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- ...Adjustment Data Validation (RADV) medical record review (MRR) work performed under the contract. This role ensures compliance with CMS RADV guidelines, coding standards, and risk adjustment policies while maintaining the highest quality and accuracy in medical record...SuggestedContract workPart timeWork at officeRemote workFlexible hours
J29, Inc.
Millersville, MD1 day ago - ...streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health... ..., Washington. Occ Summary Implement and maintain compliance programs in accordance with the Office of Inspector General's...SuggestedWork at officeRemote work
Duke Clinical Research Institute
Durham, NC2 days ago - ...The University of Kentucky is seeking a Coding Compliance Coordinator to ensure compliance with coding guidelines by performing data‑quality reviews on patient records. This role involves serving as a coding liaison, providing training to coders, and maintaining policies...SuggestedFull timeRemote work
University of Kentucky
Lexington, KY3 days ago $28.71 per hour
...Services seeks a Charge Description Master Specialist. This full-time remote position requires... ...include ensuring Chargemaster compliance, training hospital staff, and coordinating... ...workflows. Applicants should have knowledge of coding principles and use of CDM Maintenance...SuggestedFull timeRemote workProvidence Health & Service
Albuquerque, NM2 days ago- ...Senior Compliance Specialist The Senior Compliance Specialist assists with and support the compliance program activities of the organization... ...and demonstrated expertise in the areas of billing/coding and data analytics. Knowledge, Skills, & Abilities:...SuggestedRemote work
Cook Childrens
Fort Worth, TX3 days ago $16.49 - $26.39 per hour
...Overview The Payer Compliance Specialist I – RCM plays a key role within USAP as it is responsible for analyzing allowed amounts received... ...identify and resolve underpayments relating to specific payers, coding issues, etc. are required. Good mathematical, verbal, and...SuggestedHourly payContract workWork at officeRemote workUS Anesthesia Partners
Dallas, TX5 days ago- ...and refund request documents. Computing vehicle sales taxes and making weight adjustments to the vehicle record file. Receiving, coding and issuing receipts for surrendered license plates; boxing surrendered plates and completing pick up requests. Performing...SuggestedTemporary workSummer workWork at officeRelocationHome officeAfternoon shiftEarly shift
State of South Carolina
Chester, SC4 days ago - ...In a temporary contract role, a Washington Licensed Coding Consultant will provide expert coding guidance, support coding operations... ...programs for coding staff and client teams to improve efficiency and compliance Required qualifications Associate's degree in health...SuggestedTemporary workRemote work
Virtual Vocations Inc
United States1 day ago - ...Team-centered culture with collaborative, mission-driven colleagues The Certified Coder and Billing Compliance Specialist is responsible for reviewing and coding medical records to ensure accurate, compliant billing in accordance with Medicare, Medicaid, and...SuggestedWork from home
Snowline Hospice of El Dorado
Lotus, CA5 days ago $111.54k - $167.42k
...Risk Adjustment Compliance Coding Specialist (Consultant) The Risk Adjustment Compliance Coding Specialist (Consultant) helps to ensure organizational compliance with laws related to Risk Adjustment across our Marketplace (ACA), Medi-Cal (Medicaid), and Medicare Advantage...SuggestedFull timePart timeWork at officeLocal areaWork from homeHome office2 days per weekBlue Shield Of California
Oakland, CA1 day ago- ...coordinating and supporting the Deputy Chief Compliance Officer with administrative, analytical,... ...audit activities related to billing and coding risks to the SOM, identifying and... ...Coding Associate (CCA), Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician...SuggestedApprenticeshipWork experience placementWork at officeLocal areaMonday to Friday
SIU Medicine
Springfield, IL4 days ago - ...Adaptive Home Health is seeking a QA RN to ensure clinical accuracy and regulatory compliance in Texas. This remote role involves reviewing OASIS assessments, coding, and collaborating with clinical leadership to enhance patient outcomes. The ideal candidate will have...SuggestedRemote workFlexible hours
Adaptive Home Health
New York, NY1 day ago - ...litigated matters. Key Responsibilities Processes complex auto commercial and personal line claims, ensuring proper documentation and coding Manages the litigation process for litigated claims and coordinates vendor management Develops action plans to meet state-...SuggestedFull timeRemote work
Virtual Vocations Inc
United States1 day ago - ...assisting government and commercial clients in compliance and program integrity efforts, including... ...role, the Medicaid Audit and Compliance Specialist will be responsible for performing and... ...program and policy compliance, billing, coding and medical record documentation reviews...SuggestedFull timeContract workFor contractorsWork at officeRemote workFlexible hours
Integrity Management Services
United States3 days ago - ...remote. Position Summary: The Risk Adjustment Audit and Compliance Specialist conducts audits to measure operational risk, establishes... ...specifically the Value-based Coders and the Risk Adjustment Coding and Training Specialist, to ensure the risk adjustment coding...SuggestedWork at officeLocal areaRemote workFlexible hours
Dignity Health
Bakersfield, CA1 day ago - ...company. We are currently looking for a Medicaid Audit and Compliance Specialist UPIC SE in the United States. This role is a detail-oriented... ...Experience reviewing medical claims, billing practices, and coding systems (ICD-9, ICD-10, CPT, HCPCS). ~ Strong analytical...Remote work
Jobgether
United States5 days ago - ...transportation claims remotely, ensuring proper documentation and compliance while handling litigation and vendor management, in a full-time... ...and personal line claims, ensuring proper documentation and coding Manages the litigation process for litigated claims and coordinates...Full timeRemote work
Virtual Vocations Inc
United States5 days ago - ...disciplines. Department: Office of Billing Compliance Location: Philadelphia, PA (Remote)... ...with applicable federal and state coding and billing regulations. Incumbent will... ...organization Credentials ~ Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC...Work at officeRemote work
Penn Medicine, University of Pennsylvania Health System
Bala Cynwyd, PA1 day ago - ...Labor Compliance Coordinator, a full-time remote position responsible for administering timekeeping and labor charging compliance for a... ...Review and resolve timekeeping issues, ensuring accurate labor coding and approvals Support onboarding and offboarding activities in...Full timeRemote work
Virtual Vocations Inc
United States4 days ago - ...professionalism, and a rewarding career! JOB SUMMARY Develops outpatient coding education. Research complex outpatient coding denials. Conducts risk-based coding compliance audits and ad hoc audits of outpatient encounters to validate code assignment is in compliance...Full time
University Of Texas Southwestern Medical Cent (The)
Dallas, TX5 days ago - ...State Regulatory Compliance Analyst Join on the heart-warming journey with a team that is a top leader in the rehabilitation industry. Encompass Health is the leader in the inpatient rehabilitation industry, you'll feel the Encompass Health difference as soon as you...Full timePart timeHome officeFlexible hours
Aya Healthcare
Birmingham, AL2 days ago $23.89 - $42.69 per hour
...Coding Compliance Analyst Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits...Hourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift workGenoa Telepsychiatry
United States1 day ago$43.68k - $44.72k
...professional with strong analytical skills to join a dynamic team focused on regulatory compliance and data evaluation. Note: This position does not involve IT or programming coding. It entails inputting, organizing, and classifying data to identify themes and relationships...Contract workWork at officeImmediate startRemote workIvyhill Technologies
Hyattsville, MD1 day ago$62.4k - $111.63k
...Equal Employment Opportunity Equal Employment Opportunity/M/F/disability/protected veteran status. Job Title Coding Compliance Coordinator Location Lexington, KY Salary $62,400-111,634/year Grade Level 12 Position Type Staff; Full-Time Physical Requirements Long periods...Full timeRemote workShift workUniversity of Kentucky
Lexington, KY3 days ago$31.38 - $44.89 per hour
...Remote Coding Compliance Analyst This is a remote position – incumbents, who reside in Oregon or Washington only. There may be occasional situations that require work to be performed on-site at an assigned Legacy Health location. All new hires are required to come to...Casual workWork at officeRemote workLegacy Health
United States3 days ago- A leading academic medical center is seeking a Compliance Auditor to perform audits on medical records for various healthcare facilities... ...certification and at least 6 years of related experience in inpatient coding and documentation reviews. Candidates need a solid...Remote work
Penn Medicine, University of Pennsylvania Health System
Bala Cynwyd, PA1 day ago - ...Job Summary: • To coordinate and monitor adherence to HIM compliance program • To educate HIM, CDI, physicians, ancillary departments... ...customers regarding appropriate documentation and accurate coding practices • To perform internal coding audits for compliance...Remote workFlexible hours
St. Elizabeth Healthcare
United States2 days ago $77k - $92k
...in the hands of everyone! We are looking for an experienced Compliance Auditor to join our risk team. The Compliance Auditor is... ...compliance concerns including medical records to ensure accuracy in coding and billing practices. Review documentation to identify and...Live inLocal areaRemote workWorldwideFlexible hoursTalkspace Remote Therapist Roles
United States5 days ago$46k - $58k
...that they comply with customs regulations by tracking and documenting shipments, advising brands, categorizing shipments by tariff coding system, and reviewing documentation for accuracy. Daily activities will include collaborating with business partners and internal stakeholders...Full timeRemote workSaks Global
United States4 days ago- ...class academic healthcare system, UChicago Medicine as a Payer Compliance Analyst for our Revenue Cycle Improv Department. This... ...Collaborates with various staff (e.g. AR follow-up team, UM, charge and code auditors, revenue integrity, quality auditors, underpay...Full timeContract workFor contractorsWork experience placementWork at officeRemote workWork from homeFlexible hoursShift workDay shift
The University of Chicago Medicine
Chicago, IL1 day ago
