474 apartment compliance auditor jobs found

Senior Risk Adjustment Coder (CPC, CRC, and CCDS required) Stanford Medicine Partners Newark, CA (Remote/CA Resident) Stanford Medicine Partners (SMP) is looking for an amazing Senior Risk Adjustment Coder to join our rapidly growing team! SMP prides itself in offering exceptional service and patient care. Stanford Medicine Partners with Stanford Health Care to provide individualized and convenient care with access to Stanford specialists and technology. Join our team and start making a difference today! A Brief Overview The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment. What you will do Risk Adjustment...

Director, Revenue Integrity, and Coding Harvard Medical Faculty Physicians (HMFP) at the Beth Israel Deaconess Medical Center Woburn, MA   This position is a full-time hybrid remote role with two days required in our Woburn, MA office.   Under the direction of the Senior Director, Revenue Cycle at Harvard Medical Faculty Physicians (HMFP) at the Beth Israel Deaconess Medical Center (BIDMC), the Director, Revenue Integrity, and Coding will develop and implement HMFP’s Revenue Integrity program for charge capture and charge reconciliation to ensure billing and coding compliance identifying any potential risk areas in professional revenue integrity and coding. Serve as regulatory resource for Medicare/ Medicaid reimbursement and third-party billing rules and coverage through self-directed education and communication across the enterprise. Acts as a subject matter expert for revenue integrity, professional CDM related issues and professional coding to...

University Health is one of the largest employers in San Antonio. We are a nationally recognized teaching hospital and consistently recognized as a leader in advanced treatment options, new technologies and clinical research. Our mission is to improve the good health of the community through high quality compassionate patient care, innovation, education and discovery. We are currently looking for a talented health professional to join our team as a Coding Educator & Auditor for our Revenue Integrity department . This is an exciting opportunity to join a company with a reputation for exceptional service and patient care.   The Position : Works under the direct supervision of the Coding Education & Audit Manager. Will perform any or a combination of the following types of coding education and audit: Basic ancillary services, Emergency Room services, Hospital Observation, Ambulatory surgery, Inpatient Admission. Utilizes the ICD-10-CM and CPT coding...

Coding operations manager is responsible for overseeing the medical coding team and ensuring the accurate and efficient coding of patient records for billing, compliance, and reimbursement purposes. Oversee insurance verification department.  Needs skills with operational leadership, compliance oversight, team management, and process improvement within the healthcare revenue cycle. Experience: Equivalent of an Associate’s degree and two to three years of relevant emergency department or general medical coding experience. CPC required, CEDC additionally preferred.  Strong expertise in all professional medical coding, including ICD-10, CPT and HCPCS coding.  Excellent organizational skills and ability to multi-task. JOB RESPONSIBILITIES Oversee day-to-day operations of the medical coding team, ensuring timely and accurate coding and allocation of duties Ensure that all codes (ICD-10, CPT, HCPCS, etc.) are applied correctly and consistently according to official...

Assists the CMP Revenue Cycle Director (“Director”) in planning, administering, and directing the day-to-day operations of the coding department of Citizens Medical Professionals (“CMP”).       JOB DUTIES AND RESPONSIBILITIES: Develops and carries-out departmental goals and objectives in conjunction with the organization’s mission, strategic plans, and other identified needs, as well as in the planning, supervising, coordinating and directing the activities of the department. (EF) Monitors coding operations and recommends departmental policy and procedures to CMP’s Revenue Cycle Director and complies with and enforces hospital and department policies and procedures, including oversight and compliance with CMP’s coding and documentation policies. (EF) Coordinates with the CMP providers and clinics, as well as physician patient access and billing departments, on coding and documentation processes so that maximum financial reimbursement can be obtained. (EF)...

We are seeking an experienced and detail-oriented Billing Manager/Revenue Cycle Manager to join our orthopaedic surgery practice. This key leadership position will be responsible for overseeing all aspects of our revenue cycle operations, from insurance verification through payment posting and collections. The ideal candidate will have extensive experience in healthcare billing, particularly in orthopaedic or other surgical specialty practice settings, with a strong understanding of medical coding, insurance reimbursement, and revenue cycle optimization. This position plays a critical role in ensuring the financial health and sustainability of our practice by maximizing revenue capture and minimizing payment delays. As the Billing Manager, you will directly supervise all billing staff members and work closely with practice leadership to ensure financial stability and growth through efficient revenue cycle processes. This role requires exceptional analytical skills, leadership...

Nemours is seeking a Manager of Hospital Coding and Billing!  The Manager is responsible for timely, accurate and compliant charge capture and billing by daily management of key process indicators for revenue which include assuring all encounters are order-based, coded with payer specific requirements, and contain all charge related revenue appropriate for each encounter within 5 days. This includes tracing charges back to the point of origin (i.e., system generated charge; flow sheet generated charge; associate generate charge) and developing countermeasure(s) to prevent future occurrences, which includes education at point of workflow failure to reduce denials and missed revenue. Responsibilities:  Responsible for budget associated with coding and billing functions, training of local staff and home office collaborators. Responsible for accurate charge capture of all revenue generated clinical areas (i.e.  Pharmacy, Blood Bank, Bedside...

When you join Kaiser Permanente, you’ll be part of an organization dedicated to total health. At every level and in every department, it’s what we stand for. By using your innovation and your creativity, you can play a role in the health of communities across town and around the country by serving 12.5 million of our members. No matter your background, your ideas can help drive a health care pioneer. You can play a role in the future of health.   Director, Compliance, Medical Coding (Remote) Oakland, California Full-Time, Salary Range: $192,200 – $248,710/Year   ******This is a 100% remote position, and you may be based in any of the following Kaiser Permanente locations: CA, GA, CO, OR, WA, VA, MD, or Washington, D.C.   In addition to the responsibilities listed below, the position is also responsible for serving as a Risk Adjustment compliance subject matter expert related to coding functions, overseeing audit activity related to coding...

JOB SUMMARY This job is responsible for ensuring that all appropriate billing charges for complex service lines are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards and requirements. Position requires a working knowledge of CPT codes. Focus on work unit and/or service-line reconciliation processes ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Ensures accurate and timely charge-capture and abstracting methodologies are in place and followed for the assigned work unit or service line, and that they are consistent (in terms of standardization) across pertinent areas/facilities as appropriate; reconciles charges against source documents to ensure that charges have been captured completely and accurately; monitors compliance with internal standards and procedures, and report non- compliance issues to proper authority....

Description Position Summary: The Surgery Coder – Tier Two is responsible for reviewing operative reports and assigning accurate CPT, ICD-10-CM, and HCPCS codes for intermediate to complex orthopedic surgical procedures. This role ensures coding compliance with official guidelines and payer-specific rules to support timely and accurate reimbursement. This position requires a solid understanding of orthopedic anatomy, procedures, and documentation requirements. The Tier Two coder works independently with minimal supervision, may assist in mentoring Tier One coders, and supports documentation improvement efforts through collaboration with providers and internal teams.   Full Time (Remote) Monday through Friday Days Core Values: Communication:  Verbal and written communications are effective in soliciting and conveying information.  Information is clear, concise and timely. OrthoAlliance Policies: Consistently adheres to OrthoAlliance Policies and...

Key Responsibilities: Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC)  Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines  Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation Prepare and/or perform auditing...