4 quality supervisor jobs found

Overview: The Documentation and Coding Consultant 1 provides training, consultation, review, and feedback to clinicians on their medical service documentation and coding to ensure KPNW receives appropriate reimbursement and conforms to applicable guidelines and regulations. This is a hybrid position that is a blend of working both remotely and in office. Must reside in the Northwest Service Region (Oregon or Washington). Major Responsibilities / Essential Functions: Consulting and Coding services Provides expert consultation to specialists or primary care clinicians as assigned on coding and documentation education and questions. Within assigned clinical specialties, maintain current knowledge to ensure that KPNW coding and documentation meets regulatory guidelines and audit standards. Follow coding specificity guidelines using coding rules and guidelines. General coding knowledge and understanding of Risk Adjustment models and submission...

Senior Billing Compliance Hospital Reviewer  Dana-Farber Cancer Institute  Boston, MA  Full Time Reporting to the Director of Billing Compliance, the Senior Billing Compliance Reviewer will be responsible for the identification and performance of Billing Compliance inpatient and ambulatory activities. The Senior Reviewer will provide oversight related to reviewing the accuracy and appropriateness of ICD-10-PCS procedure coding and assessing DRG assignment. The Senior Reviewer will assist in the development and execution of the annual Billing Compliance work plan. They will monitor federal and state regulatory requirements and industry developments and work to determine applicability and risk to both technical and operational aspects of the organization. Metrics will be developed and reported quarterly. The Senior Reviewer will be expected to pursue successful completion of multiple tasks collaborating effectively with many departments across the institute, Mass...

Job Description The City of Naperville’s Fire Department is seeking two full-time Medical Billing Representatives to perform a variety of tasks related to processing claims for emergency services in a newly created, in-house medical billing division .  The Medical Billing Representative are full-time, civilian (non-sworn) positions that work Monday – Friday in the Fire Administration Building and will report to the Medical Billing Supervisor. The anticipated hiring range for this position is $27.74 – $30.51 commensurate with credentials and experience. The Pay Grade for this position is N220. For additional information,  click here.   (Download PDF reader) Duties The Medical Billing Representatives are responsible for billing for ambulance and fire recovery services, receiving payments for those services and the maintenance of payment records in a professional and confidential manner. These positions are also responsible for the organization, preparation,...