Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together, we will achieve our mission to enhance the health and well-being of the people and communities we serve.
We are looking for a meticulous and analytical Payment Integrity Auditor to ensure accurate claims payment, uphold compliance with regulatory standards, and drive financial integrity through detailed chart reviews and collaborative audit processes." Responsibilities: 1. Perform medical chart reviews to ensure provider billing adherence to medical policies and claims payment policies. 2. Review inpatient charts to validate DRG assignment based on ICD-10-CM and ICD-10-PCS coding. 3. Ensure compliance with CMS guidelines, payer policies, and official coding rules. 4. Perform Readmission audits to identify related admissions per claims payment policy criteria. 5. Provide detailed clinical and coding rationale to support audit findings. 6. Collaborate with Providers and Medical Directors to resolve audit disputes. 7. Initiate, verify, and reconcile claim adjustments. Maintain audit documentation. 8. Perform other duties of the Payment Integrity Auditor as required. Qualifications: 1. Bachelor's degree in a health care-related field or business-related discipline preferred. 2. Current credentials of CPC, RN, or RHIT/RHIA/CCS. 3. Strong knowledge of medical terminology and ICD-10-CM/PCS coding guidelines. 4. Understanding of Inpatient Prospective Payment System (IPPS), MSDRG, and regulatory requirements and/or Outpatient Prospective Payment System (OPPS). 5. Inpatient Medical Chart Review experience is required.Surgery - General Physician at Lifepoint Health summary: The role is for a General Surgeon at Paris Regional Medical Center, a community hospital serving Northeast Texas and Southeast Oklahoma, offering advanced surgical technology including da Vinci Robotic Surgery...
Job Description Medical Solutions is seeking a travel nurse RN Maternal - Newborn for a travel nursing job in Arlington, Texas. Job Description & Requirements ~ Specialty: Maternal - Newborn ~ Discipline: RN ~ Duration: 13 weeks ~36 hours per week ~ Shift...
...this position would include doing various jobs inside and outside of the apartments. Following up on work orders & preventative maintenance program. We are looking to hire a detailed hard-working person that has the drive to work independently or in a team setting....
...English and Reading Teachers Wanted for Fun After-School Tutoring! Sylvan Learning Center is looking for fun, dedicated teachers to help and inspire students. We are currently looking for teachers who are able to teach reading at a middle school grade level, with a preferred...
...Dairy Goat Farm Hand (6565) Location: Dover Foxcroft, Virginia JobNumber: 6565 We need help on our goat dairy farm. Basic responsibilities... ...milking. Room and board is an option. Qualifications: No experience necessary but a willingness to learn and demonstrate skills...