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e4health
e4health
501 – 1 000 Darbuotojai
KonsultavimasLogistikaTeisė
„e4health“ yra sveikatos priežiūros paslaugų ir technologijų įmonė, padedanti ligoninėms ir sveikatos priežiūros sistemoms įgyvendinti klinikinių duomenų, kodavimo, dokumentacijos, pajamų valdymo ir IT iniciatyvas. Jos veikla apima sveikatos priežiūros IT konsultavimą, sveikatos informacijos valdymą, klinikinės dokumentacijos tobulinimą, kodavimą ir auditą, rizikos koregavimą ir HCC paslaugas, senų duomenų perkėlimą ir tikrinimą, laikiną personalą, taip pat programinės įrangos ir dirbtinio intelekto automatizavimą. Derindama profesionalias paslaugas, konsultacinę pagalbą ir technologijas, „e4health“ padeda sveikatos priežiūros organizacijoms gerinti duomenų kokybę, užtikrinti pajamų tikslumą, modernizuoti darbo eigą ir padidinti IT investicijų vertę. Įmonė aptarnauja daugiau kaip 400 sveikatos priežiūros sistemų.
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Lead Outpatient Facility and Professional Fee Coding Auditor

Lead facility outpatient and professional fee coding audits for e4health, a healthcare workflow solutions provider. Review charts, monitor coding quality, and train coding consultants.

USJungtinės ValstijosNuotolinisVisas etatasVyresnysis specialistasPrivaloma Kalba: anglųAuditorius

Aprašymas

  • Perform scheduled client quality reviews.
  • Complete quality reviews for newly hired consultants during onboarding.
  • Train newly hired coding consultants.
  • Report quality issues to management.
  • Help develop, implement, and monitor quality improvement plans.
  • Track reports and coding accuracy rates for consultants and clients.
  • Address clients’ quality assurance needs.
  • Deliver educational sessions on coding error trends.
  • Alert management to compliance concerns and incidents.
  • Protect patient information in accordance with HIPAA privacy and security requirements.
  • Attend educational conference calls.
  • Provide coding support to the business as needed.
  • Carry out other project-related duties.
  • Meet required productivity and quality standards.
  • Audit complete charts for facility outpatient and professional fee coding.
  • Support monthly onboarding reviews, ongoing reviews, and focused reviews.
  • Provide administrative support for outpatient and professional billing audits.

Reikalavimai

  • Hold an approved AHIMA or AAPC coding credential.
  • At least four years of coding experience is required.
  • At least four years of full chart auditing experience is preferred.
  • Experience in both outpatient facility and professional fee coding and auditing.
  • Level I trauma experience.
  • At least two years of remote work experience.
  • Highly skilled outpatient and professional fee auditors must have at least four years of auditing experience.
  • Ability to move between projects, work independently, and meet productivity and quality expectations.
  • Knowledge of HIPAA Privacy and Security Regulations.
  • Ability to maintain coding credential requirements.
  • Strong collaboration, analytical, problem-solving, writing, speaking, and presentation skills.
  • Ability to self-motivate and work independently.
  • Strong time management and organizational skills.
  • Commitment to and adherence to company Core Values.
  • Must be legally authorized to work in the United States; visa sponsorship is unavailable.

Privalumai

  • Comprehensive benefits package.
  • 401(k) plan with company match.
  • Medical insurance.
  • Dental insurance.
  • Vision insurance.
  • Life insurance.
  • Short-term disability insurance.
  • Long-term disability insurance.
  • Paid time off policy.
  • Remote work from a home office.

Susiję darbai

Guide Healthcare

Registered Nurse Clinical Compliance Auditor

Guide Healthcare
51 – 200 Darbuotojai
ĮdarbinimasSveikatos draudimasSveikatos priežiūra
USJungtinės ValstijosTXTeksasas
82 000 $ – 87 000 $ / metai
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųAuditorius

Audit utilization management, delegated services, and clinical compliance for Guidehealth’s value-based healthcare operations. This remote role supports regulatory readiness and clinical quality.

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BlueCross BlueShield of South Carolina

Auditor II, Medicare Cost Reporting

BlueCross BlueShield of South Carolina
KonsultavimasSveikatos priežiūraTeisė
USJungtinės ValstijosALAlabamaAKAliaskaAZArizonaCAKalifornijaCOKoloradasCTKonektikutasFLFloridaHIHavajaiIDAidahasILIlinojusIAAjovaKSKanzasasKYKentukisLALuizianaMEMeinasMDMerilandasMAMasačusetsasMIMičiganasMNMinesotaMSMisisipėMOMisūrisMTMontanaNENebraskaNVNevadaNHNaujasis HampšyrasNJNaujasis DžersisNMNaujoji MeksikaNYNiujorkasNCŠiaurės KarolinaNDŠiaurės DakotaOHOhajasOKOklahomaOROregonasPAPensilvanijaRIRod AilandasSCPietų KarolinaSDPietų DakotaTNTenesisTXTeksasasUTJutaVTVermontasVAVirdžinijaWAVašingtonasWIViskonsinasWYVajomingas
49 447 $ – 94 737 $ / metai
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųAuditorius

Conducts financial, compliance, and operational audits for BlueCross Blue Shield of South Carolina, with a focus on Medicare cost reports. Evaluates controls and business risks, recommends corrective actions, and supports remote audits across the United States.

Atidaryti