11 job title jobs found

Job Title Help Job Description Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Job Title: Senior Procurement Compliance Auditor Job Category: Contracts Time Type: Full time Minimum Clearance Required to Start: None Employee Type: Regular Percentage of Travel Required: None Type of Travel: None * * * The Opportunity: As a Senior Procurement Compliance Auditor within the CACI's Corporate Contracts & Subcontracts Compliance team, you will play a key role in protecting and strengthening our DCMA-approved Purchasing System by performing risk based procurement file reviews, identifying compliance gaps, and driving corrective actions and process improvements. You'll partner closely with Procurement leadership, Buyers & Subcontracts Administrators, Contracts, and cross-functional stakeholders to ensure procurement actions comply with CACI's policy & procedures and applicable federal acquisition requirements. Responsibilities: Conduct pre-award and post-award procurement file audits to evaluate compliance with CACI's policies...

Job Title Help Job Description Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Medical Coder Job Location: Richmond, VA About the Role: We are seeking experienced Medical Coders to support post-market surveillance and adverse event case processing tied to FDA reporting requirements. This is a unique, high-priority role supporting consumer products, including nicotine and tobacco products. You will work directly within our existing complaint database-not a contractor-managed system-to ensure timely continuity of daily operational workflows. Key Responsibilities: Perform MedDRA coding on adverse event reports derived from consumer complaints. Conduct seriousness, severity, and expectedness assessments for each case. Identify potentially reportable serious adverse events in compliance with FDA requirements. Process daily consumer complaints...

Job Title Help Job Description Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Job Title Medical Records Analyst Duties Analyze patient medical records to identify inaccurately coded services in accordance with federal coding regulations and guidelines. Assign specific codes to medical records, sequencing and determining codes to accurately reflect the resources and procedures used in the care of the patients. Ensure compliance with regulatory and third-party insurance requirements in utilizing the ICD-10-CM, and CPT coding books. Perform limited utilization review of outpatient and inpatient records to assure the diagnosis responsible for the length of stay is appropriately identified. Assure secondary diagnoses are sequenced properly to assure maximum allocation under the Relative Value Unit (RVU) and Diagnosis-Related Group (DRG) systems. Provide review and analysis of coding accuracy and compliance statistics, coordinating results with the Coding Manager and Patient Administration Department Head for feedback to the providers. Prepare...

Job Title Help Job Description Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Job Title: Registered Nurse Unit SupervisorInova Alexandria Hospital Medical/Surgical unit is seeking a Registered Nurse Unit Supervisor looking to take the next step in their journey, full time, Night shift.Sign on Bonus & Relocation Bonus available.Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.Featured Benefits:• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.• Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per...

Description Job Title: Quality Compliance Auditor Department: Quality Reports to: Director of Quality Exemption: Full-Time, Non-Exempt Location: Onsite - Covington, LA. (Hybrid schedule with 2 WFH after orientation) Position Summary The Quality Compliance Auditor supports LOPA’s compliance efforts through managing occurrence and deviation processes, designing and executing internal audits, and coordinating external audit readiness activities. This role evaluates organizational adherence to policies, procedures, and applicable regulatory standards, and collaborates with leadership to identify areas for improvement and ensure sustained compliance and audit preparedness. Essential Functions Must be able to effectively operate Google suite applications as well as learn and adopt computer skills to effectively update and communicate within programs such as LOPA’s referral management software and quality management software and hospital electronic medical records systems. Must...

Title: Medical Facilities Inspector Supervisor State Role Title: Health Care Compliance Spec II Hiring Range: $90,000 - $100,000 Pay Band: 5 Agency: Virginia Department of Health Location: LICENSURE & CERTIFICATION OFF Agency Website: https://www.vdh.virginia.gov Recruitment Type: General Public - G Job Duties The Virginia Department of Health’s Office of Licensure and Certification is seeking a knowledgeable, detail-oriented professional, to serve as Medical Facilities Inspector Supervisor within the Long-Term Care Division in the East Central Region. The East Central region consists of Dunn Loring, Annandale, Henrico, Petersburg, Richmond, Burke, Tappahannock, Colonial Heights, Williamsburg, Locust Hill, Mechanicsville, Chesterfield, Highlands Springs, King George, Warsaw, Irvington, Yorktown, Hopewell, Gloucester, Mathews, West Point, Waverly, Lake Ridge, and Colonial Beach. The role of the Medical Facilities Inspector Supervisor to conduct onsite...