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The Compliance Auditor supports the Office of Compliance & Privacy by conducting audits, ensuring effective documentation, assisting with compliance inquiries, and maintaining reporting metrics. They provide training and clarification on audit results and regulations to improve operational efficiency.
The Compliance Coding Auditor conducts coding audits to ensure accurate documentation and compliance with billing regulations. They assist in resolving compliance inquiries, support billing audits, and provide governance reporting for compliance metrics. The role demands strong knowledge of coding systems and reimbursement guidelines as well as effective communication with providers to ensure correct coding practices.
The Coding Educator is responsible for auditing clinical documentation for coding accuracy, providing training to physicians, and ensuring compliance with coding regulations. They will conduct quality audits, facilitate onboarding education for new clinicians, and keep updated on the latest coding guidelines and Medicare/Medicaid billing practices.
The Senior Reimbursement Analyst will oversee third-party reimbursement functions, including managing Medicare and other governmental regulations, providing consulting to leadership, supporting contract modeling, and participating in audits and financial planning projects.
The Billing Representative handles the collection of insurance accounts receivable, including reviewing and submitting UB-04 forms, following up on claims, resolving discrepancies, and providing trend analysis. They will interact with hospital departments and utilize various billing systems to manage accounts and submissions effectively.
The HIMS Representative performs clerical and reception duties, including responding to medical record requests, preparing documents for medical records, providing customer assistance, and maintaining departmental security in a hospital environment.
The EPIC HIM & Coding Manager is responsible for managing a team of Epic analysts, overseeing the implementation and support of HIM & coding systems, coordinating project activities, and ensuring effective communication with stakeholders and Epic representatives.
The Associate Systems Analyst ensures the effective use of applications, providing technical support, operational administration, and system documentation. Responsibilities include troubleshooting issues, project planning, and identifying business process improvements through technology support.
The Coding Educator monitors and validates hospital documentation and coding accuracy, provides training to coding staff, develops educational materials, conducts audits, and ensures compliance with coding and regulatory standards in healthcare.