be completed, presented to the Principal Investigator and Team, and action items followed to resolution. Train Study Team Staff on identified clinical trial compliance issues as needed. Why Nationwide Children's Hospital? The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children’s Hospital, Where Passion Meets Purpose . Here, Diversity, Equity and Inclusion are integrated into our core...

About Us A better way to be treated. We operate differently at Hudson Physicians. Our personalized approach to care connects us to our patients and builds lasting relationships. Our expertise ensures our community can expect an unparalleled level of care. Our independence allows us to be both better supporters and better innovators. And together, it means a better way to be treated. Mission Hudson Physicians exists to give our community a higher level of care and convenience than they can get anywhere else. We’re passionate about our specialties and devoted to treating patients better. We’re here because we believe there is no better place and no better way to care for patients. Vision We won’t stop until the people of this region get the best possible care right here in our community. We’ll do it by being the most respected and sought-after healthcare providers around and by working as a united team to stay true to our belief in...

OUTPATIENT MEDICAL CODER POSITION 100% ONSITE ! PHYSICAL LOCATION: 1 Wahoo Ave, Groton CT, 06349 SUMMARY : Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for outpatient encounters. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. Education/Certification . The following are recognized certifications from American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC): Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), CCS-P (Certified Coder Specialist – Physician (CCS-P) with the appropriate level of experience. Experience . A minimum...