5 scheduler coder analyst jobs found

Job Description Job Description Position Summary Under the direction of the Director of Compliance Audit, the Compliance Auditor is responsible for designing, planning, and executing internal compliance audits to satisfy the requirements of the Compliance Program at Centria. Additionally, the Compliance Auditor will facilitate Centria's response to payor audits and other audits required by external parties. The Compliance Auditor will provide ongoing monitoring of audit results and, if required, coordinate the development and implementation of a plan of correction. Duties and Responsibilities The below reflects the essential functions considered necessary for this role and shall not be construed as a detailed description of all work requirements inherent in the job or assigned by supervisory personnel. This job description is used as a guide only and not inclusive of all responsibilities and job duties. Develop and execute an annual Audit Plan that complies with Compliance...

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

POSITION DESCRIPTION :The Compliance Auditor / Educator serves as the subject matter expert and as a point of contact for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services.Provides professional expertise and education in CPT, ICD and HCC coding.The Compliance Auditor / Educator is responsible for professional development of educational materials, clinical case studies, guidelines and job aides to provide direction and guidance across IHA departments and offices for coding and documentation regulations.This role is also responsible for responding to compliance-related coding and documentation issues via the event reporting system and managing them to proper resolution.Performs medical record integrity audits and conducts one-on-one meetings with Providers for corrective educational guidance.ESSENTIAL JOB FUNCTIONS :Develops and leads audit projects for medical record integrity, service line or issues-related audits, identifies...

Job DescriptionJob DescriptionMedical Coding Compliance SpecialistCompensation :Up to $85,000 annually, determined by your experience and qualifications.Job Location :Remote (US)Job Highlights :Work-Life Balance :Monday to Friday schedule for a fulfilling personal and professional life.Competitive Compensation :Be rewarded with a generous salary and benefits package.Career Growth Opportunities :Unlock your potential and advance in your career with our support.Supportive Work Environment :Join a team that values and appreciates your contributions.Comprehensive Training :Enhance your skills and knowledge through our extensive training programs.Compliance and Peace of Mind :Work with confidence knowing that we prioritize compliance with employment laws and regulations.Paid Time Off and Holidays :Enjoy well-deserved time off to relax and recharge.Life Insurance Coverage :Protect your loved ones with our employer-paid life insurance policy.Collaborative Team Environment :Thrive in a...

Position Details: Title: Social Compliance Auditor Department: Social Responsibility Reports to: Sr. Manager, Social Responsibility Location: Dearborn, MI Job Classification: Remote FLSA Status: Exempt Job Band: Professional Job Summary The primary purpose of this role is to support strategic goals and execute key initiatives within the Global Social Responsibility department, advancing our mission to serve and protect the hardworking people who make our durable products. The Auditor, North America, will work closely with our Social Responsibility Senior Manager and Latin America team to ensure regional suppliers comply with Carhartt's Workplace Code of Conduct through on-site assessments and training. This position will also collaborate with internal business partners, third-party auditors, NGOs, and other stakeholders across our supply chain. Inspired by Hard Work At Carhartt, the values of hard work-dependability, honesty, and trust-are...