16 Auditing Concepts Jobs

Role Overview: As a Medical Coder - Surgery at Pacific BPO, an Access Healthcare company, you will play a crucial role in accurately assigning diagnosis and CPT codes for medical records related to surgeries. You will be responsible for maintaining high accuracy levels, exceeding productivity standards, and focusing on continuous improvement to ensure compliance with coding standards and prevent revenue leakage. Key Responsibilities: - Code medical records for surgeries using ICD-10 and CPT-4 systems with a minimum accuracy of 96% and within specified turnaround time - Exceed productivity standards for Medical Coding in Surgery, adhering to inpatient and specialty-specific outpatient coding ...

Role Overview: As a Trainee Medical Coder (HCC), your role will involve assigning accurate ICD-10-CM codes to medical diagnoses based on physician documentation. This ensures the use of appropriate codes for risk adjustment and the health of the patient. You will review patient charts, documentation, and medical records to ensure that all relevant diagnoses are captured and coded. Conducting audits of medical records and claims to ensure accuracy and compliance with coding standards and regulations will also be a key responsibility. Supporting the billing department by ensuring accurate diagnosis codes are included in claims to avoid denials and ensure proper reimbursement is crucial. Your r...

Job Description: As a Medical Coder, your role involves compiling, processing, and maintaining medical records. You will be responsible for classifying medical concepts into the healthcare industry's numerical coding system and abstracting key data from the medical information. Additionally, you will review and code all documents for inpatient encounters, including surgeries, tests, and diagnoses. It is essential to apply codes that classify patient cases into groups used for reimbursement and to code records promptly to meet billing cycles and hospital deadlines. Your duties will also include ensuring compliance with coding guidelines and regulations, communicating with clinical staff, and ...

As a Medical Coder and Biller, your role will involve investigating, evaluating, and managing calls to complete coverage analysis using Xactimate estimating software. You will be responsible for confirming or denying coverage, obtaining vehicle information from the DMV, and ensuring compliance with HIPAA policies on each call. Your responsibilities will include abiding by laws and regulations associated with HIPAA and patient confidentiality, as well as coordinating Medicare, Medicaid, and secondary insurance coverage. Key Responsibilities: - Investigate, evaluate, and manage calls for coverage analysis using Xactimate estimating software - Obtain vehicle information from the DMV - Follow HI...

As a Medical Coder, you will play a crucial role in the accurate coding of patient medical records. Your responsibilities will include: - Reviewing and analyzing patient medical records to ensure accurate coding. - Assigning appropriate codes for diagnoses and procedures based on medical coding guidelines and standards. - Maintaining confidentiality and security of patient data at all times. - Collaborating with your team to enhance coding processes and improve accuracy. - Keeping yourself updated with industry standards to ensure compliance. To qualify for this role, you must meet the following requirements: - Graduation in any discipline. - Mandatory CPC/CCA Certification. - Good knowledge...

As a Life Science Graduate with CPC/CCA certification, your role will involve the following key responsibilities: - Assigning appropriate ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes to inpatient records based on physician documentation. - Reviewing patient medical records to ensure accurate coding of diagnoses and procedures. - Assigning correct Diagnosis-Related Group (DRG) codes based on patient's diagnosis, comorbidities, and treatments received. - Maintaining high attention to detail to avoid billing errors or delayed claims. - Keeping abreast of industry standards. Qualifications required for this role include: - Life Science Graduates only. - CPC/CCA Certified/Non-Certifie...

This job is with Finastra, an inclusive employer and a member of myGwork the largest global platform for the LGBTQ+ business community. Please do not contact the recruiter directly. Who are we At Finastra, we are a dynamic global provider of open finance software solutions, dedicated to expanding access to financial services. Our innovative applications span Lending, Payments, Treasury and Capital Markets, and Universal Banking. Proudly serving over 8,000 customers, including 45 of the world&aposs top 50 banks, we aim to boost financial inclusion for all. Join us and be part of a vibrant company that embraces diverse perspectives, and is committed to doing well by doing good. What will you c...

Whether you're at the start of your career or looking to discover your next adventure, your story begins here. At Citi, you'll have the opportunity to expand your skills and make a difference at one of the world's most global banks. We're fully committed to supporting your growth and development from the start with extensive on-the-job training and exposure to senior leaders, as well as more traditional learning. You'll also have the chance to give back and make a positive impact where we live and work through volunteerism. Shape your Career with Citi Citi Internal Audit (IA) provides independent assessments of Citi's control environment, risk management, and governance for key stakeholders ...

If you are looking to advance your healthcare career and enhance your expertise in healthcare revenue cycle management, it is essential to consider your healthcare business processes from the perspective of your customers. Gain a deeper understanding of the healthcare industry by joining a company that appreciates your contributions and empowers you to establish strong partnerships with your clients. Invest in your professional growth and have the opportunity to directly impact the key performance indicators that are crucial to your clients. Embark on your career journey as a Medical Coder - Surgery with Pacific BPO, an Access Healthcare company based in Noida, India. We are keen to engage w...

Performs a variety of activities involving the Coding of medical records by ascribing accurate diagnosis and CPT codes as per ICD-10 and CPT-4 systems of Coding. Addresses Coding Denials by accurate editing and resubmission of erroneously submitted claims. Maintains a high degree of professional and ethical standards. Focuses on continuous improvement by working on projects that enable customers to arrest revenue leakage while complying with the standards. Focuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences. To be considered for this position, applicants need to meet the following qualification criteria: Graduates in...

As a Radiology Coding Auditor at Pacific BPO, an Access Healthcare company in Noida, India, you will be responsible for auditing the coding of medical records to ensure accurate diagnosis and CPT code assignments according to ICD-10 and CPT-4 coding systems. Your role will involve coding and auditing outpatient and/or inpatient records with a minimum accuracy rate of 96 percent within specified turnaround time requirements. To excel in this position, you must exceed productivity standards for medical coding, maintain professional and ethical standards, and focus on continuous improvement initiatives that help customers prevent revenue leakage while adhering to compliance standards. Participa...

If you are looking to advance your career in healthcare and deepen your expertise in healthcare revenue cycle management, it is essential to analyze your healthcare business processes through the lens of the customers. Enhance your understanding of the healthcare industry by joining a company that appreciates your contributions and supports your professional growth. Become a valuable partner to your clients by focusing on key performance indicators that are crucial to their success. Embark on a rewarding career as a Medical Coder specializing in Surgery at Access Healthcare in Pune, India. We are seeking individuals who are passionate, skilled, and driven to excel in a dynamic work environme...

If you want to advance in your healthcare career and enhance your expertise in healthcare revenue cycle management, it is essential to view your healthcare business operations through the perspective of the customer. Enhance your understanding of the healthcare industry by joining a company that appreciates your contributions and empowers you to establish genuine partnerships with clients. This company invests in your professional development and provides opportunities to directly impact the key performance indicators that are crucial to your clients. Embark on your professional journey as a Medical Coder - Surgery at Pacific BPO, an Access Healthcare company. We are eager to connect with in...

The job requires a candidate with any graduation and CPC Certification, along with good knowledge of medical coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles. As a Clinical Coder, you will be responsible for demonstrating a high level of quality in clinical coding work, validating HCC mapped diagnoses, and ensuring revenue generation. Adherence to official coding guidelines, client-specific coding guidelines, CMS regulations, and other compliance requirements is crucial. Your accuracy should be 95% or above with consistent productivity. Excellent written and verbal communication skills are necessary for coaching and interpersonal i...

The job requires candidates to have the following qualifications and skills: - Any Graduates with HIMAA Certification Mandatory - Good knowledge of medical coding systems, medical terminologies, regulatory requirements, auditing concepts, and principles. Responsibilities include: - Assigning appropriate ICD-10-CM and ICD-10-PCS codes to inpatient records based on physician documentation. - Reviewing and coding all documents for inpatient encounters, including surgeries, tests, and diagnosis. - Applying codes to classify patient cases for reimbursement purposes. - Coding records in a timely manner to meet billing cycles and hospital deadlines. - Ensuring compliance with coding guidelines and ...

As an Audit Associate within the Concurrent and Internal Audit division, you will play a crucial role in conducting day-to-day audit activities according to the audit plan. Your responsibilities will include performing transaction testing, sampling, and document verification to ensure accuracy and compliance. You will be responsible for identifying process gaps, control weaknesses, and reporting non-compliance issues to improve financial control processes. In this role, you will be expected to ensure timely preparation and submission of audit working papers and reports while coordinating with client personnel for data, records, and clarification requirements. Additionally, you will assist se...