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The University of Vermont Health Network
The University of Vermont Health Network
IzobraževanjeZdravstveno varstvo
The University of Vermont Health Network je regionalna zdravstvena in izobraževalna organizacija, ki povezuje bolnišnice, zdravstvene centre in izvajalce zdravstvenih storitev, namenjenih skupnostim po Vermontu in zvezni državi New York. Njena mreža združuje skupnostno zdravstveno oskrbo z akademsko medicino ter podpira dostop do naprednega zdravljenja, usklajenih storitev in sočutne oskrbe bolnikov. Članice mreže, vključno z The University of Vermont Medical Center, sodelujejo pri krepitvi izvajanja zdravstvene oskrbe in izboljševanju zdravstvenih izidov po vsej regiji.
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Delovna mesta v podjetju

System Compliance Auditor

Audit provider documentation, coding, and billing at The University of Vermont Health Network, reporting findings and recommending steps to reduce risk. Support compliance through provider training, collaboration across billing and clinical teams, and monitoring of state and federal regulations.

USZdružene države AmerikeVTVermont
30 $ – 45 $ / ura
Na daljavoPolni delovni časSrednja ravenSeniorZahtevani Jezik: angleščinaRevizor

Opis

  • Assess risks in documentation, coding, and billing processes.
  • Help prevent potential fines and penalties from government agencies.
  • Develop and deliver orientation training for new providers.
  • Conduct annual audits of provider billing.
  • Educate providers and employees who prepare or submit professional bills to federal payers.
  • Report audit findings to billing providers, administrative and clinical leaders, and non-clinical staff.
  • Recommend actions based on audit findings.
  • Work with professional and hospital billing teams, Coding Education, Health Information Management, Revenue Integrity, management, and physician leaders.
  • Identify billing risks and conduct audits.
  • Recommend measures to reduce risk and support compliance.
  • Help develop the annual Compliance Audit Work Plan.
  • Ensure organizational policies and audit standards meet applicable requirements.
  • Stay current with relevant state and federal regulations.

Zahteve

  • Bachelor’s degree in business, health care operations, or a clinical field; substantial relevant auditing experience may substitute for academic credentials.
  • Master’s degree in business or a health care related field preferred.
  • Certification from the American Academy of Professional Coders (AAPC) required.
  • CPC-E/M Auditor certification preferred.
  • Five years of work-related experience in coding and billing for professional services.
  • One year of auditing experience.
  • Knowledge of state and federal regulations related to documentation, coding, and billing.
  • Ability to conduct audits, identify billing risks, and recommend ways to reduce risk and support compliance.

Ugodnosti

  • Full-time position.
  • 40-hour standard workweek.
  • Day shift.
  • No weekend work required.

Sorodna delovna mesta

AmeriLife

Remote Customer Care Representative — AmeriLife

AmeriLife
1001 – 5000 Zaposleni
FinanceSvetovanjeZdravstveno varstvo
USZdružene države AmerikeALAlabamaCTConnecticutFLFloridaKYKentuckyMDMarylandMAMassachusettsMIMichiganMSMisisipiNHNew HampshireNJNew JerseyNCSeverna KarolinaPAPensilvanijaRIRhode IslandSCJužna KarolinaTNTennesseeTXTeksasVAVirginijaNa daljavoPolni delovni časSrednja ravenSeniorZahtevani Jezik: angleščinaPodpora strankam

Support callers with Medicare and insurance questions at AmeriLife, researching issues and resolving requests in a remote call center role. Handle sensitive customer information with care while serving applicants, policyholders, agents, and medical providers.

Odpri