12 quality compliance auditor ii jobs found

The incumbent is primarily responsible for conducting quality checks of both Organ and Tissue Electronic Donor Records to assess compliance with STA’s policies and procedures, government guidelines and laws JOB REQUIREMENTS 1. Associates degree in health sciences or equivalent work experience required. Three years of experience in a medical records or quality assurance role preferred. 2. Knowledge of medical terminology and medical records/ procedures required. 3. Knowledge of organ and tissue procurement and/or transplantation preferred. 4. Experience with Q-Pulse and iTransplant preferred. 5. Exceptional attention to detail. 6. Must demonstrate effective analytical, interpersonal, and time management skills. 7. Excellent communication skills required. Must have the ability to communicate effectively with all levels of personnel, internal, and external customers 8. Ability to work both independently and as part of a team required. 9. Ability to cope with high levels of stress...

Job Description Job Description Title: Coder II - Remote Location: Remote Type: Contract Duration: 3 Months Start Date 12/04/2023 Positions: 1 Schedule: Monday - Friday, 1st shift PST hours Role Type: Must be local to CA, TX, NC, TN, WI, IA, and UT. Job Summary: The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, and CPT-4 codes. Codes are used for billing, internal and external reporting, research and regulatory compliance activities. Responsibilities: Resolves billing related errors and assists with workflow changes and process improvement projects. Meets ongoing productivity and quality standard of 95% accuracy rate or better. Identifies chargeable items and facility level for emergency department visits. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. Assigns codes for diagnoses,...

Job Description Job Description JOB RESPONSIBILITIES- Coding Auditor - Health Information Management CODING AUDITOR - HIM Full-Time Coding Auditor candidates for the Health Information Management Department will have the following job responsibilities: The major challenge of this position is to coordinate the coding staff auditing schedules for quality and proficiency to ensure compliance of Coding/Auditing, Coding and documentation quality, and that accurate reimbursement is being met with quality coding standards. This position is accountable for auditing information coded from provider documentation and patient medical records within the designated time frames in order to expedite the billing process ensure accurate reimbursement for services rendered and to promote compliance. All findings obtained in the auditing arena must be documented and reported to Coding Leadership. This position has access to proprietary information and has contact with other...

Job Requisition ID: 7252 Position Summary/Position The Compliance Auditor III is responsible to lead and conduct key activities of the IEHP Compliance Audit Program. The Compliance Audit III will oversee compliance auditing and monitoring initiatives to assess and identify compliance risks with Federal and State regulatory and contractual requirements. The Compliance Auditor IIIis responsible for conducting compliance audits, reporting results, identifying risks, establishing compliance monitoring processes, and assessing regulatory compliance of Health Plan operations. Major Functions (Duties and Responsibilities) 1. Independently conducts complex audits and monitoring activities of internal health plan departments and external Plan delegates to ensure compliance with Medi-Cal and Medicare regulatory and contractual requirements, and operational plan requirements. 2. Leads and reviews audits of the Plan’s delegates to ensure compliance with regulatory, contractual...

Youll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet Recognition consecutively since 2006. And youll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine! You can make a difference here. About Us Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group...

Medical Coding Specialist As a Medical Coding Specialist, you will play a crucial role in ensuring accurate coding of medical procedures, diagnoses, and services for proper billing and reimbursement. Your meticulous attention to detail and expertise in medical coding will contribute to the financial health and operational efficiency of our organization. Responsibilities of the Medical Coding Specialist Accurately review and interpret medical documentation, such as physician notes, lab results, and patient records, to assign appropriate codes for diagnoses, procedures, and services using ICD-10, CPT, and HCPCS Level II coding systems. Ensure coding compliance with established guidelines and regulations, including CMS, HIPAA, and other relevant industry standards. Collaborate with healthcare professionals, including physicians and nurses, to clarify documentation and gather necessary information to support accurate coding. Stay updated on changes in coding...

Overview In 2020, united in a fierce commitment to deliver the highest quality care and exceptional patient experience, Virginia Mason and CHI Franciscan Health came together as natural partners to build a new health system centered around the patient: Virginia Mason Franciscan Health. Our combined system builds upon the scale and expertise of our nearly 300 sites of care, including 11 hospitals and nearly 5,000 physicians and providers. Together, we are empowered to make an even greater impact on the health and well-being of our communities. CHI Franciscan and Virginia Mason are now united to build the future of patient-centered care across the Pacific Northwest. That means a seamlessly connected system offering quality care close to home. From basic health needs to the most complex, highly specialized care, our patients can count on us to meet their needs with convenient access to the region's most prestigious experts and innovative treatments and technologies. While you're...

Salary : $55,848.00 - $76,835.20 Annually Location : Throughout San Bernardino County, CA Job Type: Full-time Job Number: 23-13107DBH-02 Department: Department of Behavioral Health Opening Date: 04/15/2023 Closing Date: Continuous The Job The County is recruiting for full-time Health Information Coder II for the Department of Behavioral Health (DBH) , who abstract and code outpatient charts at the hospital and clinic settings, using International Coding of Diseases (ICD-10-CM), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Level II coding classifications. Duties include reviewing charts (in paper or electronic format) and identifying procedures; abstracting and coding (or providing guidance on) patient charts, utilizing ICD-10-CM, CPT and HCPCS coding classifications; evaluating charts for completeness and accuracy in conformance with current-relevant standards and regulations; and contacting clinic/hospital...

Job Announcement This position manages a small team of health records support employees. Manages inmate appointments and various administrative tasks within the Medical Services Branch. This position requires knowledge of health care office and health care record management processes and procedures in a dynamic, high-energy environment. Must have the ability to provides oversight and management of up to 5 health records support employees. Schedules and coordinates up to 1,400 patient-inmates' health care appointments internally (on-site) as well as community-based simultaneously ensuring safety and security by effectively communicating and collaborating with sworn and civilian agency personnel. Ensures appropriate health care documentation, to include insurance and continuity of care forms, are initiated, provided, and completed for all external health care appointments. Develops, revises and maintains multiple data bases and spreadsheets in order to effectively track and ensure...

Medical Coder Reef Systems seeks experienced medical coders to support the Edward Hines, Jr. VA Hospital in Hines, Illinois 60141. Scope of Work : The purpose of this contract is to obtain services to assign ICD, CPT-4, and HCPCS Level II codes based on medical record documentation of outpatient and inpatient care provided at or under the auspices of Edward Hines Jr. VA Hospital and perform coding audits. The Contractor shall provide all resources necessary to accomplish the deliverables described in this Performance Work Statement, except as may otherwise be specified. a. Assign ICD, CPT-4, and HCPCS Level II codes based on medical record documentation of outpatient and inpatient care provided at or under the auspices of Edward Hines Jr. VA Hospital. b. Furnish validation of the integrity, quality, and assignment of codes to the data contained in the outpatient Patient Care Encounter (PCE), inpatient Patient Treatment File (PTF), the Non-VA database, and the integrated billing...

Job Description Job Description Salary: Full job description Job Summary: Accountable for conducting various revenue cycle audits including, but not limited to, professional bills, facility bills, automated charge trigger functions, manual charge capture functions, and any additional ad hoc assessments required by the Revenue Cycle Division of Vero Diagnostics and Uni - Labs. Responsible for the preparation, the assessment, and the collection of audit findings. Serves as subject matter expert on different levels of revenue cycle in accordance to regulatory requirements set forth by lines of business, state, and federal agencies and as needed, may prepare and deliver training to the Professional Service Coders and other Revenue Cycle personnel for improvement outcomes. Essential Responsibilities:   Conducts bill/claim audits for professional and claims (encompasses both CMS-1500 and UB04 claim formats). Assesses claims for various lines of business including,...

Position: Compliance Coordinator II , Req#: 1994-1 Location: Houston, TX (100% onsite) Duration: 24+ Months Contract Job Description: We are driven by helping people see brilliantly. We innovate boldly, champion progress, and act with speed as the global leader in eye care. The client has built a rich history of providing innovative products to customers and patients all over the world. We’re looking for an exceptionally talented, driven person who wants to make a difference. As part of the Quality Compliance Department, your primary focus will be ensuring compliance to regulations, standards, and company requirements. We strive to be always audit-ready by acting urgently to maintain a varied and robust quality management system. We foster an inclusive culture and welcome a diverse, talented workforce to join our company. As a Compliance Specialist, you will be trusted to provide expertise in regulations, standards, company requirements; and establish working...