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....Join a forward-thinking company in aviation security as a Public Safety Officer at a major airport. This role involves engaging with the public, ensuring compliance with airport regulations, and addressing incidents effectively. You'll work alongside law enforcement and...
...A local municipality is seeking a Public Safety Ambassador in Marietta, Georgia. This role involves responding to low-risk calls for service, documenting incidents through reports, and performing various administrative duties that may include traffic direction and evidence...
A prominent technology company is seeking a Revenue Integrity Coding Billing Specialist to resolve assigned claims and ensure compliance with billing guidelines. This fully remote position requires a high school diploma, 5+ years of Revenue Integrity experience, and coding...
...,000 /year based on experience PLUS $2,000 Annual Education Stipend #127979; Environment: Special Education Program, Grades K-12 Spectrum Center Schools... ...to offer hope is seeking an Education Program Director to join our award-winning Special Education team...