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Pennsylvania Licensed Compliance Auditor
A company is looking for a Compliance Auditor (medical coding and billing)....Key Responsibilities Perform compliance audits on medical record documentation, billing, and coding to evaluate compliance risks and recommend solutions Identify training needs from audit results and educate physicians and non-physician practitioners
Certified Professional Coder
Qualifications Current certification as a Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent 3+ years of recent, relevant experience in medical coding, preferably in risk adjustment Thorough understanding of medical coding...guidelines, compliance, and risk adjustment payment models Subject matter expertise on the CMS HCC Risk Adjustment program and its impact on value-based contracts
Medical Coder
Key Responsibilities Review and analyze patient medical records to assign appropriate codes for diagnoses, procedures, and services provided Utilize ICD-10 coding standards to ensure compliance with federal regulations and guidelines Maintain up-to-date...knowledge of medical terminology, coding updates, and changes in regulations affecting coding practices Required Qualifications 3 to 5 years of experience in medical coding Strong understanding of ICD-10 coding and compliance regulations Proficiency
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CPC Certified Audit Manager
operations Required Qualifications Minimum 5 years' experience in healthcare auditing and client project management Minimum of 3 years mentoring staff Extensive auditing experience in multiple specialties Knowledge of AMA, OIG, CMS, and national coding...and compliance guidelines Certification: CPC and CPMA or RHIT
Surgery and Endoscopy Coding Manager
Key Responsibilities Lead and manage a team of medical coders specializing in surgical procedures Oversee daily coding operations to ensure compliance with coding standards Develop quality assurance processes to reduce coding errors and enhance operational
Certified Coding Specialist
Key Responsibilities Assigns codes for diagnoses, treatments, and procedures according to classification systems Reviews and queries physician assigned diagnosis codes for accuracy Enters and validates codes and charges, ensuring compliance with coding
Certified Coding Quality Associate
A company is looking for an Outpatient Coding Quality Associate responsible for ensuring the accuracy and compliance of medical coding.
Certified Coding Quality Associate
A company is looking for an Outpatient Coding Quality Associate responsible for ensuring the accuracy and compliance of medical coding.
Certified Medical Coding Specialist
A company is looking for a Medical Coding Specialist responsible for billing analysis and ensuring compliance with coding standards and regulations....Key Responsibilities Review and analyze billing for medical appropriateness and compliance Apply national coding standards to claims and prepare findings Monitor trends and communicate clinical education related to claims Required Qualifications
Outpatient Coding Auditor
Key Responsibilities Conducts internal quality assessments on coding to ensure compliance with national guidelines and policies Provides education and training to coding staff and assists in curriculum development Monitors coding quality and productivity
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