JOB SUMMARY: This role will report directly to the Supervisor of Clinical and Risk Coding and is responsible for clinical and risk adjustment audits for both Medicare Advantage and ACA Programs. Ensuring accurate and appropriate documentation. Audits
JOB SUMMARY: The Medical Review Examiner Nurse is responsible for auditing provider and facility claims. Identifying issues related to and/or participates in various projects aimed at identifying areas of non-compliance and/or potential fraud, waste and abuse,
Medical Collections Specialist Surgical Clinic | Tulsa, OK Pay: $19$21/hour Schedule: MondayFriday | 8:00 AM 5:00 PM Job Type: Full-Time | In-Person Position Overview We are seeking a detail-oriented and professional Medical Collections Specialist to join
Coding Specialist Apply the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing. Abstract pertinent information from patient records. Assign the International Classification of Diseases, Clinical Modification (ICD),
Job Posting Under the direction of the HIM Manager, the Coder will be responsible for chart review with experience in Inpatient and Outpatient coding within the hospital setting. Strong knowledge of ICD-10-CM, PCS, CPT/HCPCS coding, and CCI edits. Verify
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system
JOB DESCRIPTION Job Description Medical Billing Specialist Monday-Friday 8am-5pm | $18-$23/hourDOE | Temp to Perm Summary: Responsible for insurance claim submission, follow up, and resolution for commercial, Medicare, Medicaid, and patient accounts. Responsible for all patient