13 compliance auditor cra specialist jobs found

Job Description Job Description Starion Bank is a growing community bank known for providing local leadership, personalized service and community loyalty. We foster a culture where you can grow both professionally and personally, and treat employees as our most important organizational asset. Compliance Auditor/CRA Specialist At Starion Bank, we’re looking for talented people who will put our customers at the center of everything we do. Join our diverse team where you’ll feel valued and inspired to contribute your unique skills and experience. The Compliance Auditor/CRA Specialist will: Compliance Auditor Perform individual compliance audits, reporting audit results Follow up on outstanding audit issues Research and staying informed of new or enhanced regulations Respond to compliance inquiries Complete risk assessments Assist with external audits/examinations and the annual compliance audit plan Periodically report to the Audit Committee CRA...

Job Description Job Description Starion Bank is a growing community bank known for providing local leadership, personalized service and community loyalty. We foster a culture where you can grow both professionally and personally, and treat employees as our most important organizational asset. Compliance Auditor/CRA Specialist At Starion Bank, we’re looking for talented people who will put our customers at the center of everything we do. Join our diverse team where you’ll feel valued and inspired to contribute your unique skills and experience. The Compliance Auditor/CRA Specialist will: Compliance Auditor Perform individual compliance audits, reporting audit results Follow up on outstanding audit issues Research and staying informed of new or enhanced regulations Respond to compliance inquiries Complete risk assessments Assist with external audits/examinations and the annual compliance audit plan Periodically report to the Audit Committee CRA...

Job Description Job Description Starion Bank is a growing community bank known for providing local leadership, personalized service and community loyalty. We foster a culture where you can grow both professionally and personally, and treat employees as our most important organizational asset. Compliance Auditor/CRA Specialist At Starion Bank, we’re looking for talented people who will put our customers at the center of everything we do. Join our diverse team where you’ll feel valued and inspired to contribute your unique skills and experience. The Compliance Auditor/CRA Specialist will: Compliance Auditor Perform individual compliance audits, reporting audit results Follow up on outstanding audit issues Research and staying informed of new or enhanced regulations Respond to compliance inquiries Complete risk assessments Assist with external audits/examinations and the annual compliance audit plan Periodically report to the Audit Committee CRA...

Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Medical Coder , working in Healthcare Systems and Services industry in Bloomington, Indiana, United States . Conducts audits of medical records (paper, EMR, hybrid) Adheres to compliance of Medicare, Medicaid, and Commercial risk adjustment guidelines with precision. Understands, respects, and applies client specific guidelines Adheres to audit and medical record review schedules to meet client expectations and government-regulated deadlines Regularly participates in peer review; provides and receives feedback Ensures accurate documentation to support all audits Assures adherence to and currency with internal and external regulatory guidelines (CMS/HHS, DOH, HIPAA, HITECH, and Fraud Waste & Abuse, Medical coding protocols) Maintains coding credentials as required by credentialing agency Takes initiative to establish...

Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Medical Coder , working in Healthcare Systems and Services industry in 100 Kings Hwy S, Rochester, New York, 14617, United States . Conducts audits of medical records (paper, EMR, hybrid) Adheres to compliance of Medicare, Medicaid, and Commercial risk adjustment guidelines with precision. Understands, respects, and applies client specific guidelines Adheres to audit and medical record review schedules to meet client expectations and government-regulated deadlines Regularly participates in peer review; provides and receives feedback Ensures accurate documentation to support all audits Assures adherence to and currency with internal and external regulatory guidelines (CMS/HHS, DOH, HIPAA, HITECH, and Fraud Waste & Abuse, Medical coding protocols) Maintains coding credentials as required by credentialing agency Takes...

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. The Coder III position is dedicated to either hospital inpatient or hospital outpatient coding. Codes and abstracts clinical information from inpatient or outpatient charts for the purpose of reimbursement, research, and compliance with federal regulations and other agencies utilizing established coding principles and protocols. Inpatient: Identifies, reviews, and assigns complex ICD-10-CM codes, PCS, POA and PSI indicators for inpatient charts. Outpatient: Identifies, reviews, and assigns complex ICD-10-CM codes and CPT for ambulatory surgery and observation charts. The ideal future caregiver is someone who: - Has strong critical thinking and...

Job Description Adventist Health is ranked #10 in Becker's list of the largest nonprofit hospital systems in the U.S. We are the largest company headquartered and sixth largest employer in Roseville, California. Our corporate headquarters have been located at a desirable location on Douglas Boulevard since 1984. To accommodate our growing services, we are creating a new campus that will not only bring our workforce of nearly 900 people together in one location, but also facilitate a deeper connection with our Roseville neighbors and community. Job Summary: Reviews patient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Applies substantial knowledge of the job and experience to complete a wide range of activities with varying difficulty. Regularly works with sensitive and confidential information, often involving the interpretation of policies and procedures to guide use....

Overview: The Clinical Coder is responsible and accountable for reviewing medical record documentation and assigning codes for reimbursement and statistical purposes. Responsibilities: Dependent upon level of expertise defined in the Education/Training section: Maintains a working knowledge of coding fundamentals: ICD-9-CM coding for inpatient, outpatient, and/or physician services; HCPCS coding, namely CPT-4 for surgical procedures, for outpatient and/or physician services; and/or HCPCS coding, namely Evaluation and Management, for physician services. Maintains a working knowledge of coding guidelines: Official Guidelines for Coding and Reporting, American Hospital Associations Coding Clinics, and/or American Medical Associations CPT Assistant. Maintains a working knowledge of reimbursement as it relates to coding: the government prospective payment systems for inpatient, outpatient, and/or home health agencies, skilled nursing facilities, inpatient rehabilitation...

Job Description: Be a part of a world-class academic healthcare system at UChicago Medicine as a DRG/APC Coordinator - Coding Auditor for the Health Information Management department. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area. In this role, the DRG/APC Coordinator- Coding Auditor is responsible for ensuring accuracy and quality of coding assignments for all records requiring DRG and/or APC coding; insures optimal and timely reimbursement. Essential Job Functions: Performs data quality reviews on inpatient and outpatient records to ensure proper coding guidelines have been followed and appropriate DRG or APC assignments have been made for appropriate reimbursement Provides DRG/APC and coding quality information and statistical reports to the Coding Manager Communicates with the Medical Staff and Housestaff as needed to discuss clinical questions with respect to the assignment...

Summary: Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing and compliance. Detailed responsibilities: •Reviews encounters to assign and sequence appropriate diagnoses and procedure codes as well as modifiers to complex diagnostic and surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures. •Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG) assignments. Reviews coding edits. Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity. Researches electronic medical record for any additional diagnoses documented to meet medical necessity. •Seeks clarification from healthcare providers or other designated resources to ensure...

Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Medical Coder , working in Healthcare Systems and Services industry in Alpharetta, Georgia, United States . Conducts audits of medical records (paper, EMR, hybrid) Adheres to compliance of Medicare, Medicaid, and Commercial risk adjustment guidelines with precision. Understands, respects, and applies client specific guidelines Adheres to audit and medical record review schedules to meet client expectations and government-regulated deadlines Regularly participates in peer review; provides and receives feedback Ensures accurate documentation to support all audits Assures adherence to and currency with internal and external regulatory guidelines (CMS/HHS, DOH, HIPAA, HITECH, and Fraud Waste & Abuse, Medical coding protocols) Maintains coding credentials as required by credentialing agency Takes initiative to establish...

Typical pay range: $23.78 - $32.82 ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE:                                      PB Coding Specialist II – Advanced Coding        REPORTS TO POSITION:         HIM Coding Supervisor DEPARTMENT:                        Health Information Management DATE LAST REVIEWED:          July 3, 2020 OUR VISION:               Creating America’s healthiest community, together OUR MISSION:             In the spirit of love and compassion, better health, better care, better value OUR VALUES:             Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY: The Health Information Management Departments provide many services to our multi-hospital organization including: prepping, scanning and indexing, physician deficiency analysis, release of information, medical record maintenance, facility and profee coding. POSITION OVERVIEW: The Professional Fee Coding Specialist II at St. Charles Health System is...