Ovation Healthcare
Ovation Healthcare
Ovation Healthcare स्वतंत्र अस्पतालों और स्वास्थ्य प्रणालियों के लिए साझा सेवाएँ और परिचालन सहायता प्रदान करता है। 45 से अधिक वर्षों के अनुभव के आधार पर, कंपनी नेतृत्व संबंधी सलाह, आपूर्ति श्रृंखला प्रबंधन, राजस्व चक्र प्रबंधन, प्रौद्योगिकी सेवाओं और नैदानिक देखभाल प्रबंधन के क्षेत्रों में कार्य करती है। इसके परामर्श और शैक्षिक कार्यक्रम स्वास्थ्य सेवा संगठनों को वित्तीय और नैदानिक संचालन मजबूत करने में मदद करते हैं, साथ ही रोगी देखभाल और सामुदायिक कल्याण को उनके कार्य के केंद्र में बनाए रखते हैं।

Remote Coding Compliance Auditor

Review healthcare records, coding accuracy, billing compliance, and documentation for ruralMED in a remote role. Conduct audits, perform medical coding, educate staff, and prepare reimbursement-focused reports.

विवरण

  • Conduct internal and external coding audits, including concurrent, prospective, and retrospective reviews
  • Evaluate medical records for coding, billing, documentation, and data accuracy
  • Identify education, training, process improvement, risk reduction, and reimbursement optimization opportunities
  • Provide direct coding and coverage for professional fees, hospital outpatient, surgical, observation, and inpatient specialties
  • Extract clinical information and convert medical documentation into diagnosis and procedure codes
  • Sequence codes according to established coding guidelines
  • Assign ICD-10, CPT/HCPCS, and modifiers accurately and promptly for billing, reporting, and compliance
  • Address client account questions with the coding operations lead and coding director
  • Interpret regulatory changes and maintain current knowledge of corporate, state, and federal coding updates
  • Complete monthly and quarterly staff audits while delivering feedback, education, and mentoring
  • Create staff follow-up activities in collaboration with the Coding Manager
  • Coach staff on assigned tasks and operational processes
  • Maintain advanced knowledge of systems and billing requirements and act as an educational resource
  • Conduct and support client chargemaster chart-to-charge audits
  • Prepare detailed audit spreadsheets and reports covering coding, documentation, financial impact, and profitability
  • Work with leadership to assess and respond to external audit findings
  • Attend meetings with leadership to resolve issues and advise on new programs
  • Help the coding director maintain coding vault assets and reference materials
  • Create educational materials with the coding director
  • Follow ruralMED policies, procedures, mission, vision, values, and applicable laws and regulations

आवश्यकताएँ

  • At least 10 years of medical coding experience; 15 years preferred
  • Ability to work independently
  • Strong analytical skills
  • Proficiency with Microsoft Office
  • Current Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) certification
  • Current knowledge of hospital outpatient and professional coding
  • Knowledge of anatomy, physiology, and medical terminology
  • Proficiency coding professional fee, hospital outpatient, surgical, observation, and inpatient claims
  • Ability to work independently in multiple electronic health record systems
  • Current knowledge of ICD-10, CPT/HCPCS, modifiers, coding classification systems, billing, and regulatory and payer guidelines

लाभ

  • Comprehensive health and wellness coverage, including medical, dental, vision, life insurance, and short- and long-term disability plans
  • Health savings account with employer contributions
  • Flexible spending accounts for healthcare and dependent care
  • Wellness platform with premium incentives
  • Employee assistance support
  • Optional supplemental coverage for accident, critical illness, hospital indemnity, and child disability
  • Flexible paid time off programs
  • Company-paid holidays
  • 401(k) plan with potential discretionary employer matching
  • Professional development opportunities
  • Company-provided equipment

संबंधित नौकरियाँ

Protiviti
Caraffi

Recruitment Coordinator

Caraffi

Coordinate candidate onboarding for recruitment clients, overseeing documentation, readiness, support, tracking, and reporting. This is a hybrid contract role based in Luton.

खोलें
Eon

Senior Accountant (Colorado, Remote)

Eon

Support Eon’s healthcare accounting operations across accounts payable, payroll, reconciliations, and monthly close. Help maintain financial controls and audit readiness while supporting treasury accounting.

खोलें
Corteva Agriscience

Biologicals Discovery Data Scientist

Corteva Agriscience

Use machine learning and deep learning to connect Corteva’s microbial and natural products discovery data. Help develop crop health solutions by identifying and advancing promising candidates.

खोलें
Tech Holding

Remote Machine Learning Engineer Contract in Mexico

Tech Holding

Build NLP and LLM models for Tech Holding’s AI-powered risk intelligence platform. Deploy scalable services to identify disinformation, reputational attacks, and security threats.

खोलें
Tech Holding

Remote Contract Machine Learning Engineer

Tech Holding

Build NLP and large language model systems for Tech Holding’s enterprise risk intelligence platform. Deploy monitored services that help detect disinformation, reputational attacks, and security threats.

खोलें
Roam

Senior Tour Coordinator

Roam

Coordinate routing, marketing and tour administration for artists represented by ROAM, an independent global booking agency. The role also covers settlements, promoter relationships and artist development.

खोलें
Verizon
Verizon

Senior Distinguished Engineer, Machine Learning and AI

Verizon

Lead agentic AI, large language model, and propensity modeling work for Verizon’s telecom customers. Improve personalization and customer retention through production machine learning operations.

खोलें
E

Expert Data Scientist, Fraud Risk Detection at Experian (Remote, US)

Experian

Build and assess machine learning models and predictive features to detect fraud and identity risk at Experian. The role uses Python and PySpark and supports deployment in batch, retrospective, and real-time decisioning systems.

खोलें